Many toddlers when they're starting to walk, walk on their toes. This is really normal and usually is of no relevance. By the age of three years, they should be walking freely with the full foot flat on the ground. Nonetheless a small number don’t and persist with the toe walk. These really need to be looked at further because there are a variety of serious problems that might be causing the toe walking.
There are many causes of toe walking with about 10% getting classed as idiopathic, meaning that the cause is unknown. Certain neurological disorders for example cerebral palsy or muscular dystrophy that causes the calf muscles to be limited may cause the toe walking. Musculoskeletal disorders such as club foot which is a deformity or severs disease that causes heel pain or just very tight calf muscles may also result in toe walking. There is another group of children who can get their heels to the floor, but simply prefer to walk on their toes. This later one might be associated with behavioural conditions or linked to disorders like the autism spectrum disorders or developmental delay. After all these potential underpinning conditions are ruled out, the diagnosis of idiopathic toe walking can be made in those who persist to walk on the toes.
The treatment of Toe Walking targets the underlying disorder which is underlying it. In cases in which idiopathic toe walking has been diagnosed, there are a variety of alternatives such a behavioural interventions, stretching, vibration treatment, plaster casting as well as Botox injections.