Question 1

Assessment Objectives

Accepted Answer

Differentiate between habitual patterns and occult neurological issues. Measure the flexibility of the Achilles tendon. Determine the need for physical therapy or bracing. Exclude mild cerebral palsy or muscular dystrophy.

Question 2

When to Consult a Specialist?

Accepted Answer

Persistent toe walking after the age of 2. Inability of the child to stand flat-footed. Complaints of leg or foot pain during activity. Frequent tripping or sudden falls.

Question 3

Management Options

Accepted Answer

Observation and monitoring for mild cases. Physical therapy and stretching exercises. Serial casting or night bracing. Surgical intervention for severe tendon shortening.

Ensure Your Child's Healthy Steps - Orthopedic Assessment of Idiopathic Toe Walking (ITW)