the history of tip-toe gait

[Guest guest]

Subject: Bilateral Tiptoe Gait

http://www.mastersofpediatrics.com/cme/cme2005/lecture30_1.asp

Bilateral Tiptoe Gait

I am going to talk about bilateral tip-toe gait and this is a menu of things

which should go through your mind when you see a child walking on tip-toe

bilaterally. The more common ones are idiopathic toe walking, also called

habitual toe walking. Mild spastic diplegic cerebral palsy is also very common.

Then things get less common as you go down the list. There are things that

should not be forgotten like Charcot-Marie-Tooth peripheral neuropathy or

muscular dystrophy, such as Duchene. Then, even some less common things like

autism, schizophrenia and finally spinal cord anomalies and juvenile type

multiple sclerosis

[Guest guest]

thanks so much for sharing this. my 15 yo has toe

walked since he started walking at 17 mos. if he is

wearing proper shoes with a stiff insole, he does not

do it, but his gait is rather stiff. just doesn't

seem to bend his knees normally. I've always wondered

what to do about it, but didn't go after aggressively

due to the many other things which we needed to

address with him. but perhaps we should see a

neurologist. anyone else experiencing this with any

of your kids? my oldest is quite stiff, and my

youngest is rather loose in his joints, but walks

normally. they are opposite in so many ways but both

have nids.

--- Doris and Steve <sjsmith@...>

wrote:

> Subject: Bilateral Tiptoe Gait

>

>

http://www.mastersofpediatrics.com/cme/cme2005/lecture30_1.asp

>

> Bilateral Tiptoe Gait

> I am going to talk about bilateral tip-toe gait and

> this is a menu of things which should go through

> your mind when you see a child walking on tip-toe

> bilaterally. The more common ones are idiopathic toe

> walking, also called habitual toe walking. Mild

> spastic diplegic cerebral palsy is also very common.

> Then things get less common as you go down the list.

> There are things that should not be forgotten like

> Charcot-Marie-Tooth peripheral neuropathy or

> muscular dystrophy, such as Duchene. Then, even some

> less common things like autism, schizophrenia and

> finally spinal cord anomalies and juvenile type

> multiple sclerosis

>

>

>

>

>

>

>

>

Barb Katsaros

barbkatsaros@...

__________________________________________________

[Guest guest]

I walked normal as a small kid, then started

toe-walking sometime around middle school, after

PANDAS and not exactly positive if it was (but I do

think it was) after mono encephalitis. My late teens,

I had 'adapted' my gate with a lot of effort to not

stand out so much, but still toe walked until my

mid-twenties. I always wore real high heels to

compensate. During my first pregnancy at 29 (immune

suppression anyone?), I stopped altogether and was

able to wear tennis shoes and flat sandles for the

first time in my memory, and have never gone back to

particularly high heels.

My experience with that really does seem to go hand in

hand with the neuro-immune inflammation idea that it

is neurological inflammation causing this. I wonder

if anyone had their child on steroids (although of

course we don't recommend that by any means) and

witnessed toe walking going away?

--- Barb Katsaros <barbkatsaros@...> wrote:

> thanks so much for sharing this. my 15 yo has toe

> walked since he started walking at 17 mos. if he is

> wearing proper shoes with a stiff insole, he does

> not

> do it, but his gait is rather stiff. just doesn't

> seem to bend his knees normally. I've always

> wondered

> what to do about it, but didn't go after

> aggressively

> due to the many other things which we needed to

> address with him. but perhaps we should see a

> neurologist. anyone else experiencing this with any

> of your kids? my oldest is quite stiff, and my

> youngest is rather loose in his joints, but walks

> normally. they are opposite in so many ways but

> both

> have nids.

>

> --- Doris and Steve <sjsmith@...>

> wrote:

>

> > Subject: Bilateral Tiptoe Gait

> >

> >

>

http://www.mastersofpediatrics.com/cme/cme2005/lecture30_1.asp

> >

> > Bilateral Tiptoe Gait

> > I am going to talk about bilateral tip-toe gait

> and

> > this is a menu of things which should go through

> > your mind when you see a child walking on tip-toe

> > bilaterally. The more common ones are idiopathic

> toe

> > walking, also called habitual toe walking. Mild

> > spastic diplegic cerebral palsy is also very

> common.

> > Then things get less common as you go down the

> list.

> > There are things that should not be forgotten like

> > Charcot-Marie-Tooth peripheral neuropathy or

> > muscular dystrophy, such as Duchene. Then, even

> some

> > less common things like autism, schizophrenia and

> > finally spinal cord anomalies and juvenile type

> > multiple sclerosis

> >

> >

> >

> >

> >

> >

> >

> >

>

>

> Barb Katsaros

> barbkatsaros@...

>

> __________________________________________________

>

[Guest guest]

My son is not on steroids, but I did witness his toe-walking go away during a

trial of low-dose topamax, which we tried for 5 weeks for abnormal EEG finding.

We decided to do away with an anticonvulsant since we weren't seeing any actual

seizures (although I guess theoretically he could have been having them

subclinically) but, in any event, it was a couple days after it was out of his

system that the toe-walking appeared again, and has been back ever since. So,

it would definitely seem like his toe-walking was a mechanism of neurological

dysfunction, for him anyway. But I don't think it was caused by actual seizures

because the dose that we were on was not a theraputic dose for seizure

activity, it was tiny, just enough to try and " calm " down his CNS to see if it

would normalize the EEG. Interestingly, the Topamax also completely eliminated

his few " sensory " issues (started wearing a hat, etc), but the moodiness and

irritability that developedjust made it not worth taking. But there was a

definite halt of his sensory issues and toe-walking while he was on it.

Bilateral Tiptoe Gait

> >

> >

>

http://www.mastersofpediatrics.com/cme/cme2005/lecture30_1.asp

> >

> > Bilateral Tiptoe Gait

> > I am going to talk about bilateral tip-toe gait

> and

> > this is a menu of things which should go through

> > your mind when you see a child walking on tip-toe

> > bilaterally. The more common ones are idiopathic

> toe

> > walking, also called habitual toe walking. Mild

> > spastic diplegic cerebral palsy is also very

> common.

> > Then things get less common as you go down the

> list.

> > There are things that should not be forgotten like

> > Charcot-Marie-Tooth peripheral neuropathy or

> > muscular dystrophy, such as Duchene. Then, even

> some

> > less common things like autism, schizophrenia and

> > finally spinal cord anomalies and juvenile type

> > multiple sclerosis

> >

> >

> >

> >

> >

> >

> >

> >

>

>

> Barb Katsaros

> barbkatsaros@...

>

> __________________________________________________

>