Physical Development

My Toddler Has Poor Balance

Medically reviewed by Dr. Sarah Chen, MD, FAAP · Board-Certified Pediatrician

Content reviewed against published CDC, AAP, Zero to Three guidelines

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Your baby's physical development is unique, and concerns about my toddler has poor balance, here is what you need to know.

The short answer

Toddlers are naturally clumsy - learning to walk, run, and navigate the world is hard work, and falls are a normal part of the process. Most kids take months to walk confidently and years to have truly good balance. However, if your toddler falls constantly, always to one side, or seems much more unsteady than other kids their age, it's worth having their pediatrician take a look.

Key takeaways

  • Toddlers are naturally clumsy - learning to walk, run, and navigate the world is hard work, and falls are a normal part of the process. Most kids take months to walk confidently and years to have truly good balance. However, if your toddler falls constantly, always to one side, or seems much more unsteady than other kids their age, it's worth having their pediatrician take a look.
  • Usually normal when: Your toddler is a new walker (under 18 months) and falls often but is making steady progress.
  • Call your doctor if: Sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation.
  • Varies by age — see the age-by-age breakdown below
Supervised tummy time is recommended daily from the time the baby comes home from the hospital to help prevent flat head syndrome and to strengthen neck and shoulder muscles.
Back to Sleep, Tummy to Play, American Academy of Pediatrics (AAP)

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What Parents Should Know

According to CDC, AAP, Zero to Three guidelines, toddlers are naturally clumsy - learning to walk, run, and navigate the world is hard work, and falls are a normal part of the process. Most kids take months to walk confidently and years to have truly good balance. However, if your toddler falls constantly, always to one side, or seems much more unsteady than other kids their age, it's worth having their pediatrician take a look. At 12-18 months, brand-new walkers are supposed to be wobbly. Your toddler is still building the muscle strength, coordination, and confidence needed for smooth walking. Falls are expected and frequent - sometimes every few steps. As long as your child is making progress (walking more steadily over weeks and months) and can get back up and keep trying, this is all part of normal development. It is generally considered normal when your toddler is a new walker (under 18 months) and falls often but is making steady progress. However, you should contact your pediatrician promptly if sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation.

Sources: [1], [2], [3]

Normal vs. Concerning

Usually Normal
Worth Discussing
Your toddler is a new walker (under 18 months) and falls often but is making steady progress.
Sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation.
Your child falls more when tired, rushing, or on uneven surfaces, but can walk steadily when calm and rested.
Balance problems are accompanied by weakness, difficulty waking up, severe headaches, or vomiting.
Falls are getting less frequent over time as your child gains experience and confidence.
Your child loses consciousness during or after a fall, or seems disoriented and confused.
Your child gets back up after falls, doesn't seem hurt or scared, and keeps moving.
Your toddler is over 2 years old and still falls multiple times every day even on flat, familiar surfaces.

By Age

What to expect by age

12-18 months

Brand-new walkers are supposed to be wobbly. Your toddler is still building the muscle strength, coordination, and confidence needed for smooth walking. Falls are expected and frequent - sometimes every few steps. As long as your child is making progress (walking more steadily over weeks and months) and can get back up and keep trying, this is all part of normal development.

19-24 months

Your toddler should be walking much more confidently by now and starting to run (even if it's more of a fast, stiff-legged trot). They'll still fall sometimes, especially when tired, on uneven surfaces, or when trying something new. If your toddler is falling multiple times every single day, can't walk across a room without losing balance, or seems to be getting worse rather than better, mention it to your doctor.

2-3 years

At this age, your child should be able to walk and run fairly well, climb stairs with support, and start to jump (even if it's more of a hop). Some kids are naturally more cautious or less coordinated than others, and that's okay. But if your child seems dramatically more unsteady than other kids their age, falls constantly, or avoids physical activities because of balance issues, ask your pediatrician whether an evaluation with a physical therapist might help.

3+ years

By this age, most kids can run smoothly, go up and down stairs, pedal a tricycle, and balance on one foot for a second or two. If your child is still falling frequently, has trouble with basic activities like walking across a room or climbing playground equipment, or seems to tire very easily from physical activity, talk to your doctor about whether physical or occupational therapy could help build strength and coordination.

What to Tell Your Pediatrician

  • Describe when you first noticed my toddler has poor balance and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if your toddler is over 2 years old and still falls multiple times every day even on flat, familiar surfaces.
  • Mention if your child consistently falls to one particular side or in one direction.
  • Bring a list of any questions or observations you want to discuss at the appointment.

What Should You Do?

When to take action

Probably normal when...
  • Your toddler is a new walker (under 18 months) and falls often but is making steady progress.
  • Your child falls more when tired, rushing, or on uneven surfaces, but can walk steadily when calm and rested.
  • Falls are getting less frequent over time as your child gains experience and confidence.
  • Your child gets back up after falls, doesn't seem hurt or scared, and keeps moving.
Mention at your next visit when...
  • Your toddler is over 2 years old and still falls multiple times every day even on flat, familiar surfaces.
  • Your child consistently falls to one particular side or in one direction.
  • Balance seems to be getting worse over time rather than improving.
  • Your child avoids running, climbing, or other physical activities that peers enjoy.
  • Falls are accompanied by other concerns like delayed speech, difficulty with fine motor skills, or low muscle tone.
Act now when...
  • Sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation.
  • Balance problems are accompanied by weakness, difficulty waking up, severe headaches, or vomiting.
  • Your child loses consciousness during or after a fall, or seems disoriented and confused.

