Why does the baby walk on tiptoes?

Patient's question:

My baby is now eleven months old. She likes to crawl and then stand up holding onto something, and then walk. But when she walks, she likes to stand on her toes. Why is that? When do babies usually start walking? She is still not looking at people when called. When do babies usually start talking?

Doctor's answer:

It could be a child's habit, but it's also possible that it's due to talipes. Talipes, also known as clubfoot in children, is a form of cerebral palsy. In talipes, the baby stands with their toes on the ground and their legs crossed, a condition medically referred to as "scissoring gait." It is mostly caused by incomplete brain development and often indicates hypoxic-ischemic encephalopathy in newborns, intrauterine developmental abnormalities, or preterm birth, among other factors, leading to motor and postural abnormalities. Talipes is not something to be feared; as long as it is detected early and treated promptly, most children can be cured.

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