What is Toe Walking?

10. Testing and Treatment

Physicians perform simple neurological tests to assess any problems with the way a child or adult walks. They check muscle strength, reflexes, and sensation in the arms and legs. Generally, the doctor orders no other tests if the condition is idiopathic. However, the doctor may order MRI scans, x-rays, or nerve and muscle tests if there are signs of neurological or orthopedic conditions. Treatment varies according to the type of toe walking.

• Monitoring is the usual course of treatment, especially for those under the age of five.
• Short leg casts stretch and lengthen the calf muscles over time.
• An ankle-foot orthosis (AFO) or brace also helps stretch and lengthen muscles and tendons.
• Botox injections increase muscle tone and can be an effective treatment for neurological abnormalities.
• Surgery can lengthen the Achilles tendon. Physicians sometimes recommend surgery if the tendons prevent the individual from standing or walking flat-footed.