Some toddlers walk on their toes while they learn. Persistent toe walking — especially after age two to three — deserves a specialist look.
No GP referral required. Families, case managers and solicitors are welcome to contact us directly.
Real feedback from the families we support with paediatric physiotherapy across Yorkshire, Lincolnshire, Nottinghamshire and Derbyshire.
Intermittent toe walking can appear as children explore balance and speed, and many grow out of it. It becomes more concerning when it is persistent most of the time, one-sided, linked to stiffness, delay or pain, or continues well past the toddler years.
Calf length and ankle movement, and whether heels can reach the floor in standing.
Lower limb strength, balance and how confidently your child moves and changes direction.
Gait observed over distance, looking for asymmetry and how heel contact changes with speed.
Sensory or neurological contributors, where they are relevant to the pattern we see.
Advice on shoes, insoles and orthotics — where they will genuinely make a difference.
Early advice can stop a habit becoming harder to change — and often reassures families that nothing more is needed.
We assess the cause first, then treat it — with a home programme you can follow confidently between sessions.
Range of movement, strength, balance and walking pattern, plus sensory or neurological factors where relevant.
Stretching, strengthening and gait practice, with footwear or orthotic advice where it is useful.
A short, realistic set of exercises and activities you can keep going between appointments.
Common questions about tiptoe walking — when it matters, and what treatment actually involves.
Related guides: Plagiocephaly · SDR rehabilitation · Self-referral · Fees & what to expect · Who we help
Short bursts can be normal in early walkers. Persistent toe walking after about age 2–3 should be assessed by a children’s physiotherapist or doctor.
Seek advice if it is constant, one-sided, painful, linked to tight calves, or paired with delayed milestones or frequent falls.
Yes. Assessment identifies the cause; therapy and home exercises often improve heel contact, strength and walking confidence.
Not for PT Kids — you can self-refer. We may still suggest GP or paediatric follow-up if medical review is needed.
History, observation of walking and play, hands-on assessment, and a clear plan discussed with you.
Consider an assessment if toe walking continues beyond age 2–3, your child cannot keep their heels down when standing, walking looks asymmetrical, or there are wider developmental concerns.
Tell us what you are seeing and we will advise whether an assessment is worth booking.
No GP letter required. Families, case managers and solicitors all welcome — we respond within 48 hours.
Call 07557 537203 · Email hello@ptkids.co.uk
