We saw an orthopedist today for the first time, to get another take on DS's toe-walking (DS just turned 2). We have seen a physiatrist (2x) and DS gets weekly PT. Their approach has been "wait and see," since DS can come down from his toes, can dorsiflex and can go up stairs. We have discussed the possibility f botox, or maybe AFOs. The physiatrist told me DS had some spasticity in his lower legs, and the heels/hamstrings were tight.
The ortho did NOT feel DS has spasticity; this dr believes (after watching DS walk up and down the hallway a couple of times, going up on his toes and coming down, and also after the exam), that DS has congenitally shortened Achilles heels. He suggests we try casting (said botox won't do anything for DS since it can't lengthen muscles). He also explained that in few years (after age 5), DS may need surgery.
Does anyone have any suggestions, or input, or experiences?