Typically, your child will be monitored and observed. If toe walking is related to other disorders, such as cerebral palsy or autism, the underlying condition will need to be addressed rst. If idiopathic toe walking persists after the age of 4 or 5 years of age, there are several treatment options. The most common include:
Physical Therapy/ Exercises - This includes Achilles stretching exercises to help improve the dorsi exion or exibility of the ankle to move up and down.
Serial Casting - Your child can be placed into short leg casts, just below the knee down to the toes to help stretch the Achilles tendon. Casts will be changed every two weeks, stretching the heel cord to improve the motion of the ankle up and down. This is more of a continued stretching over a two week period rather than an intermittent stretching with physi- cal therapy and exercises.
Bracing or Splinting - This is another option to help stretch the Achilles tendon and achieve a more normal gait. Typically this is done after casting or physical therapy has stretched Achilles enough to allow for walking with heels down.
Surgery - To lengthen the Achilles tendon is only required when conservative measures fail