12/11/2013
QUERIES (CLINICAL)
Query: 2 1/2 Year Old Toe Walker
A 2 1/2 year old girl presented to the office with a chief complaint of toe walking. Her past medical history is unremarkable except for her lack of speech. Clinically, there is no equinus. Muscle mass, tone, and strength appear normal. She is neurologically intact. She can take a few steps with her heels on the ground, but then bounces up onto her toes and walks. I'm open for suggestions on how to proceed diagnostically and from a treatment standpoint.
QUERIES (CLINICAL)
Query: 2 1/2 Year Old Toe Walker
A 2 1/2 year old girl presented to the office with a chief complaint of toe walking. Her past medical history is unremarkable except for her lack of speech. Clinically, there is no equinus. Muscle mass, tone, and strength appear normal. She is neurologically intact. She can take a few steps with her heels on the ground, but then bounces up onto her toes and walks. I'm open for suggestions on how to proceed diagnostically and from a treatment standpoint.