Why Do Some Children With Autism Toe Walk—and What Can Parents Do?

a child's feet with little smily faces drawn on each toe

Are you concerned about your child’s toe walking habits? Toe walking, a common concern for parents, can sometimes be associated with autism spectrum disorder (ASD). Understanding the connection between toe walking and autism is crucial for early intervention and support.

What is Toe Walking?

Toe walking refers to a walking pattern where a person walks on their toes or the balls of their feet without their heels touching the ground. While occasional toe walking in toddlers is common, persistent toe walking beyond the age of two may indicate an underlying issue.

The Connection with Autism

Toe walking is often observed in children with autism spectrum disorder (ASD). While not all toe walkers have autism, studies suggest that many children with ASD exhibit toe walking behavior. Children with Autism often have higher sensory seeking behaviors, and being up on their toes gives them deep sensory input through their feet and in their contracted calf muscles. This connection can lead to more targeted interventions and support from therapists and parents.

How Can a MetroEHS Physical Therapist Help?

Physical therapy plays a crucial role in addressing toe walking in children, especially those with autism. A skilled physical therapist can:

  • Assess the Underlying Causes: A physical therapist will conduct a comprehensive evaluation to identify any underlying factors contributing to toe walking, such as muscle tightness, sensory issues, muscle weakness, or lack of range of motion.
  • Develop Individualized Treatment Plans: Based on the assessment, the physical therapist will create a personalized treatment plan tailored to your child’s needs. This plan may include stretching exercises, strengthening activities, balance training, or different sensory inputs.
  • Educate and Empower Families: MetroEHS Physical Therapists work closely with families to educate them about toe walking and provide strategies for home exercises and activities to support their child’s progress.

Toe-walking can impact your child long-term if left untreated:

Toe walking will impact your child’s overall body positioning, posture, and muscles. With toe walking, because of these impacts, it will also change the load of the body’s joints and likely cause chronic pain as the individual ages. It is common for toe walkers to lose range of motion in their ankles, preventing them from being able to reach their heels to the ground and causing their Achilles tendon to shorten. In more severe cases, if the Achilles tendon shortens too much, the only way to regain that length is with a surgical lengthening.

Take the First Step Towards Support

If you’re concerned about your child’s toe walking or suspect they may have autism, early intervention is key. Schedule an evaluation with a qualified physical therapist who specializes in pediatric care. Together, we can help your child take confident steps towards improved mobility and independence.

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October 12, 2021

Post Frenectomy Care

What is a Frenectomy?

A frenectomy is a minor surgical procedure involving the removal or modification of a frenulum, a small fold of tissue that prevents an organ in the body from moving too far.

Frenectomy Care

Follow Post-Op Instructions:

  • Adhere strictly to the post-operative care instructions provided by your healthcare provider.

Pain Management:

  • Use recommended pain relief medications as directed.
  • Apply cold compresses to reduce swelling and discomfort.

Oral Hygiene:

  • Keep the area clean to avoid infections. Gently rinse the mouth with a saline solution as advised.
  • Avoid using mouthwash with alcohol as it can irritate the surgery site.

Dietary Adjustments:

  • Stick to soft foods and avoid hot, spicy, or acidic foods that may cause irritation.
  • Ensure adequate fluid intake to stay hydrated.

Stretching Exercises:

  • Perform any stretching exercises as recommended by the surgeon to ensure proper healing and flexibility.

Monitor Healing:

  • Keep an eye on the surgical site for signs of infection such as increased redness, swelling, or discharge.
  • Contact your healthcare provider if you notice any unusual symptoms.

Follow-Up Appointments:

  • Attend all scheduled follow-up appointments to monitor the healing process and address any concerns.
May 21, 2024

Potty Training Tips from MetroEHS Pediatric Therapy: Expert Advice for Parents

As April and Autism Awareness Month have come to a close, we’re highlighting the incredible work of MetroEHS Pediatric Therapy in Metro Detroit. With multiple locations and more on the way, MetroEHS is dedicated to helping families with children on the autism spectrum and those needing specialized therapy. Today, we’re focusing on a universal challenge for parents: potty training.

