Toe Walking in Children


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.


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 CCG-15N

Referral Forms

DRSS Referral form

​Supporting Information

Pathway Group

This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.

Publication date: May 2017


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