For most children, walking begins between 12 to 15 months. Some take their first steps a little earlier, while others may start closer to 18 months. However, when walking is significantly delayed, it can be a cause of concern for parents. While every child develops at their own pace, it’s important to understand when delayed walking might be a sign of an underlying issue and how it can be addressed.
When is Walking Considered Delayed?
If a child is not walking independently by 18 months, it may be considered delayed. Some children may start walking a little later due to personality, caution, or minor developmental differences, but it’s always worth getting them checked to rule out medical causes.
Common Causes of Delayed Walking
- Muscle Weakness or Low Muscle Tone (Hypotonia) – Can make it harder for a child to support their weight.
- Developmental Delays – Some children have general delays in reaching milestones.
- Neurological Conditions – Issues like cerebral palsy or muscular dystrophy may affect motor skills.
- Orthopedic Problems – Hip dysplasia, foot deformities, or leg length differences can interfere with walking.
- Premature Birth – Premature babies often reach milestones later than full-term babies.
- Genetic Conditions – Down syndrome or other syndromes can cause delayed motor development.
Signs That Need Medical Attention
- Not standing with support by 15 months.
- Not walking independently by 18 months.
- Walking with an unusual gait or persistent tiptoe walking.
- One leg appearing weaker or shorter than the other.
- Associated speech, social, or fine motor delays.
Solutions and Management
- Medical Assessment: A pediatric orthopedic evaluation to rule out structural or neurological causes.
- Physiotherapy: Exercises to strengthen muscles, improve balance, and encourage proper walking patterns.
- Orthotic Support: Special shoes, braces, or inserts to correct walking posture.
- Nutritional Support: Adequate intake of calcium, vitamin D, and protein to support bone and muscle growth.
- Parental Encouragement: Safe play areas and guided walking practice to build confidence.
How Parents Can Support Their Child
- Give your child plenty of floor time instead of prolonged time in walkers or strollers.
- Encourage standing and cruising along furniture.
- Avoid comparing your child’s progress to others — focus on steady improvement.
- Follow through with all therapy sessions and home exercises prescribed by your doctor.
Key Takeaway:
Delayed walking in toddlers can have various causes — some harmless, others needing medical attention. Early evaluation by a pediatric orthopedic specialist ensures timely intervention and better outcomes.
Clinic Address:
C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009
Call/WhatsApp: +91 88517 77145
Website: childorthocare.online
