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Toe walking in children

Walking on the toes or the ball of the foot, also known as toe walking, is fairly common in children who are just beginning to walk. Most children outgrow toe walking. Kids who continue toe walking beyond the toddler years often do so out of habit. As long as your child is growing and developing normally, toe walking on its own is unlikely to be a cause of concern.

Toe walking is sometimes the result of cerebral palsy, muscular dystrophy or another generalized disease of nerve and muscle. Children with autism also may walk on their toes or the balls of their feet, but many do not.

Symptoms Causes Risk factors Complications

Toe walking is walking on the toes or the ball of the foot.

When to see a doctor

Mention the toe walking at your child's next checkup. Make an appointment sooner if the toe walking is accompanied by tight leg muscles or a lack of muscle coordination.

Typically, toe walking is simply a habit that develops when a child learns to walk. In a few cases, toe walking is caused by an underlying condition, such as:

  • A short Achilles tendon. This tendon links the lower leg muscles to the back of the heel bone. If it's too short, it can prevent the heel from touching the ground.
  • Cerebral palsy. Toe walking can be caused by cerebral palsy — a disorder of movement, muscle tone or posture that is caused by injury or abnormal development in the immature brain, most often before or surrounding birth.
  • Muscular dystrophy. Toe walking sometimes occurs in muscular dystrophy, a genetic disease in which muscle fibers are unusually susceptible to damage and weaken over time. This diagnosis may be more likely if your child initially walked normally before starting to toe walk.
  • Autism. Toe walking has also been linked to autism, a complex group of disorders that affect a child's ability to communicate and interact with others.

Toe walking out of habit, also known as idiopathic toe walking, sometimes runs in families.

Persistent toe walking may increase a child's risk of falling.

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