#asktheexpert my kid is 2 years 3 months. But he doesn’t put his ankles down to walk. He walks on front toes.

Question

Accepted Answer

When a child walks on their toes instead of putting their feet flat on the ground, it can be a sign of several things, such as:

1. Normal Development: Some toddlers may walk on their toes for a short time as they develop balance and coordination. It is quite common at this age and may resolve on its own.

2. Habitual Toe Walking: If your child has been walking on their toes consistently without putting their feet down flat, it could become a habit that might require intervention.

3. Muscle Tightness: Tightness in the calf muscles (Achilles tendon) or the muscles around the ankles can make it difficult for a child to fully place their feet flat on the ground.

4. Neurological or Developmental Issues: In some cases, toe walking can be associated with certain developmental or neurological conditions, such as cerebral palsy or autism spectrum disorders, although these are less common.

What to do:

Observation: If it’s a new behavior, give it some time. If your child is otherwise meeting developmental milestones, it may just be part of their growth.

Encourage Flat Foot Walking: Gently encourage your child to walk with their feet flat by using engaging activities, like walking barefoot on soft surfaces, or playing games where they need to balance on their heels.

Consult a Pediatrician: If the toe-walking persists beyond 2.5-3 years, or if you notice other developmental concerns, it's a good idea to consult a pediatrician or a pediatric orthopedic specialist. They can evaluate your child for any underlying conditions, and if necessary, suggest physical therapy or other interventions.

Early intervention can help if there’s an underlying issue, so don’t hesitate to seek advice if you have concerns.