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Can toe walking cause problems?

Author

Noah Mitchell

Published Jan 12, 2026

What complications are associated with toe walking? Persistent toe walking may cause the calf muscles and Achilles tendons to tighten, which can make it difficult or even impossible for a child to walk flat-footed.

What happens if toe walking is not corrected?

If your child's case of toe walking does not resolve itself naturally, it can cause problems later on in life, such as painful biomechanical issues, shortened muscles, and increased risk of ankle injury.

What are the long term effects of toe walking?

The following are negative consequences of toe walking: Tight ankles or contractures can develop. Poor balance reactions, frequent falling. Muscle imbalances “up the chain” meaning decreased hip or core strength due to the different postural alignment.

When should I worry about toe walking?

If your child is still toe walking after age 2, talk to your doctor about it. Make an appointment sooner if your child also has tight leg muscles, stiffness in the Achilles tendon or a lack of muscle coordination.

Is toe walking neurological?

Results showed 108 children had a neurological etiology for toe walking. The most common diagnoses were CP (37%), PN (17%), ASD (16%), hereditary spastic paraparesis (HSP, 14%) and attention-deficit/hyperactivity disorder (8%).

40 related questions found

What disease makes you walk on your toes?

In most cases, persistent toe walking is an idiopathic condition (the cause is unknown). For some children, toe walking is caused by a medical condition, which may include: A problem in the brain, such as cerebral palsy. A muscle or nerve disorder, such as Duchenne muscular dystrophy.

Is toe walking linked to autism?

Toeing the line: Many children with autism cannot easily flex their ankles past 90 degrees, causing them to walk on tiptoes. Children who walk on their toes are more likely to have autism than other forms of developmental delay, according to a study published in January in The Journal of Child Neurology.

How do adults fix toe walking?

A special brace known as an ankle-foot orthosis (AFO) can help to stretch the muscles and tendons in the ankles. This type of brace is usually worn for a longer period of time than leg cast. Botox injections in the legs can help to weaken overactive and tight leg muscles if these are causing the toe walking.

Why does my 10 year old walk on his toes?

It is common for children of 10-18 months to walk on tip toes when they are learning to walk as it can help with their balance. Some children can continue this up to the age of 6-7 years where it usually resolves naturally, however a small number of children may continue to walk this way as they get older.

Is toe walking normal?

What Is Toe Walking? Toe walking is when kids walk on the balls of their feet, with their heels off the ground. It's common in toddlers as they learn to walk. Most children stop toe walking on their own by age 2.

Is walking on tip toes good for you?

As you can imagine, toe-walking places a great load on the muscles and tendons. Many children who consistently walk on their tip-toes since establishing independent ambulation, may develop foot deformities as early as the age of four.

Is walking on tip toes good for calves?

Boosting Calf Strength

Using your own body weight for resistance, tiptoe walking fires up your calf muscles, including the superficial, heart-shaped gastrocnemius and its assistant, the deeper-lying soleus. Bigger, stronger calves translates into a more shapely lower leg, better ankle stability and increased power.

Can a chiropractor help with toe walking?

Due to the limited number of visits, the patient was prescribed a cognitive task to help facilitate the retention of proper gait mechanics; however, these findings suggest that chiropractic management may prove useful in children who toe walk and that further investigation into treatment utilizing primitive reflex ...

What does it mean if a child walks on their tip toes?

When toddlers are learning to walk, many spend some time walking up on their tip toes, which is known as toe walking. Commonly this is to get into things they aren't meant to, but as they perfect their walking, they walk more with their whole foot on the ground.

Can toe walking cause back pain?

When a child walks on their toes for a long time, it puts abnormal stress on the bones and ligaments in the knees, hips and lower back. Over time, this can cause the bones to grow incorrectly and/or overstretch the ligaments – putting children at risk for injuries and joint pain as they grow older.

How do I get my 8 year old to stop walking on his toes?

Treatment for Toe Walking

Treatment methods can include stretching, serial casting (a series of casts applied over time that gradually stretch the heel cords), or botox injections (used to temporarily paralyze the calf muscle so that it is easier to stretch).

How do I get my child to stop walking on his toes?

Other exercises include:

  1. Marching on the spot. Have your child bring their knees up high and then land with a flat foot.
  2. Walking uphill.
  3. Walking on uneven surfaces such as in a playground or sand.
  4. Walking on the heels only. Keep the toes off the ground at all times.
  5. Practicing squats.

Can toe walking be cured?

If your child is toe walking out of habit, treatment isn't needed. He or she is likely to outgrow the habit. Your doctor might simply monitor your child's gait during office visits.

What are the 3 main symptoms of autism?

The symptoms to look out for in children for suspected autism are:

  • Delayed milestones.
  • A socially awkward child.
  • The child who has trouble with verbal and nonverbal communication.

What percentage of toe walkers have autism?

Of 2 221 009 paediatric patients in the database, 5739 patients had a diagnosis of ASD, and 8.4% of patients with ASD also had a diagnosis of toe-walking (n = 484). For typically developing children in the database, 0.47% of patients had a diagnosis of persistent toe-walking.

Why do autistic cover their ears?

Many children with autism have auditory sensitivities to specific sounds, such as a fire engine, baby crying, or toilet flushing. Covering their ears is one way to lessen the auditory input. Emily: Children with autism are often hyper-sensitive to auditory stimuli.

What is idiopathic toe walking?

Idiopathic Toe Walking (ITW) is present in children older than 3 years of age still walking on their toes without signs of neurological, orthopaedic or psychiatric diseases.

Does walking on tiptoes strengthen ankles?

The toe walking can strengthen the arches of your feet to better support your legs and body so you experience less associated pain in your hips, back and ankles as a result. Flat feet also benefit from going barefoot in the grass or walking on other uneven surfaces, such as pebbles.

What muscles do tiptoes work?

Plantaris: This long, thin muscle runs along the back of the leg, from the end of the thighbone down to the Achilles tendon. The plantaris muscle works in conjunction with the Achilles tendon to flex your ankle and knee. You use this muscle every time you stand on your tiptoes.

Is autism a disability?

Autism is a neurological developmental disability with an estimated prevalence of one to two percent of the American and worldwide population. The diversity of the disability means that each person's individual experience of autism and needs for supports and services can vary widely.