#asktheexperts My son walds on his toes. he is 6 years old. Is this normal?

Question

Accepted Answer

Toe walking in a 6-year-old can be a cause for concern, but it is not always indicative of a serious problem. Here are some considerations:

1. **Normal Developmental Phase**: For many children, toe walking is simply a phase that they outgrow without any intervention.

2. **Habitual Toe Walking**: Some children develop a habit of toe walking, which can persist as they grow. This is usually not associated with any neurological or developmental disorders.

3. **Tight Achilles Tendon**: A tight Achilles tendon (or calf muscle) can cause a child to walk on their toes. This can be identified by a healthcare professional and may require stretching exercises or physical therapy.

4. **Neurological Issues**: Persistent toe walking can sometimes be associated with neurological conditions such as cerebral palsy, muscular dystrophy, or autism spectrum disorder. If toe walking is accompanied by other developmental delays or abnormal gait patterns, it is important to consult a pediatrician.

5. **Sensory Processing Issues**: Some children with sensory processing issues might prefer toe walking because it provides more sensory feedback to their feet.

### What You Can Do:
1. **Consult a Pediatrician**: If your child consistently walks on their toes, it’s a good idea to consult with your pediatrician to rule out any underlying conditions. They may refer you to a specialist such as a pediatric orthopedist or neurologist.

2. **Physical Therapy**: If the cause is a tight Achilles tendon or another musculoskeletal issue, physical therapy can help. A therapist can provide exercises to stretch and strengthen the muscles involved.

3. **Monitoring and Observation**: Keep an eye on your child’s development and note if they display any other signs of developmental delay. Share these observations with your healthcare provider.

4. **Encourage Flat-Footed Walking**: Encourage your child to walk flat-footed by using games or activities that promote this behavior. You can create obstacle courses or engage in activities that require flat-footed walking.

If toe walking persists or is accompanied by other symptoms, seeking professional advice is the best course of action to ensure proper development and address any potential issues early on [[❞]](https://www.firstcry.com/cloth-diapers-nappies/cloth-nappies-with-string?cid=1&scid=30&style=t6-7368) [[❞]](https://www.firstcry.ae/cloth-diapers-nappies/1/30).