10 doctors weighed in:
Is there anything wrong with a preschool child walking on tippy toes a lot?
10 doctors weighed in

Dr. Nader Ajluni
Pediatrics
4 doctors agree
In brief: Check heel cords
Toe walking can be seen in a number of preschoolers.
Child needs exam to rule out shortened heel cords (Achilles tendons) that may need stretching or occasionally surgery to allow lengthening. I would also evaluate knee (patellar) reflexes and a reflex called an anal wink. IF either of these are missing, the child may have a tethered spinal cord which requires neurosurgery to release tether.

In brief: Check heel cords
Toe walking can be seen in a number of preschoolers.
Child needs exam to rule out shortened heel cords (Achilles tendons) that may need stretching or occasionally surgery to allow lengthening. I would also evaluate knee (patellar) reflexes and a reflex called an anal wink. IF either of these are missing, the child may have a tethered spinal cord which requires neurosurgery to release tether.
Dr. Nader Ajluni
Dr. Nader Ajluni
Thank
Dr. Ellen Wenzel
Podiatry
3 doctors agree
In brief: See a physician
It can be normal to some extent but when habitual it may need to be addressed.
This can be done conservatively in most cases via a period of casting in a walking cast followed by bracing. Some children may require surgery but this is not always the case. See a physician that is board certified in the treatment of foot and ankle conditions (podiatry or foot/ankle ortho) with interest in pediatrics.

In brief: See a physician
It can be normal to some extent but when habitual it may need to be addressed.
This can be done conservatively in most cases via a period of casting in a walking cast followed by bracing. Some children may require surgery but this is not always the case. See a physician that is board certified in the treatment of foot and ankle conditions (podiatry or foot/ankle ortho) with interest in pediatrics.
Dr. Ellen Wenzel
Dr. Ellen Wenzel
Thank
2 doctors agree
In brief: Possibly
Toe walking can be seen in a number of preschoolers.
Child needs exam to rule out shortened heel cords ( achilles tendons) that may need stretching or occasionally surgery to allow lengthening. I would also evaluate knee (patellar) reflexes and a reflex called an anal wink. If either of these are missing, the child may have a tetherered spinal cord which requires neurosurgery to release tether.

In brief: Possibly
Toe walking can be seen in a number of preschoolers.
Child needs exam to rule out shortened heel cords ( achilles tendons) that may need stretching or occasionally surgery to allow lengthening. I would also evaluate knee (patellar) reflexes and a reflex called an anal wink. If either of these are missing, the child may have a tetherered spinal cord which requires neurosurgery to release tether.
Dr. Tammi Schlichtemeier
Dr. Tammi Schlichtemeier
Thank
Dr. Johanna Fricke
Pediatrics - Developmental & Behavioral
In brief: Need to know why
Tiptoe walking that persists for > 3 mos.
After a toddler starts walking is atypical. Sometimes it's seen in tots with developmental language disorders or autistic disorders, for reasons unknown. It may be brain- or spinal cord-based, if "tight" heel cords +/- other findings are seen on physical & neurological exams. Let the pediatrician see him; it may only require ankle/foot orthotics.

In brief: Need to know why
Tiptoe walking that persists for > 3 mos.
After a toddler starts walking is atypical. Sometimes it's seen in tots with developmental language disorders or autistic disorders, for reasons unknown. It may be brain- or spinal cord-based, if "tight" heel cords +/- other findings are seen on physical & neurological exams. Let the pediatrician see him; it may only require ankle/foot orthotics.
Dr. Johanna Fricke
Dr. Johanna Fricke
Thank
Get help from a real doctor now
Dr. Cindy Juster
Board Certified, Pediatrics
32 years in practice
2M people helped
Continue
108,000 doctors available
Read more answers from doctors