Tiptoe: Recognize the gang anomaly


In the beginning, running on tiptoe is just cute with little kids. But if walking on the forefoot and toes then lasts longer than three months, it is a persistent (persistent) tiptoe and an orthopedist / specialist should be consulted. Therapy can then be important for a child to relearn walking in the heel.

What exactly is the toe tip?

If, during running, the rolling process is left out and gone as far as possible on the forefoot, this is a toe walk. The toes are lying flat on the ground.

Who is affected?

About 5 percent of preschool children are attracted to gang anomalies.



What are the reasons for the gait?

Often, no real cause is found. Therefore, doctors distinguish between the habitual, that is habitual, toe-tiptoe and the idiopathic toe-walking with unknown cause, The Achilles tendon is often shortened in the habitual toe-tiptoe.

Habitual tiptoe gear is divided into three types:

Type IHere is one Muscle shortening cause the anomaly. Affected children have balance problems and can not stand on the foot. That affects about one-third of toe-to-toe cases.

Type II has a genetic component and therefore occurs in the family increasingly auf.Behoffenen can stand on the entire foot surface and go in the normal heel. Hip dysplasia is associated with this.



Type III is the "situational" toe-tipping, These children can walk normally, but fall back into the aisle under load.

The diagnosis:

There is a gait analysis in which a doctor checks the gait pattern of the child. This can also be done electronically using sensors and cameras. The anatomy is examined, as well as the sense of balance of the child is tested. If suspected, neurological examinations are also carried out. Only in this way can a cerebral palsy (autism or mental disability) be excluded.

Other forms of tiptoe

Is it the example of the delayed maturation of the corticospinal tract (cord of the spinal cord)At the age of six to eight years, the child can develop a normal gait even after the toe tip. The other way around Nervous and muscular diseases even later lead to a toe-tip.



Other reasons may include mental retardation, clubfoot or autism.

Treatment and development:

Most children develop a completely unobtrusive gait without medical intervention or treatment during their development, the heel. When children learn to walk, it can initially come to a toe-tiptoe. If this does not stop after three to six months, an expert should be called in. This then excludes other causes before the toe gait is diagnosed.

Then the treatment depends on the bottom of the toe tip.

Possible forms of therapy:

  • physical therapy
  • Osteopathy
  • occupational Therapy
  • insoles

Detailed information on the gait toe-tiptoe, the therapy and deposits are available at dr-gumpert.de and the practice Pomarino.

Strange answers to the psychopath test | Jon Ronson (August 2020).



Symptom, diagnosis, toddler