rMy daughter began around preschool walking on her toes. Her pediatricians did not act like it was serious. The doctors I was recommended to did not know tell me much but, physical therapy then plastic braces and then surgery. At age 9 tried that did not work. Now 11, looking for answers but, I will tell you I am finding out continue to walk on toes give them high arches and bones in their feet spread, and I also notice thick ankles and affects all muscles around the foot and calf. There is serial casting before you do plastic bracing or surgery. I wish the doctor when she was 9 knew about serial casting she tried her at physical therapy then wanted to do bracing. She was too tight and could not bare to wear 1,300 pr of braces. I have one doctor wants to perform serious surgery and another wants to try serial casting and botox and then plastic bracing. Lots physical therapy. All I know I want to do whatever is best for her but, do not know which one will lead to a fix.
Thank you for your comment. I will look into this and seeing what is available to our area.
You should take her to a neurolgist who is specialized in Movement disorders
God bless
Bob Hilton
She started walking unaided at 10 months. She has walked on her toes for as long as I can remember. All of the pictures that I have of her standing/walking are on her toes. The docs kept telling me she would outgrow it and not to be concerned.
Currently when she walks she starts on her toes. She is also on her toes when standing in a line or brushing her teeth. She has never been seen by a movement disorder specialist only a physical therapist when she was 3. All he did was stretch her muscles and have her hop, etc. This is the same thing I do for her at home, but her Dr. says that her muscle rang is not so tight that it limits her range. She does have a hard time standing flatfooted and squatting down.
She has had some abnormal blood test but mostly dealing with her immune system. The speech issue is caused my a high roof of her mouth and other structural issues.
It has been recommended to do surgery, but as I said the Dr. told me that he muscle range is not that bad. So, why would I allow them to cut on her if there is not enough evidence that it will help.
Is there anything that I should be looking for? Blood work, activity, etc.? Thanks for your time!
Hello,
At what age she started or was able to walk unaided? does she start walking normally before shifting/changing to tiptoe walking if yes then how long could she walk normally ? has she ever been seen by a movement disorder specialist? any abnormal blood tests/nerve conduction EMG/ Neuro-imaging? what is the cause of the speech issue?
God bless
Bob Hilton
I totally agree with the great academic progress not pointing toward ADHD. This is one on the main reasons that I question the diagnosis and have not medicated her. At the time of the evaluation she was in PreK.
She does not have pain when she stands flat. She has absolutely no arch when standing flat. She often has emotional/behavioral outbursts during PE. I have looked back in her daily progress book (communications from the teacher daily on behavior and other issues) and 4 of the last 6 major outbursts/meltdowns occured during PE. Possibly the excitement or excercise sparks these meltdowns. She went thru a period that her legs hurt her. I was told by her peditrician that they were "growing pains".
Thank you again for your help!
Hello.
What is her subjective feeling about toe walking? Does she feel any pain when she stands on flat foot? Please let me know.
The basis for diagnosing ADHD is not only hyperactivity. The fact that she is doing very well in the academics shows that she probably may not have attention deficit.
Even if she has ADHD, she may outgrow the condition. You can take a second opinion regarding medication for ADHD. They have certain side effects which are a bit disturbing to the children.
Regards
I failed to mention that this is a consistent pattern. She can stand flat footed but immediatly goes back on her toes. She even stands on her toes while brushing her teeth, etc. It does not matter is she is barefooted on in tennis shoes.