Tågång

Tågång is a Swedish term that translates to "toe walking" in English. It refers to the act of walking on the balls of the feet, with the heels lifted off the ground. This can be an occasional or habitual behavior.

In children, toe walking can be a normal developmental stage. Many toddlers go through a period where they walk on their toes as they learn to walk. If it persists beyond a certain age, typically around two to three years old, it may warrant further observation. Idiopathic toe walking is a common diagnosis where the cause is not immediately apparent.

There can be various underlying reasons for persistent toe walking. Some children may have a tight Achilles tendon or calf muscles, which can make it uncomfortable or difficult to place their heels down. In some cases, it can be associated with certain neurological conditions, developmental delays, or muscular disorders, though these are less common.

Diagnosis usually involves a physical examination by a healthcare professional, such as a pediatrician or physical therapist. They will assess the child's gait, muscle flexibility, and range of motion. Further investigations might be recommended if an underlying medical condition is suspected.

Treatment approaches vary depending on the cause and severity. For mild cases or temporary phases, observation may be sufficient. For persistent toe walking, physical therapy is often the primary intervention, focusing on stretching exercises, strengthening, and gait training. In some instances, orthotics, serial casting, or even surgery to lengthen the Achilles tendon may be considered.