- Toe walking should stop by age 3
- If > 3 years of age rule out neurologic cause – tethered cord
- Rule out CP
H>History
- Pregnancy
- Motor milestones
- Family history
E>Examination
- Neuro examination
- Cspine, lspine
- Hips
- Contractures
- Leg length discrepancy
T>Treatment
- early splinting w AFO, with delayed heal cord lengthening if failed cons