TOE WALKING HOW TO CORRECT IT AT HOME ITSELF by Sneha Narayan

Completed my article on TOE WALKING AND HOW TO OVERCOME IT 100% FOR MY SON WE DID IT… ..many parents requested me to write on this topic and its my favorite topic too as lots of memories are attached to this topic.

EARLIER whenever I used to search TOE WALKING CURE for MY SON ONLINE every where used to read same things again and again that
Persistent toe walking is “idiopathic,” which means that the exact cause is not known. Older children who continue to toe walk may do so simply out of habit or because the muscles and tendons in their calves have become tighter over time.

WE WENT TO MANY THERAPIST AND DOCTORS, ASKED SOLUTIONS ABOUT HOW TO OVERCOME IT BUT DID NOT GOT ANY SATISFACTORY ANSWERS..

They just suggested me to go for occupational therapy and get heighted shoes and if not corrected then later some surgery to be done .let him wear some braces and what not..they suggested us casting, botulinum toxin injections and surgery may be last resort options if conservative treatment we became so worried as to how to correct it .. it became a serious concern in my life..

These worries used to haunt me day and night what will happen to my son now.Will he never walk like others kids???..and what about his pain !!!!! was feeling v helpless until read an article on HYPTONIA (LOW AND HIGH MUSCLE TONE) and thats it got all my answers to why my son is on his TOES ALL THE TIME..and this problem is due to extremely tight Achilles tendons.
so started our journey toward the correction of TOE WALKING for my son.

LETS START OUR JOURNEY NOW..

TOPICS TO BE COVERED

  • WHAT IS TOE WALKING AND MY JOURNEY IN BRIEF
  • CAUSES OF TOE WALKING
  • WHY MOSTLY KIDS DETECTED WITH AUTISM HAVE TOE WALKING
  • MYTHS AROUND TRETEMENT
  • SOLUTION HOW TO CORRECT IT.

WHAT IS TOE WALKING

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Toe walking is a pattern of walking in which a child walks on balls of his or her feet, with no contact between the heels and ground. Toe walking is common in children who are learning to walk. After the age of 2, however, most children outgrow toe walking and begin to walk with a normal heel-to-toe pattern.

Walking on the toes can be a normal part of motor development, usually occurring in the first 12-18mth after commencing walking and should pass by 2-3 years of age. In this case, children will stand and walk on the toes some of the time for short periods only and otherwise demonstrate normal development and a good repertoire of motor skills across other areas. There is no need to be concerned about this type of toe-walking.

When might toe-walking cause concern then, and why? We know that toe-walking is common in certain neuromuscular conditions and AUTISM is one of them.

When my son use to walk on toes since he was 2 yrs of age i thought its normal but it became our concern when after he was 3 yrs he still was on his toes.Til the time he was awake he was on his toes walking.Now it became a serious threat to his legs as it use to pain and he uses to fell down most of the times. when i started his therapy we were also going to football classes where I have seen kids with 10 years of age walking on toes so it was very horrifying for me I have seen kids having braces in the foot coming to the occupational therapy classes even heard that some kids need surgery to correct it but I did not wanted all this sufferings for my son so I started searching for some alternative treatments which I did not found on internet but read in a book .So sharing my experience that we did to make my son come out 100% of this TOE WALKING PROBLEM.

We Consulted many doctors but they said its basic cause is not detected and it can be one of the symptoms of Autism .Again was tensed that he was normal till 2 yrs of age then why these problems are arising.

Consulted many doctors but the causes were unknown and again got no solution..Then after reading an article on MUSCLE TONE realized yes thats it got a reason its due to either LOW OR HIGH MUSCLE TONE..and now AFTER 6 MONTHS MY SON IS 100% OUT OF THIS PROBLEM..SO SHARING HOW WE OVERCAME THIS PROBLEM FOR OUR SON..HOPE IT HELPS ALL THE PARENTS IN SAME SITUATION.

Exam/Assessment

In order to best determine an ideal treatment protocol, a comprehensive history should be taken. Children who ambulate later or skip developmental milestones which limit weight bearing, often present with TOE WALKING later on.

