The Toe Walker Orthosis (T.W.O.) design provides a real orthotic solution to idiopathic toe walking. This orthosis re-establishes the heel to toe gait pattern creating a residual effect allowing the patient to "graduate," into standard footwear. The T.W.O. combines the design of a traditional SMO with carbon reinforced extended posterior element which provides a kinesthetic reminder to promote heel strike. The design also keeps the heel and mid-foot locked in a neutral position helping to prevent toe walking. The T.W.O. is offered in five different styles to address specific patient needs.