What You Can Do at Home

  • Keep track of when you notice my toddler has poor balance — noting the time of day, duration, and any triggers can help your pediatrician.
  • Remember that your toddler is a new walker (under 18 months) and falls often but is making steady progress — this is generally within the range of normal.
  • At 12-18 months, focus on observation rather than intervention unless your pediatrician advises otherwise.
  • Provide plenty of supervised floor time and tummy time to support your baby's physical development.
  • While monitoring at home, seek immediate care if sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation.

Frequently asked questions

Is my toddler has poor balance normal?
Toddlers are naturally clumsy - learning to walk, run, and navigate the world is hard work, and falls are a normal part of the process. Most kids take months to walk confidently and years to have truly good balance. However, if your toddler falls constantly, always to one side, or seems much more unsteady than other kids their age, it's worth having their pediatrician take a look.
When should I call the doctor about my toddler has poor balance?
Sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation. Balance problems are accompanied by weakness, difficulty waking up, severe headaches, or vomiting. Your child loses consciousness during or after a fall, or seems disoriented and confused.
When is my toddler has poor balance normal?
Your toddler is a new walker (under 18 months) and falls often but is making steady progress. Your child falls more when tired, rushing, or on uneven surfaces, but can walk steadily when calm and rested. Falls are getting less frequent over time as your child gains experience and confidence.
What causes my toddler has poor balance?
Toddlers are naturally clumsy - learning to walk, run, and navigate the world is hard work, and falls are a normal part of the process. Most kids take months to walk confidently and years to have truly good balance. However, if your toddler falls constantly, always to one side, or seems much more unsteady than other kids their age, it's worth having their pediatrician take a look. Common explanations include: Your toddler is a new walker (under 18 months) and falls often but is making steady progress.. Your child falls more when tired, rushing, or on uneven surfaces, but can walk steadily when calm and rested..
What should I mention to my pediatrician about my toddler has poor balance?
You should mention my toddler has poor balance at your next visit if: Your toddler is over 2 years old and still falls multiple times every day even on flat, familiar surfaces.. Your child consistently falls to one particular side or in one direction.. Balance seems to be getting worse over time rather than improving..
Is my toddler has poor balance normal at 12-18 months?
Brand-new walkers are supposed to be wobbly. Your toddler is still building the muscle strength, coordination, and confidence needed for smooth walking. Falls are expected and frequent - sometimes every few steps. As long as your child is making progress (walking more steadily over weeks and months) and can get back up and keep trying, this is all part of normal development.
Is my toddler has poor balance normal at 19-24 months?
Your toddler should be walking much more confidently by now and starting to run (even if it's more of a fast, stiff-legged trot). They'll still fall sometimes, especially when tired, on uneven surfaces, or when trying something new. If your toddler is falling multiple times every single day, can't walk across a room without losing balance, or seems to be getting worse rather than better, mention it to your doctor.
Should I go to the ER for my toddler has poor balance?
Seek emergency care if sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation, or if balance problems are accompanied by weakness, difficulty waking up, severe headaches, or vomiting. When in doubt, call your pediatrician's after-hours line for guidance.
Does my toddler has poor balance go away on its own?
In many cases, my toddler has poor balance resolves on its own, especially when your toddler is a new walker (under 18 months) and falls often but is making steady progress. By 3+ years, by this age, most kids can run smoothly, go up and down stairs, pedal a tricycle, and balance on one foot for a second or two. If your child is still falling frequently, has trouble with basic activities like walking across a room or climbing playground equipment, or seems to tire very easily from physical activity, talk to your doctor about whether physical or occupational therapy could help build strength and coordination.

References

  1. [1]CDC - Developmental Milestones: Movement and Physical Development CDC
  2. [2]American Academy of Pediatrics - Movement Milestones: 2 to 3 Years AAP
  3. [3]Zero to Three - Toddler Motor Development and When to Seek Help Zero to Three

Doctor Visit Checklist

Bring this checklist to your next pediatrician visit to discuss My Toddler Has Poor Balance.

Things to mention

  • Describe when you first noticed my toddler has poor balance and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if your toddler is over 2 years old and still falls multiple times every day even on flat, familiar surfaces.
  • Mention if your child consistently falls to one particular side or in one direction.
  • Bring a list of any questions or observations you want to discuss at the appointment.

Observations to share

  • Your toddler is over 2 years old and still falls multiple times every day even on flat, familiar surfaces.
  • Your child consistently falls to one particular side or in one direction.
  • Balance seems to be getting worse over time rather than improving.

Urgent signs to report immediately

  • Sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation.
  • Balance problems are accompanied by weakness, difficulty waking up, severe headaches, or vomiting.
  • Your child loses consciousness during or after a fall, or seems disoriented and confused.

My notes

From ismybabyalright.com — free, evidence-based baby health guides

All content follows our editorial policy and is reviewed against published clinical guidelines.

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Bottom line

Most cases of my toddler has poor balance are normal. Talk to your pediatrician if sudden onset of balance problems in a child who was previously walking well - this needs immediate evaluation.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

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