I also go up on the ball of my foot - not sure about coming down but if it's very early in the morning I do it very cautiously as our stairs creak dreadfully! Up to last year we had two bannister rails and I used both of them to haul myself up in latter years - they didn't match so we removed them and replaced one with a lovely wooden one - looks great but I do miss the other one. By the end of the day I often go up on all fours which my son thought was hilarious when he saw me the other day - his 2 year old does the same thing 
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