In the clinic, we often see anxious mothers and fathers who visit the cerebral palsy unit because they find their child standing on pointed feet at home or during a physical examination. What is pointy feet? Why does a child have pointed feet? There is a difference between physiological and pathological pointy feet. However, pathological pointy feet are often an early sign of brain injury or cerebral palsy, so you should pay special attention to them. Physiological pointy feet usually occur when a child is about 5 months old, from the time the child can support weight with both lower limbs to the time the child wants to jump up. Pathological clubfoot can occur at any stage, and the older the child is, the more pronounced the symptoms will be. So how do we distinguish between them? To distinguish them well, then we need to look into the causes of acromegaly. When a normal person stands on tiptoe, the calf muscles contract with force. When the calf muscles contract with uncontrolled force, it causes pathological pointy feet, while on the other hand, when the calf muscles contract with force, it is under self-control. For older children with pointy feet, we can identify them by asking them to stand flat or on their tiptoes, but for small babies who do not understand what they are saying, it is not easy to distinguish whether their pointy feet are caused by active force or by muscle spasm caused by increased muscle tone. But we can distinguish from the following two simple methods. 1, pick up the child, and then let him stand on a flat floor or wooden bench, if the child’s feet can be quickly flattened that is physiological, if the child has a continuous pointed foot standing that is pathological, 2, usually observe whether the child can actively hook the toe, the angle between the palm of the foot and the calf can reach 60-70 degrees, or in the child’s awake natural relaxed state will be lying on the child’s feet gently pushed up, can Push to 60-70 degrees angle and no obvious resistance that is physiological, and vice versa is pathological. Parents and friends, now you know how to identify physiological and pathological pointed feet? If you are still not sure, it does not matter, there is a method more simple, quickly see a doctor.