6 doctors weighed in:

How can you stop a 5 year old from tip-toeing?

6 doctors weighed in
Dr. Jeffrey Kass
Podiatry
2 doctors agree

In brief: Toe walker

This can be from a contracted achilles tendon.
Using heel lifts and then working on achilles tendon stretching. This needs to be done aggressively. Working with a physical therapist may be helpful. There is a new stretching brace for the achilles tendon that can be worn while ambulating which may be helpful as well.

In brief: Toe walker

This can be from a contracted achilles tendon.
Using heel lifts and then working on achilles tendon stretching. This needs to be done aggressively. Working with a physical therapist may be helpful. There is a new stretching brace for the achilles tendon that can be worn while ambulating which may be helpful as well.
Dr. Jeffrey Kass
Dr. Jeffrey Kass
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1 doctor agrees

In brief: See a podiatrist

He may require orthotics or braces to correct the problem.

In brief: See a podiatrist

He may require orthotics or braces to correct the problem.
Dr. Arnold Beresh
Dr. Arnold Beresh
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3 comments
Dr. Jeffrey Kass
I agree with dr. Beresh, But, they got the pic messed up. Not that kind of braces!!
Dr. Johanna Fricke
I kinda like the silly picture, but I agree with the podiatrist. He's an important team member for our NICU grads, as are PT & OT.
Dr. James Ferguson
Pediatrics
1 doctor agrees

In brief: Takes time & work

Prolonged toe walking (after 3y) in normal kids can eventually result in shortening of the achilles tendon and a shorter calf to heal distance.
Physical therapy & or home stretches to bring the forefoot up to a normal range of ankle motion can improve the process. Kids with a subtile spastic diplegia can create the same gait. A good eval can help.

In brief: Takes time & work

Prolonged toe walking (after 3y) in normal kids can eventually result in shortening of the achilles tendon and a shorter calf to heal distance.
Physical therapy & or home stretches to bring the forefoot up to a normal range of ankle motion can improve the process. Kids with a subtile spastic diplegia can create the same gait. A good eval can help.
Dr. James Ferguson
Dr. James Ferguson
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In brief: Habitual???

If it just from habit, or just because they want to, they can be casted for a while to break them of this habit.
Also, very stiff full-length insoles in the shoes will prevent this as well (and i mean, stainless steel stiff). If they can't walk any other way, see a specialist in podiatric pediatrics.

In brief: Habitual???

If it just from habit, or just because they want to, they can be casted for a while to break them of this habit.
Also, very stiff full-length insoles in the shoes will prevent this as well (and i mean, stainless steel stiff). If they can't walk any other way, see a specialist in podiatric pediatrics.
Dr. David Hettinger
Dr. David Hettinger
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Dr. Johanna Fricke
Pediatrics - Developmental & Behavioral

In brief: Find out why

Sometimes it means there was a slight drop in oxygen or blood flow to the area of the brain that controls the nerves to that area late in the 2nd trimester or after. A neurological exam will help with diagnosis.
If it's progressive, it may be from "tethering" of the lower end of the spinal cord. If (s)he has language delays, a developmental evaluation would be warranted, as well.

In brief: Find out why

Sometimes it means there was a slight drop in oxygen or blood flow to the area of the brain that controls the nerves to that area late in the 2nd trimester or after. A neurological exam will help with diagnosis.
If it's progressive, it may be from "tethering" of the lower end of the spinal cord. If (s)he has language delays, a developmental evaluation would be warranted, as well.
Dr. Johanna Fricke
Dr. Johanna Fricke
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