Toe walking is NOT a part of normal development. In fact, research shows quite the opposite. Instead, toe walking is a visible symptom of other problems that have just not become evident yet. As with most developmental issues, it is best dealt with quickly and efficiently in order to reduce the chances of bigger problems in the future. Unfortunately, it is becoming more common, with long term consequences of pain and dysfunction. Our ability as physical therapists to help without surgical intervention is significantly decreased after the age of 4.