  • Does the child toe walk when wearing shoes?
  • Do you notice more or less toe walking when WALKING barefoot on different surfaces? For instance sand at beach, grass at park, hard wood floor, carpet.
  • Is the child able to achieve and maintain full range of motion at ankle?
  • W SITTING VERY FREQUENT

    “W-sitting” is a term used to describe a sitting position in which the child’s bottom is on the floor while their feet are splayed out to the sides – forming a “W” shape with the legs and knees.W-sitting may seem like a benign position that many children utilize, but it comes with many negative implications.

    w-sitting2

  • Chief among these are the fact that W-sitting:
    • Promotes poor posture
    • Discourages activation of trunk muscles leading to deficits in balance
    • Inhibits exploration and movement between positions
    • Keeps children confined to play only in midline
    • May lead to hamstring tightness, tibial torsion and hip dislocation

    Never allow the kid to sit in W position.Always prompt the kid to sit in leg folded manner.We use to prompt and correct our kid position every minute in a day around 100 times we us to correct it..

Prevention is the best method if you can catch the pattern early on. Children build foundational skills, and develop compensatory strategies as needed. Let the child know about and experience alternative sitting positions. Be consistent. When you see the child W-sitting, help to correct it. Occasionally children utilize the W-sitting position when transitioning from creeping on hands and knees to sitting on the floor. From all fours, the child simply parts the knees and plops his or her bottom down between them, resulting in the W-position. To discourage this, we can teach child other more efficient transitional movements to get into sitting.

Experiment with side sitting or gently guiding legs out in front to promote a “long sitting”position. Using verbal cues like “criss cross sitting” assist with the acquisition of new sitting patterns and include the child as an engaged participant. Once the child has experienced the alternative positions, give him or her opportunities to participate in active play scenarios to gain confidence and comfort in these more developmentally appropriate seated postures.
CRISS CROSS SITTING

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SCISSOR POSE SITTING

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Z SITTING

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HEEL SITTINGMakeheel-sit.jpg

TALL KNEEL SITTING

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CAUSES OF TOE WALKING

Toe-walking? This is a good question. Toe-walking may be a learned habit (many toddlers walk on their toes), or may relate to motor coordination challenges, a tight Achilles tendon, or a sensory processing difference. Toe-walking is also seen with other neurological or developmental disorders, such as cerebral palsy.Children with autism often present with stereotyped motor movements, one of which may be walking on their tip-toes. Others hypothesize that walking on toes reduces over stimulation in the feet that can occur as a result of walking on the entire foot.

Toe-walking however also occurs on its own, where a clear neuromuscular cause cannot be found. This is called ‘idiopathic toe-walking’ (idiopathic meaning literally ‘with unknown cause’). Despite being idiopathic, toe-walking appears to be more common than average in children and adults with the following diagnoses or risk factors:

Typically, toe walking is a habit that develops when a child learns to walk. In a few cases, toe walking is caused by an underlying condition, such as:

  • Tight calf muscles and shortened heel (Achilles) tendons. The tight muscle and/or shortened tendon can prevent the heel from touching the ground. So instead of walking flat footed, the child walks on his or her toes. Calf muscle tightness often occurs with autism. Sometimes it’s related to cerebral palsy, another condition that can co-occur with autism.
  • Sensory processing differences This can include discomfort or anxiety in response to the feel of certain surfaces on the bottom of the child’s feet.Idiopathic toe walking may be linked to hyper or hypo sensitivity. Some children may not like the feeling of different surfaces on their bare feet, which cause them to rise up on their toes to avoid having the full surface of their feet contracting floor. For children who are seeking more input, toe walking increases the force of impact felt during ambulation, as the ground reaction force is distributed through a smaller surface area at the metatarsal heads.
  • Hyper-reactive calf muscles. In this case, fast movements such as walking cause the calf muscle to spasm, or shorten, at the wrong time. To avoid the uncomfortable spasm, the child may begin to stay up on his or her toes.
  • Hypotonia (low muscle tone)Hyper-extended back posture (“sway-back”). This posture shifts the child’s weight forward onto the toes. We commonly see this in children with low muscle tone, or muscle weakness.
  • Cerebral palsy. Toe walking can be caused by a disorder of movement, muscle tone or posture caused by injury or abnormal development in the parts of the immature brain that control muscle function.
  • Muscular dystrophy. Toe walking sometimes occurs in this genetic disease in which muscle fibers are unusually prone to damage and weaken over time. This diagnosis might be more likely if your child initially walked normally before starting to toe walk.
  • Autism. Toe walking has been linked to autism spectrum disorders, which affect a child’s ability to communicate and interact with others.
  • Family history of idiopathic toe-walking (up to 40% in first and second degree relatives!)
  • Developmental Coordination and/or Language Disorders
  • ADHD and related conditions
  • Premature birth and/or low birthweight

