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Toe Walking in Children: What You Need to Know

Published: 31 Jan 2025

Toe Walking in Children: What You Need to Know

What Is Idiopathic Toe Walking?

Idiopathic toe walking refers to a walking pattern where a child consistently walks on their toes, often without their heels touching the ground. The term idiopathic means that the cause is unknown—there are no apparent neurological or physical conditions contributing to the behaviour. It can occur in children with no other motor or sensory issues, making it a somewhat mysterious condition.

Toe walking is common in toddlers learning to walk, but most children transition to a heel-to-toe gait by the age of 2–3. When toe walking continues beyond 3–5 years of age, it may require intervention. Interestingly, boys are more likely to exhibit this pattern than girls, though the reasons for this remain unclear.


What Causes Idiopathic Toe Walking?

While the exact cause is unknown, several factors may contribute:

🔹 Genetics – A family history of toe walking may indicate a genetic predisposition.
🔹 Neurological Development – Some experts suggest that subtle differences in how the brain controls movement could play a role.
🔹 Sensory Processing Differences – Some children may toe walk because they find it more comfortable due to sensory preferences or sensitivities.
🔹 Muscle and Tendon Tightness – Tight calf muscles or Achilles tendons can encourage toe walking and, if left untreated, may lead to long-term mobility issues.
🔹 Habitual Behaviour – In some cases, children continue toe walking simply out of habit, even when physically capable of walking with their feet flat.


What Happens If Toe Walking Is Left Untreated?

While some children outgrow toe walking, persistent cases may lead to:

🚶 Muscle Tightness & Shortening – Prolonged toe walking can cause calf muscles and the Achilles tendon to tighten, limiting ankle flexibility. This can affect jumping, running, and balance.
🦵 Postural & Gait Issues – Toe walking for an extended period can alter posture, leading to balance difficulties and movement inefficiencies.
🎭 Social & Developmental Concerns – Children who toe walk noticeably may feel self-conscious, and balance issues may delay their development of motor skills.


Treatment for Idiopathic Toe Walking

The best treatment depends on the child’s age, severity, and contributing factors. Early intervention is key to preventing long-term complications.

Observation & Monitoring – If a child is very young and toe walking only occasionally, it may resolve on its own. Regular check-ups help track progress.
Physiotherapy – A tailored program can help stretch tight muscles, strengthen weak areas, and improve balance while making exercises fun and engaging.
Bracing (AFOs) – Ankle-foot orthotics (AFOs) may be recommended to encourage a heel-to-toe walking pattern.
Botox Injections – In rare cases, Botox may be used to relax overly tight calf muscles.
Surgery – Reserved for extreme cases, surgery may involve lengthening the Achilles tendon to allow for a more natural gait. However, this is quite rare.


Our Approach at The Healthy Body Company

At The Healthy Body Company, we understand that every child is unique, and treatment should be both effective and engaging.

🎯 Fun & Functional Sessions – We don’t rely on rigid gym-based exercises like “3 sets of 10 squats.” Instead, we integrate movement into play-based activities to keep your child engaged.
👨‍👩‍👦 Parent-Friendly Approach – We recognise that life is busy! Our treatment plans are designed to fit seamlessly into your family’s routine.
🦶 Tailored Exercises – We provide creative, easy-to-follow exercises that help retrain your child’s walking pattern.


Simple Exercises to Help with Toe Walking

Here are some fun exercises that can encourage heel-to-toe walking:

🐧 Penguin Walking (Heel Walking) – Encourage your child to walk on their heels like a penguin! Watch this video.

🦩 Flamingo Balance Game – Have your child balance on one leg like a flamingo. If needed, they can rest one foot on a ball for support. Try these balance tips.

🏃‍♂️ Stretch & Strengthen – Simple calf stretches help improve flexibility. Check out this stretching guide.

🚀 Make It a Game – Whether it’s “walking like a ninja” or “marching like a soldier,” incorporating fun elements can make exercises more effective.


Does Your Child Walk on Their Toes? We Can Help!

If your child is consistently toe walking beyond age three, it’s a good idea to seek professional guidance. Our expert physiotherapists can assess their movement, identify any underlying causes, and provide an individualised treatment plan.

📍 Book an assessment today and take the first step toward improving your child’s movement!

👉 Contact us now