Joining us are Deanna Coker, a board-certified behavioral therapist analyst, and Kelly Johns, the director of physical therapy at MetroEHS. They share valuable insights on potty training, addressing common issues and providing practical solutions.

Recognizing Readiness for Potty Training

Kelly Johns emphasizes that recognizing when your child is ready for potty training is crucial. Key signs include:

- Extended Bladder Control: Holding their bladder overnight or for several consecutive hours.

- Interest in the Potty: Playing with their diaper, showing curiosity about the toilet, or performing a "potty dance."

- Communication: Telling you they need to go or showing signs they’re aware of their bodily functions.

Addressing Potty Training Challenges

Sometimes, despite a parent’s best efforts, potty training can hit a snag. Deanna Coker points out that issues such as regression, frequent nighttime accidents, or persistent constipation might indicate underlying problems like pelvic floor complications.

Assisting with Physiological Challenges

To support children struggling with potty training, Kelly recommends several strategies:

- Blowing Bubbles: This helps relax the pelvic floor. Encourage your child to blow bubbles while sitting on the toilet or during playtime.

- Using a Squatty Potty: This stool ensures a proper 90-degree angle, aiding in effective bowel movements.

- Belly Breathing: Teach your child to focus on their belly rising and falling, which can help with relaxation and control.

Effective Potty Training Methods

Deanna shares essential potty training tips:

  1. Ditch the Diapers: Transition your child to underwear to help them feel the wetness of accidents.
  2. Stay Hydrated: Encourage your child to drink plenty of fluids to ensure they need to use the bathroom regularly.
  3. Set a Schedule: Take your child to the potty every 20 minutes initially, allowing them to sit for a few minutes each time.
  4. Positive Reinforcement: Use rewards like a sticker chart to celebrate successes. This visual progress tracker can be highly motivating for children.

Deanna shares a personal anecdote about using a princess-themed sticker chart for her daughter, highlighting how such simple tools can make the process enjoyable and rewarding for children.

MetroEHS Pediatric Therapy provides comprehensive support for various therapy needs, including ABA, speech, occupational, feeding, and physical therapies. With their expanding network of locations, they are readily accessible to families across Metro Detroit.

For more information or to find the nearest MetroEHS location, visit http://metroehs.com

**Thank you, Deanna and Kelly, for sharing your expertise and practical advice.** Potty training can be a daunting task, but with these tips, parents can navigate this essential milestone more effectively.

May 7, 2025

Unlocking Your Child’s Potential: How Early Intervention and Neuroplasticity Shape Brain Development – WDIV Segment #2

Every child’s brain is equipped with a remarkable ability known as neuroplasticity—the capacity to adapt, reorganize, and form new neural connections in response to experiences and learning. This adaptability is especially potent during early childhood, making timely intervention crucial for children facing developmental challenges, including autism spectrum disorder (ASD).

In a recent discussion, Tia Moss and Kathleen Lewandowski, Regional Discipline Directors at MetroEHS Pediatric Therapy, emphasized the significance of early intervention and the role of neuroplasticity in shaping a child’s developmental trajectory.

Understanding Neuroplasticity in Early Childhood

Neuroplasticity refers to the brain’s ability to change and adapt throughout life. In early childhood, this adaptability is at its peak, with the brain forming over a million new neural connections every second. These connections lay the foundation for essential skills such as language, social interaction, and problem-solving.

The Importance of Early Intervention

Research consistently shows that early diagnosis and intervention for autism can lead to significant improvements in communication, social skills, and overall development. Intervening during the brain’s most malleable stages allows therapists to harness neuroplasticity effectively, promoting positive behavioral and cognitive changes.

Creating an Environment That Fosters Brain Development

To optimize neuroplasticity, it’s essential to provide children with stimulating environments that encourage exploration and learning. Engaging in play, encouraging movement, and stimulating the senses can all contribute to healthy brain development . Such environments support the formation of new neural pathways, reinforcing learning and skill acquisition.

Supporting Families Through Early Intervention

MetroEHS Pediatric Therapy is dedicated to helping families navigate the journey of early intervention. Their team of professionals offers comprehensive services, including ABA therapy, speech and language therapy, occupational therapy, and more, tailored to meet each child’s unique needs.

For more information on how MetroEHS can support your child’s development, visit metroehs.com or call 248-970-8402