Does your child walk on the balls of her feet?

If your child walks on the balls of her feet and especially if he has recently started walking, you should necessarily visit an Orthopedist and Trautomatology physician. It may be a transient condition, but it may also be alarming sign of a permanent disease.

We learned causes of walking on the balls of the feet in children from physicians from Orthopedics and Traumatology Department of Hisar Hospital.

Stating that the children usually start walking when 12 to 18 months old and that the gait pattern will be tottering in her first steps – taking short steps by slightly bending knees and internally rotating the feet in order to maintain the balance-, the physician say ‘Families usually visit a doctor, as in-toeing provokes concerns in parents especially in this period. However, most of these children are healthy and this gait pattern is a part of their physiological development. On the other hand, if the child walks on the balls of her feet, it is necessary to visit an Orthoedist and Traumatology physician. Though, the cause is idiopathic, or not clearly known, in most cases and it may spontaneously recover’.

Walking on the balls of the feet may be alarming sign of certain diseases.

‘Walking on the balls of the feet is one of the most important signs in patients with brain injury or cerebral palsy that develop especially in pregnancy or during or immediately after the birth. While idiopathic walking on the balls of the feet is a unilateral condition, cerebral palsy is usually characterized by bilateral involvement. Cerebral palsy can be secondary to some viral diseases during pregnancy, toxoplasma, cord entanglement, blood incompatibility, poor oxygen supply to the baby during birth and certain post-natal nervous system disorders. Spastic palsy may cause balance problems, growth retardation and mental retardation. Early diagnosis is directly proportional to the severity of the disease in such patients. However, some mild forms can be missed, the patient starts walking later than peers and first steps are characterized by walking on the balls of the feet. Conservative treatment mostly helps such patients, but surgery may be required in some cases. Therefore, diagnosis and treatment are very important in terms of preventing a chronic disability’.