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babeiloveu
babeiloveu | August 28th

Toe Walking in Children

Hi, does anyone have kids who are toe walkers? My 10 year old is a chronic toe walker (high, like a ballerina) and also has high functioning autism so there are some sensory processing issues as well. At age 3 1/2 we were told to come back when he's 7 for a heel cord lengthening operation by the orthopaedic surgeon. Instead we went with physiotherapy which put him onto having regular mass amounts of injections of botox into his calf muscles hoping with time and growth that he would eventually come down. Botox has been great but is very much a short term solution and everytime he has it it wears off after a few months. He also wears afo's (ankle foot orthosis) which cover from his toes to his knees, and night splints. Does anyone else have a child with chronic toe walking and what else have you done to try and assist this issue. I also have a 7 year old son who toe walks and he has just been diagnosed with aspergers (autism). His toe walking devoloped alot later and more gradually so we didn't notice so much until it got really bad. So far we haven't sort advice for his as there is so much confusion on the issue. Any advice would be greatly appreciated. :-D

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NicciCruise
August 29th | NicciCruise
Re: Toe Walking in Children

I have a whole family of them! Firstly I was a toe walker when I was a baby/toddler, and have had some minor feet issues-but also due to the extensive ballet and athlectics I sis as a child.

My sons, William and Nicholas I not to bad, managing to kick the habit, however they did build up a little extra muscle in the legs.

My daughters, Charlotter and Isabella are both ballerinas, so this doesn"t help to kick the habit as it alters their feet slighty and at ballet the are constantly being taught to position their feet in a "toe walking" way.

And as for my new baby girl, Claudia-I will be trying to kick the habit immediatly!

The best solution to combat this is to give regular massaeges-with special cream, availbale from most chemists. This relieves their pain. And try to constantly remind them to walk on their toes.

As a doctor, I have seen some extreme cases. If things get really bad take your child to a physio and if needed a doctor will get involved.

Hope this Helps!



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      babeiloveu
August 29th | babeiloveu
Re: Toe Walking in Children

hi, thanks for taking the time to get back to me :-D

We have done physio with the oldest Matthew since preschool along with all the botox and splints etc. None of it has solved the issue although he has come down a little. we have had MULTIPLE visits to doctors, physio's ot's etc.  our biggest concern is that him being asd and starting to become more obvious with other kids at school that his toe walking makes his quirkiness stand out a little bit more than just a plain old idiopathic torewalker.  however, that said we don't just want to go throug the whole surgery thing (he is petrified of being cut with ascalpel whilst under anaesthetic) if he is just going to end up going back up again.  the orthopod seems to think that with everything we have already done we may as well try this operation and at least the muscle will be cut.  he would however have to be in plaster casts for six weeks - usually after botox he's only in them for 1-4 weeks.  Matthew has fairly low muscle tone in his legs and arms but with some sport activity and recent stint at the ot is starting to build up a bit.  wearing afo's can also get in the way of sports and makes him much more tired easily as he uses a lot more energy than the other kids.

he loves the massages and could sit all day having me massage and stroke him - (my 7 year old is too jumpy to get him to sit still long enough to apply them) lol!!!

as there are muscular/skeletal issues i hope your kids to kick the habit - maybe try some heavy weighted shoes and when they start to come up in these (as in wear into them more) put some orthotics in them to bring them down a bit again.

Thanks once again for your time and good luck with yours. cheers, :)



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allenrm
August 28th | allenrm
Re: Toe Walking in Children

What are the children's outdoor activities?  Do you do any exercise with them?  What is your main concern about the toe walking?

I realise that you said the children are autistic and aspergers and I know quite a few people with varying levels of these syndromes, so I know there is a good chance the children are not very outdoorsy.

Perhaps you should try doing some small exercises with them.  Make it a game.  And focus on excercises that stretch the achilles tendon like reaching down and touching their toes.  This will encourage the tendon and calf muscle to stretch and there will be more chance of the children naturally walking on fully on their feet.  I've also found that most autistic children find yoga thoroughly enjoyable.  If you don't think they will be eager to participate off their own bat you can just start these exercises yourself and perhaps the children will play "copycat".

You could also make aq game out of walking on the heels.  Play "Simon Says" or "Follow The Leader" or, again, "CopyCat".

I hope I have been helpful.



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      babeiloveu
August 29th | babeiloveu
Re: Toe Walking in Children

hi, thanks for getting back to me on this.  yes, my oldest son is not too interested in sporty type activities.  however that said i have put alot of effort into getting him to play sports of recent times and he is enjoying 2 square at school quite a bit and i have got him attending a free basketball clinic in our area one night a week.  my 7 year old is like a little tigger a bit adhd as well as aspergers and can't sit still for more than a minute. he plays lots of sport although he doesn't always understand the 'team' thing. he'll get there! lol!

as for stretching the muscles, we have tried it all and have the equipment etc, played the games, done the 'dot' walking etc.  i think it all just comes back to sensory issues.

matthew the oldest has quite low muscle tone in both his arms and legs and can be quite clumsy and awkward looking when he runs and moves around especially when playing sport. i give him 10 points for trying as he is quite persistent despite having a distinct disadvantage over the other kids (one that thankfully he doesn't see so much just yet).

oh well, guess i just have to keep on persevering.  can't seem to settle on the issue of the operation or not.  i'm sick of him having to wear afo's etc and am worried that he will start to get teased at school now that he's getting older.

cheers :)



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           allenrm
August 29th | allenrm
Re: Toe Walking in Children

I can understand your frustration.  I have a 12 year old nephew who still toe walks and does look rather out of place when running (unfortunately I cannot say he's autistic or aspergers - he just has progressed past the age of four mentally through choice - we've had him tested).

My prayers are with you in your perseverance.  Like I said Yoga may help seeing as there is much of stretching and it can be done indoors.  Good luck to you.



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