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  Evaluation and Management of Tip-Toe Walking in Children  
 
LECTURER: Dr. Stephen J. Stricker
 		  
Faculty Disclosure
 
Stephen Stricker, M.D. has indicated that he will not discuss commercial products or services. He does not have a significant financial interest or other relationship with any company providing educational support for this activity. Dr. Stricker has indicated that his presentation will include discussion of the use of Botox for idiopathic toe walking which is an off-label and investigational use of the product.

 		  
Target Audience
 
Pediatricians and other healthcare professionals involved in the treatment of children.

 		  
Learning Objective
 

Upon completion of this activity, the general pediatrician should be able to sort out the differential diagnosis for the child who tip toes bilaterally by using the following four questions:

  1. When did the tip toe gait begin?
  2. Is there a family history of similar tip toeing?
  3. Is the neurological exam normal or abnormal?
  4. Is the Archilles tendon physically tight or simply overactive?

 		  
 
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