Heading back to OT

James is a toe-walker. He is on his toes almost all the time. Ever since he started walking really. Right after his second birthday, we started physical therapy and we did that once a week for one year. He is still walking on his toes. My gut tells me that it's not a physical issue but a sensory issue. Physical therapy didn't help then and it won't help him now. Yesterday, I called the facility we went to because I want to have him re-evaluated. And the fact that the facility set his appointment with the physical therapist he used to work with did not instill any confidence that they understand his needs. I remember the PT telling me that it wasn't helping (he also added that he thought James needed speech therapy because he couldn't understand him. He seemed to be the only one though) and suggested we try working with one of the Occupational therapist. It was a great experience! I learned that James had some other sensory issues like crossing his midline (reaching across his body rather than rotating his entire body to reach, touch etc), vestibular issues and, of course, oral/food sensory issues. Now James will be seeing the OT he saw over a year ago. She is sweet but awfully young. There was not much attention paid to his oral sensory issues. This time around, we have a different insurance plan with limited visits each year. I have to make the most of what is being offered. I took the risk of asking parents of the homeschool coop for any information they could share. I knew some of the moms had experience as PT's and OT's and I wanted to get their expertise advice. But of course I opened myself up for any and all opinions. One Dad emailed me back right away and diagnosed James as being autistic and suggested we try a special diet because it worked for his kid. Thanks but no thanks. But with the risk comes reward. One mom emailed me last night who used to work as a speech therapist in a multidisciplinary team with children. I was so excited! She was encouraging and even recommended a place for us to try too. But my dang insurance is not cooperating so I am back to the facility we went to. If it weren't for my fear that continued toe-walking could damage leg muscles and tendons I would let it be. But I know that some kids require braces, special shoes or even surgery to correct the damage. James has already been through 2 surgeries in his short life and it was hard on me! He did great! I can't imagine the recovery and PT required after a surgery like that and I don't want first-hand experience with it. Wish us luck.