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Dear Friends and Neighbors,

CentraCare care givers have been working around the clock for more than 20 months to care for you, your families and friends during COVID. We are committed to caring for every Minnesotan who needs us, and nothing will prevent us from doing so – even during these never-seen-before times.

The challenge of providing this level of care is that our hospital beds are often full. ERs in all of our hospitals are packed. And our clinical teams are exhausted. Early in the pandemic, our community stepped up in amazing ways to help us. We ask that you again join us in fighting this pandemic together.

How can you help?

  • Please get your COVID vaccines and booster shots. They are proven safe and effective in reducing COVID illness, keeping people out of the hospital, and preventing death.
  • If your situation is not an emergency, please use other care options, including:
  • If this is a medical emergency, call 9-1-1, or visit the ER.

Together, we can do this. Thank you for your support.

Ken Holmen, MD
President and CEO

What to do about toe walking

Published in For the Health of It Author: Sue Peck

Pediatric Physical Therapist
CentraCare Health – Long Prairie

Your child needs to be able to walk before he or she can run. But what should you do if they aren’t walking the right way?

After age 2, most children learn to walk using their full foot — from heel to toe. But some children, for many possible reasons, continue to use only their toes. This condition is called idiopathic toe walking and occurs in 5 to 12 percent of kids.

Several of things to be aware of:

  • Children walk on their toes for many reasons. It might have to do with foot alignment, sensory issues, vision or muscle weakness.
  • Children with autism-related conditions have been found to toe walk more regularly butthere’s no direct link between the two conditions.
  • Some theories as to why children toe walk include that do it out of habit or that they have tight calf muscles or because of some underlying issue that increases muscle tone that make extending one’s heels and walking normally difficult.
  • Nonsurgical treatments are available for children between ages 2 and 5 who are not able to walk using a heel-toe pattern. These include exercises, casting or bracing — all in the attempt to stretch and lengthen calf muscles and strengthen the functions of the ankle.
  • Persistent toe walking affects foot function needed in skills such as walking at a faster or slower pace, jumping or stopping with control. It can lead to excessive falling.

Among the home program exercises a physical therapist may focus on include:

  • Verbal cueing – Give the child reminders to walk coming down on their heels first.
  • Jumping and stopping – Practice jumping forward once and stopping.
  • Crab walk – This needs to be done keeping the buttocks off the floor and with heels flat.
  • Dinosaur steps – Taking extra-long steps which encourage the heel hitting the ground first.

The functional goals of these physical therapy sessions are for the child to:

  • Be able to walk and run at typical speeds using proper heel-toe patterns.
  • Be able to walk up and down the stairs using only one foot on each step.
  • Be able to jump down from heights using both feet together on take-off and landing.
  • Be able to stop with control rather than falling.
  • Be able to stand on one foot with control.

If you have concerns about your child’s walking or development, contact your child’s provider. If you need assistance in finding a provider for your child, contact CentraCare Connect to help find one and to schedule an appointment.