Toe Walking

September 20, 2024

By: Audrey Hulette PT, DPT

child at Hogg Therapy Pediatrics

What causes toe Walking?

Toe walking occurs when someone walks on their toes or the ball of their foot rather than making contact with their heel first. In most children, toe walking is idiopathic, which means the exact cause is unknown. Other times the child may have an underlying diagnosis such as cerebral palsy, muscular dystrophy, autism, or other neurological disorders. Some children may be "sensory seekers" and are looking for increased sensory input by walking on their toes. 


When to Seek treatment

If toe walking persists beyond a child learning to walk, then physical therapy can step in to help improve range of motion, address muscle tightness, and improve their gait (walking) mechanics. This can help improve a child's ability to play with friends and participate in extracurricular activities.

Physical therapy methods that can help

Hogg Therapy is here to help! Here are a few ways our physical therapists address toe-walking:


  • Walking with ankle weights
  • Carrying weighted balls
  • Walking backward
  • Walking up or squatting on an incline
  • Climbing a slide
  • Penguin walks
child at Hogg Therapy Pediatrics

play-based therapy

Our physical therapists enjoy using creative activities, like games, when working with their patients. Below, two brothers who are working to reverse their toe walking play a game called "Hedbanz" with two PTs, with different challenges built in relating to their treatment. In one round, each player had to balance on one foot while taking their turn. We know how to make therapy fun while still working hard!

child at Hogg Therapy Pediatrics

How we can Help

If your child has developed a habit of toe walking, a physical therapist may be able to help! Give us a call at 859-353-3666 to get your child scheduled for a physical therapy evaluation.

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