Child Not Walking by 14 Months: When to Worry & What to Do

Independent walking typically emerges 9–18 months (median ~12 months). Not walking at 14 months warrants evaluation but is not necessarily pathological.

Recommended Steps

  1. Pediatrician Visit: Assess tone, strength, reflexes, symmetry, developmental milestones (pull to stand, cruise, bear weight).
  2. Encourage Practice: Floor time, push toys, supported standing, barefoot on varied surfaces.
  3. Rule Out Red Flags: Asymmetry, toe-walking only, regression, hypotonia/hypertonia, no babbling/gesturing.

Common Benign Variants

  • Late bloomer (family history)
  • Cautious temperament
  • Excessive carrying/container use (limited floor time)

When to Refer

  • Not walking by 18 months
  • Any neurologic abnormality on exam
  • Global developmental delay

Early intervention (PT) if indicated improves outcomes. Most late walkers catch up fully.

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