Robert A. Hoekelman, MD; Maurice J. Chianese, MD
EVALUATION
Pertinent History
Children with idiopathic or habitual toe-walking have a history of normal development. A family history of persistent toe-walking may be found. As with pes cavus, certain rare muscular, peripheral, spinal, and central neurologic diseases should be ruled out when toe-walking persists beyond 2 years of age.
Physical Examination
Children with idiopathic or habitual toe-walking have a normal examination. A thorough neurologic examination is required to rule out cerebral palsy or other associated neuromusculature system disorders.
Imaging
Radiographic examination is not indicated in most cases of toe-walking. Neuroimaging is necessary if the toe-walking is acquired (develops after a period of normal gait) to rule out intracranial lesions.
Chapter 183: Foot and Leg Problems is a sample topic found in AAP Textbook of Pediatric Care
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