Final answer:
Clubfoot and metatarsalgia are two conditions that can lead to a toe-down motion instead of a normal heel strike. Clubfoot is a congenital issue where the foot is in an abnormal position due to tight ligaments or muscles. Metatarsalgia is often caused by excessive pressure on the front of the foot, commonly due to wearing high heels frequently.
Step-by-step explanation:
Toe down instead of heel strike can be caused by various conditions, two of which are clubfoot and metatarsalgia. When discussing clubfoot at birth, the condition involves the heel turning inward with the front of the foot twisted abnormally, often a result of shortened or abnormally tight ligaments or leg muscles. This can alter the gait and result in a toe-down step rather than a normal heel strike.
Furthermore, the risk of stress fractures from activities with repetitive impact and wearing poorly chosen footwear, such as high heels or worn-out sneakers, can contribute to gait changes and problems like toe down walking. It is crucial to wear well-cushioned and supportive footwear and follow medical guidelines for shoe choices to prevent such issues.