Referral

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Toe Walking in Children

Scope

Referral is not necessary if -

  • the toe walking is intermittent.
  • the child is able to squat to play on the floor and is able to keep their heels on the floor.
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Referral Criteria

Consider referral if :

  • toe walking is persistent beyond 3 years
  • there is associated developmental delay
  • the child is unable stand with their heels on the floor (tightness of calf muscles).
  • the child is over 3 years and is unable to stand from floor sitting without using their hands.
  • the toe walking is asymmetrical

Please provide a detailed birth history

Referral Instructions

e-Referral Service Selection

  • Specialty: Children's and Adolescent Services
  • Clinic Type: Orthopaedics
  • Service: DRSS-Western-Child & Adolescent -Devon ICB-15N

Referral Form

DRSS Referral form

Pathway Group

This guideline has been signed off on behalf of NHS Devon.

Publication date: May 2017

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