Though the majority of idiopathic toe-walkers do not have a diagnosed condition or evidence of any
other developmental delays. Children who toe-walk all or most of the time, generally after the age of 3, will not “grow out” of this pattern. The implications of this may include compromised opportunities to develop more advanced gait and postural control strategies and motor skills, extremely tight Achilles tendons, problems with the development of the foot as the child grows, and difficulty using the muscles of the trunk and hips in an efficient manner.

How to cure it at home itself now..

There are five ways to correct toe walking

  • HOME EXERCISE PROGRAM

  • MASSAGE and LEG JOINT COMPRESSION

  • MULTI-SURFACE BARE FOOT WALKING(MOST IMPORTANT)

  • TREKKING

  • VATA PACIFIER DIET and MASSAGE.

HOME EXERCISE PROGRAM

If your child has idiopathic toe walking, a daily home exercise program can be very helpful. The goal is to stretch the calf muscles and strengthen the muscles on the front of the legs. This will help your child to be able to successfully walk with a heel-to-toe pattern.If your child’s calf muscles are tight, or ankle motion is limited, you will be shown stretches to do at home with them. These stretches should be followed with activities to help them use their muscles in their new lengthened position.

These exercises will be necessary and beneficial as long as your child demonstrates a tip toe walking pattern. The exercises will vary with their age. The most important part of the exercise program is to remember to have fun with your child!

Stretches and strengthening exercises for children under TEN years of age

EXERCISE ONE :Calf stretch

  • Have your child lie on their back on a comfortable surface such as a firm bed.

  • With their knee straight and leg supported on the bed, bring your child’s foot upwards, toward their head, bending their ankle.

  • Hold the stretch at the end of the movement (that is, as far as your child’s range of motion will permit) for 15 to 30 seconds. This should not be painful for your child.

  • Bring your child’s foot back to a normal position. Repeat the exercise 10 times on each leg, daily.

    Idiopathic_toe_walking_calfstretch_under6_MED_ILL_EN

    EXERCISE TWO: Achilles tendon stretch

  • Have your child lie on their back on a comfortable surface such as a firm bed.
  • With their knee bent, bring your child’s foot upwards, toward their head, bending their ankle.
  • Hold the stretch at the end of the movement (that is, as far as your child’s range of motion will permit) for 15 to 30 seconds. This should not be painful for your child.
  • Bring your child’s foot back to a normal position. Repeat the exercise 10 times on each leg, daily.

stretch_courtesy_sickkids (2)

EXERCISE THREE :SIT TO STAND

  • Have your child sit on a children’s sized chair or stool.
  • Place your hands below their knees, providing a moderate, constant pressure downwards as a cue to keep their heels on the floor.
  • Have your child practice standing up while keeping their heels on the ground.
  • Make this exercise fun by playing a game of high five, blowing bubbles, reaching for objects, working in front of a mirror or singing songs.

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EXERCISE FOUR :CALF STRETCH

  • Have your child stand approximately two feet from a wall. Place both of their hands at shoulder height against the wall.
  • With their right knee straight, have them step towards the wall with the left foot. They should lean in until a stretch is felt in the back of the right calf. Make sure they keep the heel of the right foot on the ground.
  • Hold the stretch for 15 to 30 seconds.
  • Repeat the exercise 10 times on each leg, daily.

idiopathic_walking_calfstretch_6up_med_ill_en.jpg

EXERCISE FIVE :SQUATS

Practice squats passively with kid will post a video on my YouTube channel soon as to how to do squats with small kids at home passively.

