What is normal?
In this age group a child should be developing a more steady and confident walking gait. The bow legs posture normally is present by 3-4 years of age. The child should be able to alternate feet while climbing upstairs, kick a ball, pedal a tricycle, climb and hop on one foot.
A child may exhibit signs of “toe walking”. It is not uncommon in 2 and 3 year olds, but normal heel-strike should be demonstrated by the age of 4. Most commonly it is from weak muscles as part of their normal growth phase.
What is abnormal?
If “Toe-walking” is present between 3-4, it is advisable to have the child assessed by a podiatrist or other qualified health professional as this condition may be due to
(1) Muscle imbalance
(2) Or may be related to a neurological disorder
Another common problem is an “in-toeing or pigeon toe” gait style. Your podiatrist will be able to determine where the in-toeing is originating and will treat accordingly.
WARNING : This information is for educational purposes only and is not intended to replace professional podiatric advice. Treatment will vary between individuals depending upon your diagnosis and presenting complaint. An accurate diagnosis can only be made following personal consultation with a Podiatrist.