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    <loc>https://www.tiny-tots-therapy.com/blog/benefits-of-infant-massage</loc>
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      <image:title>Blog - Benefits of Infant Massage - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - Home-based physical therapy - Make it stand out</image:title>
      <image:caption>Benefits of Home Pediatric Physical Therapy: 1. Comfortable Environment: Children often feel more comfortable in their home.  Familiar surroundings and people can help to reduce anxiety and help them feel more comfortable during therapy sessions. 2. Personalized Attention:  A physical therapist coming to your home can tailor the treatment session specifically to the child and family's daily activities and routines.  This helps to make the exercises more relevant, personalized, and more likely to be incorporated in the family's daily routines.  3.  Convenience for Families:  Home-based physical therapy eliminates the travel time and scheduling challenges, especially for parents with multiple children, children with complex medical conditions, and families with busy lives.   4.  Family Involvement: Parents and caregivers can participate in therapy sessions and learn how to continue the exercises in daily routines, thus reinforcing progress.   5. Consistent Care: The ease of having the physical therapist come to you, in a familiar environment, can lead to fewer missed appointments.  This ensures a consistent treatment plan that is crucial for the child's development.  6.  Incorporation of Home Equipment/Toys: The physical therapist can use the child's everyday toys, furniture, and environment to create exercises that can be easily reproduced by the parents when they are playing with their child.  This can lead to better functional outcomes.</image:caption>
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    <loc>https://www.tiny-tots-therapy.com/blog/toe-walking</loc>
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      <image:title>Blog - Toe-Walking - Make it stand out</image:title>
      <image:caption>Kids start to cruise (walking along furniture) and learn to walk around 12-18 months of age. When children begin cruising they often rise on their toes and return to a flat-footed posture. Some will take a few steps on their toes and some steps flat-footed. By 24 months of age, most children should be walking with their feet flat. By the age of 3, they should be walking using a heel-toe pattern.   Common Causes of Toe Walking: Tight calf muscles or shortened tendons   A symptom of neurological disorders (ex: cerebral palsy) A symptom of muscular dystrophy A dysfunctional vestibular system; autism Idiopathic (no underlying cause) Sensory processing disorders How is toe-walking treated? Physical therapy: Your physical therapist will help stretch your child's calf and foot muscles. They will show you exercises and stretches that can help your child increase their foot and ankle range of motion.   Serial casting: This approach involves a series of walking casts over several weeks to stretch and lengthen your child's calf muscles and tendons. Continued physical therapy is beneficial after serial casting to work on strengthening and balance activities.  Ankle-foot orthotics (leg braces): Your physical therapist or orthotist may fabricate a plastic leg brace that keeps your child's foot stretched or positioned to 90 degrees to lengthen their calf muscles and tendons while they are walking throughout their day.   Observation: Your child’s provider may recommend a “wait-and-see” approach to see if the condition improves on its own. It is generally not recommended to wait more than 6 months. Botulinum A toxin (Botox®): Your child's doctor might recommend Botox injections which help to relax the calf muscles to allow for muscles to be lengthened. This is sometimes used along with serial casting or ankle-foot orthotics.   Surgery - if your child has not made significant improvements with other treatment techniques, your doctor might recommend surgery to loosen and lengthen the calf muscle and Achilles tendon.   Please reach out for a consultation/evaluation if you have any concerns with how your child is walking!</image:caption>
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