Idiopathic_walking_squats_MED_ILL_EN

EXERCISE FIVE :CLIMBING SLIDES

Climbing up playground slide is a great way to target range of motion, strength and weight bearing!

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EXERCISE SIX: DYNA DISC STAND

make the child stand on disc for like 30 sec to one minute.it helps a lot in reducing sensory input problems

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MASSAGE and LEG JOINT COMPRESSION

Joint Compression is providing input into one’s joints (namely at the shoulders, arclies tendon muscle, elbows, wrists, and fingers) for proprioceptive input. Proprioception refers to the physical input on the body’s joints, muscles, and bones that then elicit chemical, physiological, and physical changes in the body.

The joint compression video shared in my youtube channel you can click the link and see.

USE THE OILS RECOMMENDED IN MY PREVIOUS ARTICLES.

Our bodies need proprioceptive input to improve our body awareness, body organization, postural security; and once the body becomes more secure and organized, then it can relax, calm down, and handle stress in a more efficient manner.

In addition, joint compressions also utilize human touch with has been shown to facilitate the release of dopamine and norepinephrine. Dopamine and norepinphrine are two neurotransmitters that are responsible for mood regulation, motivation, lowering anxiety levels, and lowering depression (Neurogistics ). So, by doing joint compressions with your child, you are actually getting” double the bang for your buck” as you are reaping the benefits of both proprioception and touch combined.

  • Help your child with a HOPE

    • Marching on the spot. Have your child bring their knees up high and then land with a flat foot.
    • Walking uphill.
    • Walking on uneven surfaces such as in a playground or sand.
    • Walking on the heels only. Keep the toes off the ground at all times.
    • Practicing squats. With feet flat on the floor, hip width apart, have your child slowly lower their body all the way to the floor by bending at their knees and hips but keeping their chest upright.

BARE FOOT WALKING(FIVE SURFACE BARE FOOT WALKING)

We can’t deny the presence of electrical charges in our body and thus so, it makes the conduction of the electricity to the body as possible. We’re producing the positive charge regularly and the earth maintains the negative charge along with the free radicals to balance the charges. The negative potential of the earth is responsible for stabilizing our internal bioelectrical environment to pursue the internal functions smoothly.
Due to the trendy footwear obsession and recent pedicure maintenance, we hesitate to kick off our shoes and walk on the ground. But by covering our soles of the foot, we’re limiting the elimination of the free radicals and charge of the body, which can produce a hindrance in our physiological processes of the body. Perhaps, you should try to walk on the ground around 30 minutes rather early in the morning or evening to donate the toxins to the earth.
Do you remember the last time when you walked on the ground with barefoot? Earthing or grounding is the terminology that we usually use for the barefoot walk. Most people opt for the barefoot walk when they need to relax and calm themselves but along with these benefits, we can’t neglect the associated benefits of it. So, here we’re discussing the most common advantages of the barefoot walk on your overall health.

  • Insomnia Can Be Controlled

  • Improves Nervous System:

Walking barefoot stimulates the acupuncture points of the foot and this in turn helps in stimulating the nerves and veins

  • IMPROVES THE BALANCE

When our soles of the foot come in contact with the ground, our vestibular system (balance & coordination system) stimulates; thus, our balance is improved and the loop of the neural circuits remapped.

In younger age , we lose our balance and coordination more rapidly due to the inevitable degeneration in the neurons of our brain. So, if you’re walking barefoot on the grass, the potential signals sent from the receptors of the soles empower your neural circuits.

The most important exercise that helped my kid was 5 FIVE SURFACE BARE FOOT WALKING..in one go change surface after every 5 to 10 min.

1 .Make the kid walk on pebbles small and big .click the link and see.

It acts as an accupunture and triggers all good points and nerves responsible for sensory toe .

BALANCE ELECTRONS AND INFLUENCE BRAIN.70% of our body contains water which contains electrolytes like sodium, potassium etc. walking bare foot help to create an ionic balance within cells & tissues by the help of earth’s magnetic energy

2 .Make the kid walk on Dry and wet Grass at the same time.

