- Toe walking should stop by age 3
- If > 3 years of age rule out neurologic cause – tethered cord
- Rule out CP
History
- Pregnancy
- Motor milestones
- Family history
Examination
- Neuro examination
- Cspine, lspine
- Hips
- Contractures
- Leg length discrepancy
Treatment
- early splinting w AFO, with delayed heel cord lengthening if failed cons
Reviewed by Professor Phong Tran, Head of Orthopaedic Surgery, Western Health. Last updated 10 October 2026.