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Balancing

PAEDIATRIC CONDITIONS & WALKING DEVELOPMENT 

Every child walks differently—but some walking patterns benefit from assessment.

If you’ve noticed your child walking in a way that concerns you, you’re not alone. Many gait differences are part of normal development, while others may benefit from early assessment and support. Here, we provide child-friendly gait assessments and orthotic solutions tailored to your child’s needs.

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Toe Walking

Toe walking is a walking pattern where a child walks on the balls of their feet without consistent heel contact. It can be common in early development, but when it continues beyond the toddler years it may place extra strain on the feet, ankles, and legs.

Assessment helps determine whether toe walking is part of normal development or whether support may be beneficial. Where appropriate, paediatric orthotics can encourage a more typical heel-to-toe walking pattern, improve ankle alignment, and reduce strain on growing muscles and joints while allowing efficient movement.

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Crouch Gait

Crouch gait is a walking pattern where the knees and hips remain bent during walking, resulting in a lowered posture. This pattern often requires more effort and can make walking tiring and less efficient.

Orthotic management focuses on improving stability and supporting joint positioning during walking. Custom paediatric orthoses may help reduce excessive knee bend, improve balance, and support functional mobility as part of an ongoing management plan.

In-Toeing

In-toeing is a common walking pattern where a child’s feet point inward while walking or running. It is often related to normal growth and development and may improve naturally over time.

Assessment helps determine whether monitoring or treatment is needed. In some cases, orthotics may support foot alignment and walking efficiency, while in others reassurance and developmental guidance are all that is required.

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Out-Toeing

Out-toeing occurs when a child’s feet point outward during walking or standing. This variation is often part of normal development but can occasionally affect walking efficiency or comfort.

Assessment helps identify whether the pattern is within expected developmental ranges. Where clinically appropriate, orthotics may help support alignment, improve stability, and reduce strain during daily activities.

Paediatric Flat Feet

Flat feet are common in children and often resolve as muscles and joints develop. In some cases, flat feet may contribute to fatigue, discomfort, or altered walking patterns.

Paediatric orthotics may be recommended to support foot posture, improve alignment, and reduce strain on growing joints, helping children stay active and comfortable as they develop.

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