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Dr. Brandon Macy
Podiatrist - Clark, NJ
1114 Raritan Road
Clark, NJ 07066




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Posts for tag: toe walking

By Clark Podiatry Center
September 05, 2019

Many children’s foot conditions will correct themselves as their bodies grow into themselves and muscles and bones stretch. Some though, if they persist, need to be addressed. Toe walking is one. What is toe walking? Just that. When the child walks only on their toes and doesn’t roll the foot to the ball.

This is usually prevalent when they begin to walk at age 12 to 15 months. By the age of 2, they usually have developed a heel-toe type of walk. If toe walking persists after 3, they need to see a podiatrist. One study, though, showed that a group of children grew out of toe walking by age 5.

Causes for toe walking after 3 include:

  • Cerebral palsy – condition of impaired muscle control
  • Autism – a broad range of problems including socialization skills, speech, non-verbal communication and repetitive actions
  • Muscle weakness
  • Nervous system disorder

Conditions that indicate concern include:

  • Walks on their toes all the time
  • Stumbles when they walk
  • Has fine motor skills that aren’t developing – buttoning a shirt
  • Has a family history of cerebral palsy or autism
  • Doesn’t bear full weight on a flat foot
  • Born prematurely
  • Avoids eye contact or has repetitive motions like rocking

It is very important to keep an eye on a child’s when walking which may or may not indicate other contributing issues, but don’t be too surprised to know that toe walking may just be that: toe walking which your child will grow out or can be successfully treated.

Treatments include physical therapy to stretch the calf muscle and tendons and the use of a cast at ages 4 or 5 to also help stretch the calf muscle. Other treatments include walking uphill, walking on uneven surfaces like a playground or sand, walking on your heels only and/or squatting. All these will stretch the foot and force it to roll and fully contact the ground.

If you’re child toe walks or you have any other foot concerns, please make an appointment with us. Dr. Brandon A. Macy, who is associated with New Jersey Children's Foot Health Institute, will assess your feet and find the appropriate treatments to get you back to being active. Call Clark Podiatry at (732) 382-3470.


By Clark Podiatry Center
October 11, 2018
Tags: blisters   Shoes   foot problems   toe walking   in-toeing   out-toeing   ingrown  

She loves to take walks but recently seems to want to stop earlier than before. She doesn’t seem to want to put shoes on and fights you when you try to convince her that she needs them.

He is usually running around and forcing you to play “catch the toddler” but lately, he doesn’t even want to walk. Instead, he wants you to carry him everywhere.

What might be going on?

Your toddler might not be able to properly express that he or she is feeling foot discomfort. Instead, you might hear whining or frustration.

The foot problems can be congenital (from birth), developmental, or even due to ill-fitting shoes. Check the following for signs that point to foot problems as the source of unexplained crankiness:

  • Resisting putting shoes on: This could mean that the shoes are uncomfortable. Make sure they are wearing the right size and make sure they have socks on with closed-toed shoes. After wearing shoes, do their feet have redness or blisters?
  • Toe and Toenail problems: Are the toenail beds inflamed? Are the toenails cracked? You might be cutting their toenails too short (making them ingrown), or you may not be cutting them often enough.
  • Walking abnormalities: If they seem to be walking abnormally, such as in-toeing or out-toeing, tripping often, or toe-walking, they may have foot problems. They can be traits that are inherited or developmental problems.
  • Limping or uneven stance: After an injury, your child might walk with a limp for a bit. However, if it seems to be a severe limp or a limp that lasts more than a few days, it’s important to have it checked out.

If your child is complaining of foot pain, come in for an assessment with our friendly board-certified podiatrist, Dr. Brandon Macy. Make an appointment today at the New Jersey Children's Foot Health Institute at the Clark Podiatry Center. Your children will get the best treatments and foot care tips at our Clark, NJ office, which serves the surrounding Union County areas. We keep you walking!

By Brandon Macy. D.P.M.
May 01, 2018
Tags: toe walking  

“Get up on your toes” is a figure of speech urging you to prepare to start something energetically.  But when your child appears to be walking on tiptoe most of the time, you sense that something isn’t quite right.

Many parents fear something dire is going on, whether it might be tightness of the Achilles tendons in need of intensive physical therapy, surgery or some neurological issue which sounds even worse.  Fortunately, although those situations do sometimes happen, more commonly the answer is far simpler and easier to deal with.

Feet which overpronate (flatten) too much are unstable—there is a lack of ‘leverage’ during walking and running—which is a very inefficient way of getting around.  To combat this, raising up on the toes puts the foot in a more stable position.  Also, depending on the balance between the forefoot and the rearfoot and the tightness of the Achilles tendon, the heel may lift off the ground prematurely during the gait cycle.

In these cases, muscles, tendons and ligaments have to work extra hard resulting in early fatigue, achiness and pain, affecting their gait and their athletic activities. Over many years, this can lead to foot deformities and arthritic damage to the feet, knees, hips and back.

