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August 2020

Question:

My daughter will be 9 in November. She has walked on her tippy toes since she started walking at 1. What can I do to remedy this. I have tried telling her Everytime I see it but it has become so "normal" we don't notice. We went to see a doctor and he wants to put casts on both legs for a month and 5 shots of Botox in each leg while under anesthesia.

- Massachusetts (Parent)

 

Answer:

There are multiple options for toe walking - ranging from physical therapy and home exercises to bracing or casting to Botox. Surgery is occasionally needed as well. I usually try to start with the least invasive treatment options (like therapy) and "escalate" from there. A great resource is https://orthoinfo.aaos.org/en/diseases--conditions/toe-walking/.

- Jeremy Rush, MD



 

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