Is toe walking always a problem?

Is toe walking always a problem?

It is quite normal for children aged three and under to walk on their toes. This behaviour, often referred to as Habitual or Idiopathic Toe Walking, typically has no underlying medical cause. Habitual toe walking usually affects both feet equally.

Tip-toe walking is a common occurrence as children learn to walk and is considered part of normal development. Most children will eventually outgrow this phase.

However, some children may continue to walk on their toes, which can be linked to sensory needs. This behaviour may become more noticeable when they are barefoot, tired, or excited. Additionally, toe walking can occur in children who have spent extended periods in baby walkers, jumparoos, or door bouncers.

When to be concerned:

If toe walking is more pronounced on one side than the other.

If toe walking leads to pain in the foot, calf, knee, or back.

If the calf muscles have become tight, especially after a growth spurt.

If the child has difficulty keeping their foot flat while squatting to play, cannot stand with flat feet, or struggles to keep their feet flat on the floor while sitting in a chair or on a ride-along toy.