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5 Years Old Walks On Extended Tip Toe And Has Delay In Speech. Asked To See Neurologists. Suggest?

Posted on Mon, 9 Sep 2013

Question: My great niece is 5yes old and she walks on her tip toe fully exstended and she has a delay in her speech. She see a speech therapist and she went to shrines hospital in Houston TX were the Dr put casting on both her legs. But the speech therapist said she needs to see a neurologists

Answered by Dr. E Venkata Ramana (19 minutes later)

Brief Answer:
She needs further evaluation by neurologist.

Detailed Answer:
Hi,

Thank you for your query on Healthcare Magic.

Toe walking is abnormal at the age of 5 years.

She needs evaluation for neurological and muscular abnormalities such as spasticity of lower limbs which is seen in spinal cord abnormalities, cerebral palsy, and some muscle and tendon problems such as short Achilles tendon, tight calf muscles in muscles which occurs in muscle disorders.

I advise you to consult a pediatric neurologist for the general physical and neurological examination followed by appropriate investigations to look for any underlying abnormality.

Hope I have answered your query, if you have any clarification please let me know.

Regards.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar