Tip toe walkers

Advise parents to play games with children encouraging weight transfer through heels – penguin walks, tight rope walks, calf stretches.

Refer to Paediatric orthopaedics:

• Asymmetrical tip-toe walking
• Delay or regression of milestones
• Persistence beyond the age of 3/4 years
• Suspicion of joint or neuromuscular disease (e.g., pain, swelling, stiffness, clumsiness, weakness)
• Suspicion of autism spectrum disorder
• Family history of muscle wasting disease