{"id":4473,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/tiptoewalkers\/"},"modified":"2024-12-30T14:56:28","modified_gmt":"2024-12-30T14:56:28","slug":"tiptoewalkers","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatricorthopaedics\/tiptoewalkers\/","title":{"rendered":"Tip toe walkers"},"content":{"rendered":"\n<p>\u200b<strong>Information<\/strong><\/p>\n\n\n\n<p>Toe walking is common in healthy young children, and normally resolves spontaneously by 3 years of age. <\/p>\n\n\n\n<p>This is typically a habitual or learned walking pattern that can be corrected with prompting.<\/p>\n\n\n\n<p><strong>M.A. &amp; M-J.S. 13-04-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Advise parents to play games with children encouraging weight transfer through heels \u2013 penguin walks, tight rope walks, calf stretches.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Refer to Paediatric orthopaedics:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Asymmetrical tip-toe walking<\/li>\n\n\n\n<li>Delay or regression of milestones<\/li>\n\n\n\n<li>Persistence beyond the age of 3\/4 years<\/li>\n\n\n\n<li>Suspicion of joint or neuromuscular disease (e.g., pain, swelling, stiffness, clumsiness, weakness)<\/li>\n\n\n\n<li>Suspicion of autism spectrum disorder<\/li>\n\n\n\n<li>Family history of muscle wasting disease<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Toe-Walking-PIL-v1-0-Apr2020-1.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Toe-Walking-PIL-v1-0-Apr2020-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Toe Walking PIL V1.0 (April 2020) pdf<\/a><\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Information Toe walking is common in healthy young children, and normally resolves spontaneously by 3 years of age. This is typically a habitual or learned walking pattern that can be corrected with prompting. M.A. &amp; M-J.S. 13-04-23<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[773],"class_list":["post-4473","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-tiptoewalkers"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/paediatric\/paediatricorthopaedics\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-tiptoewalkers\/\" rel=\"tag\">Tip toe walkers<\/a>","rttpg_excerpt":"&#8203;Information Toe walking is common in healthy young children, and normally resolves spontaneously by 3 years of age. This is typically a habitual or learned walking pattern that can be corrected with prompting. M.A. &amp; M-J.S. 13-04-23","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4473","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4473"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4473\/revisions"}],"predecessor-version":[{"id":22323,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4473\/revisions\/22323"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4268"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4473"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4473"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}