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Hi a,

She sounds alot like my 7 yr old daughter whom has always walked on her toes

since she was a baby. My daughter has no neurological or physical problems and

according to her pedi has either started this habit and cannot stop or she was

born with shortened heel cords. The problem if its done out of habit and is done

constantly is that it can lead to tightened heal cords which needs to be

corrected by casting the feet and ankles to force them to walk on their feet and

thus stretching the heel cords naturally. I had taken my daughter to an

orthopedist last fall for this problem and he gave me exercises that my daughter

does twice a day to see if she can stretch the heel cords naturally prior to

casting her. It doesnt seem to be working unfortunately and I think when she

goes back in late February hes going to recommend the casting of her feet and

ankles. As a last resort, the orthopedist said if the casting doesnt even work

and she starts walking on her toes again, that surgery would be necessary to

lengthen her heel cords. He told me that getting to the point of requiring

surgery is rare but it can happen.

Ellen Sweeney

Unlocking Autism Representative, NJ

http://www.unlockingautism.org

Group Manager, Parents of Kids/Adults with Autism

http://groups.msn.com/parentsofkidsadultswithautism

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

" I know of nobody who is purely autistic or purely neurotypical.

Even God had some autistic moments which is why the planets all spin " -

Jerry Newport

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

[ ] Toe Walking

My boyfriend's child is 6 years old, and she has toe walked since she was a

baby. She is not autistic and does not appear to have any delays, but she never

walks on her feet, just her toes. He's concerned, but the mother isn't. Any

ideas for us?

a - Illinois

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Yes be very concerned!! I too was a toe walked and my father before me. I

have severe calf problems because my muscles and tendons did not grow and

are now too short for my leg. The doctor said the only way to correct it

was surgery. When I was in junior high the made me walk heel toe and every

teacher who saw me walk on my toes said heel toe. Very annoying but

my problem would be much worse had they not. I can walk but no long

distances without pain and running is out of the question. The doctor said

that now if they see this in small children they work on correcting it

immediately.

[ ] Toe Walking

My boyfriend's child is 6 years old, and she has toe walked since she was a

baby. She is not autistic and does not appear to have any delays, but she

never walks on her feet, just her toes. He's concerned, but the mother

isn't. Any ideas for us?

a - Illinois

=======================================================

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Hi,

I did do the casting, BOTOX, more casting, physical therapy, more BOTOX, and

then she started walking on her toes again. Six months of medical work on my

then 7 year old daughter (now 8) did nothing to get her off her toes. My

daughter now has the Autism diagnosis, but not from behavior as much as from

the biochemical aspect. That is why I posted the " Toe-Walking----Got

Answers. " I am stumped.

in Salt Lake City

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I don't think she's walking out of habit on her toes. Not from what I can see.

I told the boyfriend exactly what you told me, that eventually her heel cords

will tighten, and I think that's probably already happened. The mother is a

real dim wit, and a nut case. He's been asking her for sometime to get this

looked at, but she makes an appointment, than cancels it with an excuse. The

only thing she's concerned with is geting her support check.

a - Illinois

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> My sister has Multiple Sclerosis (another autoimmune-prone family

with

> autism). Since she developed MS, she sometimes will walk on her

toes.

> She says it feels good and gives her higher energy. She asked her

doctor

> about it, who said it is not uncommon in MS, and is due to weakness

in

> the tendon from the MS.

well, MS is also very much connected with mercury, so this seems

like an interesting commonality.

Moria

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pjand3kids wrote:

>My boyfriend's child is 6 years old, and she has toe walked since she was a

baby. She is not autistic and does not appear to have any delays, but she never

walks on her feet, just her toes. He's concerned, but the mother isn't. Any

ideas for us?

>

>a - Illinois

>

>

My sister has Multiple Sclerosis (another autoimmune-prone family with

autism). Since she developed MS, she sometimes will walk on her toes.

She says it feels good and gives her higher energy. She asked her doctor

about it, who said it is not uncommon in MS, and is due to weakness in

the tendon from the MS. Walking on the toes strengthens the tendon. He

actually told her it was beneficial to do it because it would strengthen

the tendon. As usual, toe walking hasn't been studied much in autism, so

who knows whether the MS model fits.

Below is a short piece on toe walking by a medical organization, FWIW.

.................................................

>

>American Family Physician

>> Idiopathic Toe Walking and Developmental Delays

>>

>> Toe walking in children may be associated with

>> spastic cerebral palsy, spinal injury, myopathy,

>> neuropathy, autism and pervasive developmental

>> disorder. In some children, no cause is identified,

>> and these children are said to have idiopathic toe walking.

