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Avatar Nolan...
16 month DS only taking steps but not walking confidently

1st time father here, so I do worry a lot. A little over a month ago, ds was at 15 month check up. Pediatrician said all was well besides him not walking yet. She listed many things that could cause him to not walk, one of them being cp since he likes to stand on his tiptoes. A few weeks after appointment with lots of practice, do took a few steps, over the past few weeks he has learnt to stand up now independently and gradually takes few more steps. Lots of progress over the last month. He still likes to walk on tiptoes and sometimes walks feet flat but pretty rare. He seems off balance and still has arms spread out. He is now almost 17 months and still seems off balance and not walking independently and just asking across a room. I do worry a lot. I thought he would be more independent at walking now. He does crawl fast and crawled a month before his 1st birthday. He does climb stairs no problem and furniture, loves to wrestle with his 5 year old cousin. I do worry though about the tiptoes, off balance, though. Anybody had same issue?.

Jane ...
Answer: Hi, Thanks for your query. It's great that you've had him checked by the paediatrician and I'd recommend you staying well engaged with them. Tracking your toddler's progress is important. Tiptoeing can indicate a few developmental problems, one of them is CP however, it's reassuring that this is unlikely, particularly in the absence of other concerning symptoms. It's important to give him lots of opportunity to walk, limit or no time in a walker, limiting time in arms, in his cot or in the pram/carseat. Floor time will help his gross motor development. The fact that he's now cruising around furniture is also reassuring so hopefully he'll just continue to build on his gross motor skills. Toe walking is more of an issue if the child can't place their heel on the floor or they never walk using their full sole. Avoid using a "Jolly Jumper" type exercise prop, they're not good especially if the toddler's too short to comfortably reach the floor. And if you're still worried perhaps a review by a physiotherapist or occupation therapist with a special interest in children's development would be helpful? They are often based in community health centres of in major metropolitan hospitals with a children's facility. And it may be useful for you to video his progress every week. This would provide you with an objective measure of his progress. Cheers Jane
Answered: 09 Jan 2018