How to Guide Your 18-Month-Old Through Toe Walking?

Walking on tiptoes is a common behavior that many children exhibit, especially around the age of 18 months. It can be a fascinating sight to see these little ones gracefully maneuvering on their toes, but as parents, we might wonder why they do it and if it is something to be concerned about.

Firstly, it’s important to note that walking on tiptoes in an 18-month-old is usually not a cause for alarm. At this age, children are still developing their motor skills and experimenting with different ways of moving. Walking on tiptoes might simply be their way of exploring their body’s capabilities and testing their balance.

In most cases, toe walking in toddlers is just a passing phase and will resolve on its own as they grow and develop. However, if your child continues to toe walk beyond the age of 2 or if they previously walked normally and suddenly start toe walking, it may be a good idea to consult with your pediatrician.

Persistent toe walking in older children can sometimes be a sign of an underlying condition. In some cases, it may be related to a neurological or muscular issue. Conditions such as cerebral palsy or muscular dystrophy can cause toe walking as a symptom. If you have concerns about your child’s development or notice any other unusual behaviors or symptoms, it is important to seek medical advice.

It is worth mentioning that in-toe walking, where the feet point inward while walking on tiptoes, can be common in babies and toddlers. This is usually due to the positioning of the baby during pregnancy and tends to resolve naturally as the child grows. However, if in-toe walking persists or is accompanied by other issues, it is best to consult with a healthcare professional.

While toe walking can occur in typically developing children, research suggests that it may be more prevalent in children with neurodevelopmental conditions. Conditions such as autism, intellectual disability, and ADHD have been associated with a higher incidence of toe walking. If your child has been diagnosed with any of these conditions, it may be helpful to discuss toe walking with their healthcare provider or therapist.

Walking on tiptoes in an 18-month-old is often a normal part of their development and exploration of movement. It is usually nothing to be concerned about at this age. However, if toe walking persists into older ages or is accompanied by other issues, it is important to consult with a healthcare professional to rule out any underlying conditions or developmental concerns.

How to Guide Your 18-Month-Old Through Toe Walking?

Why Does Your 18-Month-Old Walk On Her Tippy Toes?

The phenomenon of toe walking, commonly observed in 18-month-old children, can be attributed to a variety of factors. Understanding the possible reasons behind this behavior can help shed light on why your child may be walking on her tippy toes.

1. Habit: One of the most common causes is simply habit. Some children develop a preference for walking on their toes and continue to do so out of habit. It may feel comfortable or natural for them and they may not even be aware that they are walking on their tiptoes.

2. Muscle tightness: Tightness in the calf muscles, known as equinus, can also contribute to toe walking. This tightness can be caused by various factors such as tight tendons, neurological conditions, or muscle imbalances. When the calf muscles are tight, it becomes challenging for the child to put their heels down while walking, resulting in toe walking.

3. Sensory issues: Sensory processing difficulties can also play a role in toe walking. Some children may have hypersensitivity or hyposensitivity in their feet, causing them to walk on their toes to either avoid or seek sensory input. This behavior may provide a certain sensation or stimulation that they find enjoyable or soothing.

4. Developmental delays: In some cases, toe walking may be associated with developmental delays. Children with conditions such as autism spectrum disorder or cerebral palsy may exhibit toe walking as a result of their specific motor and sensory challenges.

5. Idiopathic toe walking: In some instances, no underlying cause can be identified, and the toe walking is considered idiopathic. This means that the child walks on their tiptoes without any apparent reason or associated condition.

It is important to note that occasional toe walking in toddlers is relatively common and often resolves on its own as they grow older. However, if you have concerns about your child’s toe walking, it is advisable to consult with a healthcare professional, such as a pediatrician or physical therapist, who can assess your child’s specific situation and provide appropriate guidance.

When Should You Worry About Your Child Toe Walking?

Parents should be aware that toe walking is common in children under the age of 2 and usually resolves on its own as they develop. However, if a child is over 2 years old and still toe walks, it is important to consult with a doctor. This could be a sign of an underlying condition that requires further evaluation.

In addition, if a child was previously walking normally and then starts toe walking, it may be a cause for concern. Sudden changes in gait can be indicative of an issue that needs to be addressed by a healthcare professional.

Furthermore, if a child frequently toe walks and there are concerns about their overall development, it is advisable to seek medical advice. Toe walking can sometimes be associated with developmental delays or neurological conditions, so it is crucial to have these concerns evaluated by a doctor.