>> Previous studies found a correlation between

>> idiopathic toe walking and learning problems and language impairment. Shulman

>> and associates studied 13 children referred for idiopathic toe

>> walking to assess language development, gross and

>> fine motor skills, visuomotor development, sensory

>> integration function and behavior problems.

>>

>> The children ranged in age from 1.6 years to 6.8

>> years. All of the children had normal results

>> on neurologic examination. Seven children with

>> developmental delay and three children with

>> questionable developmental delay were also found to have a delay

>> in receptive and/or expressive language development.

>> Four of 12 children had delayed fine motor development, four of

>> 10 had delayed visuomotor skills, and three of 11

>> had delayed gross motor skills.

>>

>> The authors conclude that idiopathic toe walking

>> should be considered a marker for

>> developmental problems and that children exhibiting

>> toe walking should undergo a developmental assessment.

>>

>> Shulman LH, et al. Developmental implications of

>> idiopathic toe walking. J Pediatr 1997;130:541-6.

>>

>

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Ellen: my son is 15 years old. He has autism. He's been walking on his

toes regularly since he was maybe 4??. He has great athletic ability,

can ride a horse, go downhill skiing, swim, go rock climbing, ice skate,

etc. etc. I would be very skeptical of someone telling you your daughter

needs this type of surgery. When she's not toe walking, does she show

any signs of physical/motor impairment? Just curious. - SB

Ellen S wrote:

>Hi a,

> She sounds alot like my 7 yr old daughter whom has always walked on her

toes since she was a baby. My daughter has no neurological or physical problems

and according to her pedi has either started this habit and cannot stop or she

was born with shortened heel cords. The problem if its done out of habit and is

done constantly is that it can lead to tightened heal cords which needs to be

corrected by casting the feet and ankles to force them to walk on their feet and

thus stretching the heel cords naturally. I had taken my daughter to an

orthopedist last fall for this problem and he gave me exercises that my daughter

does twice a day to see if she can stretch the heel cords naturally prior to

casting her. It doesnt seem to be working unfortunately and I think when she

goes back in late February hes going to recommend the casting of her feet and

ankles. As a last resort, the orthopedist said if the casting doesnt even work

and she starts walking on her toes again, that surgery would be necessary to

lengthen her heel cords. He told me that getting to the point of requiring

surgery is rare but it can happen.

>

>Ellen Sweeney

>Unlocking Autism Representative, NJ

>http://www.unlockingautism.org

>Group Manager, Parents of Kids/Adults with Autism

>http://groups.msn.com/parentsofkidsadultswithautism

>

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--- In , pjand3kids <pjand3kids@j...>

wrote:

> My boyfriend's child is 6 years old, and she has toe walked since

she was a baby. She is not autistic and does not appear to have any

delays, but she never walks on her feet, just her toes. He's

concerned, but the mother isn't. Any ideas for us?

Consider removing milk and/or gluten from the diet, or enzymes.

Can be a sign of bowel impaction.

Can also be a sign of yeast.

Dana

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No she shows no physical motor impairment. I have heard problems

could arise like the ones mentioned including lack of

muscular growth and pain and discomfort when walking for long periods

of time. Even now she seems to tire easily when shes been walking

around alot and she complains of cramping in her legs. I dont think

I'd ever go to the extreme of allowing her ankles to be operated on

but I am considering him casting her as the last resort to try and

correct it.

Ellen

>

> >Hi a,

> > She sounds alot like my 7 yr old daughter whom has always

walked on her toes since she was a baby. My daughter has no

neurological or physical problems and according to her pedi has

either started this habit and cannot stop or she was born with

shortened heel cords. The problem if its done out of habit and is

done constantly is that it can lead to tightened heal cords which

needs to be corrected by casting the feet and ankles to force them

to walk on their feet and thus stretching the heel cords naturally.

I had taken my daughter to an orthopedist last fall for this problem

and he gave me exercises that my daughter does twice a day to see if

she can stretch the heel cords naturally prior to casting her. It

doesnt seem to be working unfortunately and I think when she goes

back in late February hes going to recommend the casting of her feet

and ankles. As a last resort, the orthopedist said if the casting

doesnt even work and she starts walking on her toes again, that

surgery would be necessary to lengthen her heel cords. He told me

that getting to the point of requiring surgery is rare but it can

happen.