Most of the time, if your child can stand with both heels on the ground, there is no major tightening of the Achilles tendon.  Fortunately, providing proper support and balancing of the feet with a good set of orthotics such as our LittleSteps pediatric orthotics or our adult versions for those over the age of 10 can help deal with the majority of these situations.  Using good orthotics on a daily basis can change things rather quickly, decreasing the toe walking and allowing your child to participate fully in their sports activities with less fatigue and pain—not to mention preventing larger problems into adulthood.

For more information about toe walking or an appointment, contact us at 732-382-3470 or visit our website at www.clarkpodiatry.com

At Clark Podiatry Center and the New Jersey Children’s Foot Health Institute, we want to keep you and your child walking! 

#ToeWalking #ClarkPodiatryCenter #NJCFHI


By Clark Podiatry Center
September 08, 2016
Tags: toe walking  

If you have a young child or are around babies just learning to walk, you may notice that they walk on their tiptoes. At first it might look cute, but then you may wonder if that is normal. Well, most likely, yes – it is normal. Most toddlers learn to walk and begin with a habit of toe walking that can continue into young childhood. Beyond the age of 5 or 6, it may be a sign of something other than habit. However, as long as they are growing and developing normally otherwise, toe walking should not be of concern.

When should I bring my child to a doctor?

Before panicking that your child has developmental issues, try to assess the reasons why your child might be toe walking. Keep in mind that it could be habitual and your child can outgrow it. Next, check if your child has appropriate footwear. If his or her shoes are causing pain in some way, your child might be toe walking in order to adjust for this pain. Another thing to look for is whether or not they can stand with their feet flat on the floor. A short Achilles tendon can cause tightness in the back of the heel and ankle, preventing the heel from touching the floor.

If your child cannot stand with their feet flat on the ground or flex their feet, you should bring your child to a podiatrist. You should also bring your child to a doctor if he or she walks on their toes most of the time, falls or trips a lot, complains of pain, or has a delay in other development (fine motor skills or speech delay).

The abovementioned symptoms may be caused by a more complex issue, such as:

  • A short Achilles tendon

  • Cerebral Palsy

  • Muscular Dystrophy

  • Autism

You can find more information about these causes on the Mayo Clinic Website.

In order to properly evaluate and treat the issue, you should make an appointment with our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. As a foot doctor that focuses on children’s foot issues, he will properly diagnose and provide treatment for your child’s podiatric needs at our office in Clark, NJ. He will assess whether or not there is a more complicated issue such as a physical or mental developmental problem in order to keep you and your family walking.

By Clark Podiatry Center
August 26, 2015
Tags: toe walking  

Are they in pain? Is something wrong with their feet? Will they toe walk when they are adults?

If you are asking yourself these questions, don’t worry. Toe walking, also known as equinus gait is normal in the early childhood phase. Children, both boys and girls, walk on their toes when they learn to walk and move around the room. The first step to check what is causing this problem is to make sure that your child is wearing the correct size and type of shoes and whether they are comfortable and appropriate. While many children grow out of toe walking by the age of 5, it can become a habit and continue in some kids. When children walk on their toes, this causes stiff muscles to develop in the legs and restricts movement in the ankle. Early intervention plays a big part in preventing problems in children who toe walk.

So, how do you know if it’s merely a part of the growth process or a more serious problem?


  • Your child walks on his/her toes most of the time
  • Your child seems clumsy/out of balance
  • Your child falls or trips easily
  • Your child seems to bend without ease or flexibility
  • Your child’s fine motor skills show a delay (utensils, zippering, buttoning)
  • Your child toe walks and has a speech or language delay



  • Cerebral Palsy or Muscular Dystrophy
  • Leg lengths are different
  • Spinal Cord Abnormality
  • Autism

Physical / Other

  • Idiopathic toe walking - unknown cause meaning that your child is walking on toes out of habit
  • Short Achilles Tendon


  • Examination and evaluation to check whether it is physical or mental problem.
  • An assessment of your child's brain function and motor development


Physical Condition                                                             

  • Stretching exercises                                                  
  • Physical therapy                                                                    
  • Botox injections/Surgery                                                  
  • Special footwear (Orthotics)

Mental Condition

  • Development Assessment
  • Therapy

If your child or a child you know or care for is experiencing any of the above symptoms, visit Dr. Brandon Macy without delay. Dr. Brandon Macy is a board certified podiatrist who focuses on children’s foot problems. At Clark Podiatry Center, Dr. Brandon Macy and his delightful staff treat a wide range of foot and ankle services at their office located in Clark, New Jersey. Call us now at (732) 382-3470 to schedule your appointment or to have an online consultation with Dr. Brandon Macy via virtual appointment.



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1114 Raritan Road
Clark, NJ 07066

Podiatrist - Clark, Dr. Brandon Macy, 1114 Raritan Road, Clark NJ, 07066 732-382-3470