Why Does Your 18-Month-Old Walk With His Feet Turned In?

When your 18-month-old walks with his feet turned in, it is commonly known as in-toe walking. This condition is often caused by an inward twist of the tibia, which is the shin bone. In-toe walking is quite common in babies and toddlers, and it is typically a result of the way the baby’s body was positioned in the womb during pregnancy.

Here are some key points to understand about in-toe walking in infants:

1. Moulding during pregnancy: In-toe walking is believed to be a result of “moulding” of the baby’s body during pregnancy. The position of the baby in the womb can sometimes cause the tibia to twist inward, leading to the feet turning in when the child begins to walk.

2. Natural development: In-toe walking is usually a temporary condition that gradually disappears as the child grows. As the child’s bones, muscles, and ligaments develop, the tibia straightens out, and the feet start to align properly.

3. Age of resolution: In most cases, in-toe walking resolves on its own within a few years. By the age of 4 or 5, the majority of children naturally outgrow this condition, and their feet assume a normal alignment.

4. Observation and monitoring: While in-toe walking is usually harmless and self-correcting, it is essential to monitor your child’s walking pattern and consult a pediatrician if you have concerns. A medical professional can assess the severity of the condition and provide appropriate guidance.

5. Other potential causes: In some cases, in-toe walking may be caused by other factors such as hip dysplasia or muscle imbalances. If your child’s in-toe walking persists beyond the age when most children outgrow it or if it is accompanied by pain or other symptoms, further evaluation by a healthcare provider may be necessary.

Remember, in-toe walking in infants is generally a normal part of development and tends to resolve naturally over time. However, it is always advisable to seek professional advice if you have any concerns about your child’s walking pattern or overall development.

Is Tip Toe Walking ADHD Or Autism?

Toe walking can occur in children with both ADHD and autism, but it is important to note that toe walking itself is not a definitive sign of either condition. It is a behavior that can be observed in children without any neurodevelopmental conditions as well. However, research suggests that toe walking tends to be more prevalent in children with these conditions.

1. Toe walking and Autism: Toe walking is commonly seen in children with autism spectrum disorder (ASD). Studies have reported that up to 30% of children with ASD engage in toe walking at some point. However, it is important to note that not all children with autism exhibit toe walking, and not all children who toe walk have autism.

2. Toe walking and ADHD: Emerging evidence suggests a link between ADHD and toe walking as well. While not as extensively studied as autism, various studies have found a higher prevalence of toe walking in children with ADHD compared to typically developing children. However, similar to autism, not all children with ADHD toe walk, and not all toe walkers have ADHD.

It is worth mentioning that toe walking can also occur in children without any neurodevelopmental conditions. Some common reasons for toe walking in typically developing children include habit or preference, muscle tightness or weakness, or sensory processing issues.

Conclusion

In conclusion, toe walking in 18-month-old children is typically a common and normal behavior. It is often a result of habit or simply because they can do it. The sensation of walking on tiptoes may be enjoyable for them. However, it is important to monitor this behavior and consult a doctor if certain circumstances arise. If the child is over 2 years old and still toe walks, or if they have recently started toe walking after previously walking normally, it is recommended to seek medical advice. Additionally, if there are concerns about the child’s overall development, it is best to consult a doctor. In-toe walking, which is an inward twist of the shin bone, is common in babies and toddlers due to the shaping of the baby during pregnancy. This may persist for a few years but typically resolves as the child grows. While toe walking can occur for various reasons, it is more frequently observed in children with neurodevelopmental conditions such as intellectual disability, autism, and ADHD. Ongoing research suggests a potential link between toe walking and these conditions. Therefore, it is crucial to stay attentive to any changes or concerns regarding toe walking in 18-month-old children and seek appropriate medical advice when necessary.

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Nancy Sherman

Nancy Sherman has more than a decade of experience in education and is passionate about helping schools, teachers, and students succeed. She began her career as a Teaching Fellow in NY where she worked with educators to develop their instructional practice. Since then she held diverse roles in the field including Educational Researcher, Academic Director for a non-profit foundation, Curriculum Expert and Coach, while also serving on boards of directors for multiple organizations. She is trained in Project-Based Learning, Capstone Design (PBL), Competency-Based Evaluation (CBE) and Social Emotional Learning Development (SELD).