> >

> >Ellen Sweeney

> >Unlocking Autism Representative, NJ

> >http://www.unlockingautism.org

> >Group Manager, Parents of Kids/Adults with Autism

> >http://groups.msn.com/parentsofkidsadultswithautism

> >

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>>>>>>.Consider removing milk and/or gluten from the diet, or enzymes.<<<<<<<

That will never happen. The mother is lazy. She feeds the kids junk and rarely

cooks " real " meals. They live off of boxed crap! The mother drinks Mountain

Dew all day and smokes like a chimney!

a

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In a message dated 1/16/03 8:14:03 AM Pacific Standard Time,

pjand3kids@... writes:

<<

My boyfriend's child is 6 years old, and she has toe walked since she was a

baby. She is not autistic and does not appear to have any delays, but she

never walks on her feet, just her toes. He's concerned, but the mother

isn't. Any ideas for us?

>>

My son is autistic, and when he did toe walk, what I did was just push his

shoulders down. I kept doing it, and eventually he stopped

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,

Does your daughter see an occupational therapist? Our son's OT has

tried a taping procedure which helps while it is on his legs - the

tape stimulates the muscles in some way causing him to walk more flat

footed. It's a stretchy tape that is started at about the knee

coming around the front and down and around ending at the insole of

the foot. Even having just one leg taped helps. Unfortunately for us

once our ds gets home the first thing he does is take off his socks

and shoes. Then the tape under his foot starts curling up which

makes him aware of it causing him to pull the tape off :(

At home he's always barefooted so we really can't keep the tape on

for any substantial length of time. I'm thinking of trying sending

him to school taped to see if that will keep it on long enough to

benefit him.

Elaine

> Hi,

>

> I did do the casting, BOTOX, more casting, physical therapy, more

BOTOX, and

> then she started walking on her toes again. Six months of medical

work on my

> then 7 year old daughter (now 8) did nothing to get her off her

toes. My

> daughter now has the Autism diagnosis, but not from behavior as

much as from

> the biochemical aspect. That is why I posted the " Toe-Walking----

Got

> Answers. " I am stumped.

>

> in Salt Lake City

>

>

>

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  • 4 weeks later...

I imagine it originally comes from the neurological dysfuction. I remember

Dr G. discussing this when he was trying to prevent a susceptable child from

developing . The mom had Chronic Fatigue Syndrome. If I remember

correctly he took the toe walking as a symptom that the immune system was

under stress. The child didn't end up with .

If your child was toe walking for quite awhile, the muscles will end up

tightening/shortening. I think ladies who wear heels all the time will have

an idea of what that's like. Trying to put your foot flat is pretty

uncomfortable.

I remember seeing something on therapy that helps stretch the muscles.

Whether it's needed would depend on how bad the problem is.

Cheryl

----Original Message Follows----

From: Regina Feferman <help2live@...>

Reply-

Subject: toe walking

Date: Tue, 11 Feb 2003 13:35:10 -0800 (PST)

Hello,

Does anyone have problem with toe waking? My son is doing this since he was

15 month and it was the " last drop " during the hard time when we try to

figure out what is going on with him. He does not have any sensory issues

except for it (or they are minor) and he is hight functional child (still

hard to say at age four, sometimes NT kids are doing such a things that my

child would never consider to do). Anyway, he went very long way with ABA

and Dr.G protocol, but he still walk on his toes (less then it was a year

ago). Now he understands when we ask him to walk on flat foot and he try to

do it. We try to keep him in shoes all the time, but if you let him go by

his own he would rather go in his toes. Again, it is getting better all the

time, but sometimes I simply do not understand how he can do it and fill

comfortable.

Any thoughts will be very helpful.

Responsibility for the content of this message lies strictly with

the original author, and is not necessarily endorsed by or the

opinion of the Research Institute.

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I wouldn't necessarily conclude it " goes away. " I'd get OT after an eval +

behavior mod put on the IEP. Never assume anything when it comes to autism.

msherrett.

>>But remember, it's not autism. It's . Not that OT and behavior

intervention aren't good and helpful (my son receives both), but just a reminder

that we are dealing with symptoms of a medical illness, not just behavior

issues. Marcia is right - these things do go away as the child gets well, but

OT and behavior intervention definitely help in the meantime.

Donna

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  • 4 months later...
Guest guest

Kristy,

My son was put into braces at a young age (to the knee) because his ankles

pronated (rolled in) so much. He had hypotonia (weak muscle tone). He

could not toe walk in the stiff braces, and that put a stop to it.

I have heard some people say they think toe walking is a sensory thing...

due to kids not being able to stand the feeling of the floor on their feet.

I don't know if it is the pressure or the texture of the floor that bothered

them. I'll bet someone on the group may pitch in an idea about reducing the

sensitivity in that area (such as brushing). I don't know a lot about that,

but I know it helps some kids.

Caroline

> On 6/17/03 3:55 PM, " Kristy " <K@...> wrote:

> What do you attribute to helping the toe walking. My son toe walks.

