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Idiopathic toe walking: to treat or not to treat, that is the question.

The natural history and optimal treatment for idiopathic toe walking are unknown. The literature is full of poorly documented treatment regimens with few even medium term follow up studies. The senior author reports his nearly 30 year approach to this disorder and his failed attempt to perform a follow up study of his particular treatment regimen. We conclude with our considered interpretation of the present state of knowledge about idiopathic toe walking and our treatment opinions.