One reason direct physical contact with the ground might have beneficial physiological effects is the earth’s surface has a negative charge and is constantly generating electrons that could neutralize free radicals, acting as antioxidants. You may think of antioxidants as coming from food, and indeed a diet rich in fruits, vegetables and other foods that provide beta-carotene, selenium, lutein, lycopene and vitamins A, C and E help prevent cellular damage from free radicals. Still, it is interesting that we may be able to get them directly from the earth, too.
The key may be the impact on the vagus nerve. This is the largest nerve of the autonomic nervous system — extending from the brain to the colon — and plays a key role in heart, lung and digestive function. Strong vagal tone helps you relax faster after experiencing stress, while weak vagal tone is associated with chronic inflammation.

This colon is responsible for VATA dosha related to Autism ..

Stimulates your entire body, including the eyes: Our feet are store houses of reflexology zones that correspond to various organs of our body. According to the principles of reflexology, stimulating these points can help relieve ailments of the particular organs and keep them in a general state of good health. The foot has points for the eyes, ears, lungs, nerves of the face, stomach, spleen, brain, kidneys and many more organs, so when we walk on grass, these areas are gently stimulated, helping your entire body stay healthy

3 .Make the kid walk barefoot on Road

When your bare skin comes in contact with the earth directly, the negative ions present in the earth can help balance the positive ions in your body and this will improve your health in many aspects. Many of us have read or heard that there are pressure points in our body. When we walk barefoot on sand or on grass or on road , the pressure on our foot activates the acupuncture points. This in turn, energizes our body and improves our health.

4. Walking barefoot on Sand

Walking in sand requires a greater effort than walking on a hard surface. Your muscles and tendons will work harder as your foot moves around.Walking at a slower pace while your feet sink in sand requires more effort than walking fast or even jogging.Walking in sand requires 2.1 to 2.7 times more energy than walking on hard surfaces.

5.Walking on DRY AND WET MUD (MUD THERAPY) SENSORY BENIFIT

Walking with shoes prevents kids foot to explores the textures of different kind of natural object ( e.g sand , mud, grass etc) but while walking bare foot these natural materials stimulate the pressure point and nerve endings which makes us more alert, active, aware and oriented

It improves blood circulation in leg which prevents varicose veins & keep our leg healthy.
IMPROVES MEMORY, FOCUS, CONCENTRATION AND OVERALL INTELLIGENCE TOO.

TREKKING AND TOE WALKING

This article explains trekking in detail click here
Trekking helps tone the muscles, while enhancing their elasticity. This strengthens and powers up the muscles. Needless to add, the biggest beneficiary are the legs, particularly gluteal muscles (buttocks), quadriceps (legs), hamstrings (back of the thighs), inner & outer thighs, hips, and calves. Oblique muscles (abdomen) neck, shoulder,& arms muscles & bonesare also groomed. All this while, your bone density is increasing and the density loss or osteoporosis is slowing down. Trekking is especially helpful for people with joints & back pain, a condition called arthritis. The mountain trails are comfortable and softer for the feet, ankles, knees, back, and hips as compared to the concrete ground. Carrying a backpack enhances the benefits and works additionally on your upper body strength.A stronger & toned musculo-skeletal system and reduced body weight with intense practice on an unpredictable and steep terrain helps improve body balance.

VATA PACIFIER DIET and MASSAGE.

As explained in article two and three kids should be on VATA PACIFIER diet.

This helps a lot in overcoming the toe walking problem .

Click here for both article

The next article click here

For massage refer to below articles

Click here

come on mommies get charged up and geared up and make the move…

love u all…READ THE ARTICLE ITS VVV IMPORTANT CLICK ON BELOW LINK

DO AND DONTS WHILE ON RECOVERY
do post your queries on :

dhruvatheshinningstar@gmail.com.

Sneha Narayan AND Rishikant Narayan

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One thought on “TOE WALKING HOW TO CORRECT IT AT HOME ITSELF by Sneha Narayan

  1. Very informative . Hats off to you for all your patience, hardwork and determination . I am so proud of you Sneha !! Way to go girl . Loads of love for Dhruv 😘.

    Like

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