> Kristy

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Guest guest

We did the brushing and joint compressions on our son for about 9

months and it did help with a number of sensory issues, including toe

walking, walking on grass and sand. It helped a little I should

say. More importantly, his sensory issues regarding toe walking,

walking on grass, sand etc. have pretty much disappeared after

treatments with the antivirals...coincidence?? (We stopped the

brushing prior to starting meds.)

>

> > What do you attribute to helping the toe walking. My son toe

walks.

> > Kristy

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  • 4 months later...

Hi,

We have our daughter on Valtrex and the Dr. (Austin, TX) protocol.

When I spoke with Dr. 's office, they indicated that many of the kids

with a virus (often Herpes hiding out in the nerves) toe-walk. They see it all

the time and they see toe-walking going away with successful treatment. I did

not talk to Dr. but to his nurse. This may or may not be true.

However, we are on 4 weeks of the anti-viral protocol and I see less

stiffness in my 9 year old daughter and PERHAPS less stiffness in her lower legs

resulting in less severe toe-walking. We are still chelating, which is what Dr.

's office indicated we should do.

This is just a thought about the reason for toe-walking. I too have been at

wit's end trying to figure out why many or most of my daughter's odd behaviors

have gone away with chelation BUT not the toe-walking. We do believe that we

have her dysbiosis under control. It has been this way since March of this

year. The toe-walking was about the same even when dysbiosis was either gone

or very minimal.

in Salt Lake City

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Hi,

My daughter is on the protocol that Dr. Kendal in Austin, TX uses. I

just found out what it was and then talked at length with his nurse. Here it

is: (1) Valtrex; (2) 3 weeks of Cortef (hydrocortisone), then as needed; (3)

HGH (Human Growth Hormone) Homeopathic patch nightly; (4) Lots of fatty acids

to help with remyelination.

Hope this helps--

in Salt Lake City

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  • 8 months later...

What your Dr. may not tell you about toe walking. Is that it is a

deficiency of Vitamin B1 (Thiamine) or possibly B6. Due a search on

B1 deficiency and toe walking.

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  • 1 year later...
  • 9 months later...
Guest guest

My son did for about a month or two when he was around age 2.5. I think

most kids go through a period of toe walking. I was told at the time it

was another " red flag " and another reason they mis-diagnosed him as

autistic. *sigh* I've never heard of it being related to apraxia, but I

could see how it would be a sensory thing.

Miche

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Guest guest

Hi .. my 8 year old adopted daughter always went barefoot in the

orphanage but didn't walk til she was 3 and half years old.. She would toe

walk quite often for the first few years when we got her at age 4 and half

whenever she was barefoot. this is not the tippy toe walk ..it is more like

the toes are folded under the foot and she is actually walking on toe

joints..Very rarely she will try to do it now but her OT discourages it. We

have had to retrain and repeat many times what we mean when we ask her to

walk on her tip toes. Yes it is mentioned as common on the PDD spectrum but

it is seen elseware as the doctors she has seen say her personality is

definitely craving social attention. I had thought she had CP but that has

been ruled out also. I also think it is sensory related ..she prefers to be

barefooted to be able to feel the ground below her and when she is trying to

get her balance on the small trampoline at PT she prefers to be barefooted

also. I think there is an advantage to this or a bright side she can fit

into ballarina shoes with the block of wood at the toe if she ever wants to

be a ballarina. I have a question for you and other Moms of kids with

apraxia ..do your kids crave their chin be massaged??? ..it is almost as if

the nerves are numb and coming to life to her on her chin.

Roxanne

_____

From:

[mailto: ] On Behalf Of Oakes,

Sent: Thursday, July 13, 2006 11:57 AM

Subject: [ ] Toe walking

Hi there!

This is just a curiousity question.

has been a toe walker for as long as I can remember (probably

since she started walking). Our Developmental Pediatrician noticed it

and commented that it was somehow related to the apraxia (for reference,

check out the brief mention of it on " Ed Chapman's Speech and

Developmental Delays Page " at

http://edchapman. <http://edchapman.tripod.com/Toe.html>

tripod.com/Toe.html

<http://edchapman. <http://edchapman.tripod.com/Toe.html>

tripod.com/Toe.html> ). It only occurs when

is not wearing shoes. Our SEIT commented on it yesterday again

and it made me curious as to how common apraxia and toe walking might

be.

That being said, are any of your apraxic children also " toe walkers " ?

Also, for those of you with older kids, did the toe walking persist, or

did it eventually fade away? All comments and discussion are welcomed!

Thank you:-)

Warm regards,

******************

(Rochester, NY)

Mom to , 3.2 years, Verbal Apraxia

& , 1 year

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