In-Toeing Treatment

Every parent wants their children to be healthy. As your kid's grow, it's only natural to keep a watchful eye on them. Any signs of irregularity can understandably cause concern. One issue parent would commonly observe as their children learn to walk and run is the inward twisting of the feet. This phenomenon is commonly referred to as pigeon toes or in-toeing.

Adults can also experience in-toeing. When this is realized later in life it can be harder to correct fully. The aim is to correct where possible and to reduce and associated symptoms such as pain, thick skin build up or wounds.

If you or a loved one is having in-toeing problems, don't hesitate to reach out to Footworks Podiatry. Our team of podiatrist offers comprehensive and effective treatment approaches to help you or your loved one regain confidence in your stride.

What is In-Toeing?

In-toeing occurs when feet turn inward instead of pointing forward while walking or running. This condition is colloquially referred to as "pigeon-toed."

While parents often first observe in-toeing when a baby takes its first steps, it can manifest in children of various ages for different reasons. Adults also may experience this condition, it may have gone unnoticed for many years until it becomes more noticeable, or pain occurs. In-toeing can stem from three primary factors:

Metatarsus adductus (inward turning of the foot)
Tibial torsion (inward rotation of the shinbone)
Femoral anteversion (inward rotation of the thigh bone)

In most cases, in-toeing tends to resolve on its own without the need for braces, surgery, or other specialized care, especially in children under the age of 8.

In-toeing itself does not lead to pain or arthritis. However, if a child's in-toeing is accompanied by pain, swelling, or a limp, it is advisable to consult an orthopaedic specialist.

What are the Symptoms of In-toeing?

With in-toeing, individuals typically exhibit the following foot positions:

At rest
Standing
Running or walking

Due to their pigeon-toed gait, children with in-toeing are more prone to tripping and falling when moving quickly. While in-toeing does not directly result in arthritis, persistent in-toeing issues into adulthood may increase the likelihood of muscle strain/pain, stress fractures, hard skin buildup, pressure wounds and arthritis development.

Treatment Options for In-toeing?

Footwear changes

Many kinds of footwear do not offer any support or control for patients who in-toe. The heel can be slanted to increase the angle of the foot and ankle. Some cases may require a stiffer shoe or a higher-cut shoe.

Orthotics

These custom-made insoles can be used as a correction method to increase stability, decrease tripping and prevent pronation compensation. This helps by supporting the arch of their foot and preventing heel eversion.

Exercise prescription

In-toeing can be related to over or under-active muscles. A person may have hypermobility or lose ligaments that contribute to this condition. A well-rounded exercise program can help with alignment and pain and strain related to this condition.

Bracing

In cases of severe metatarsus adductus or when in-toeing doesn't naturally improve, your child's doctor may recommend foot and ankle or leg bracing to help realign the soft tissue and bones over time. it can be difficult to wear such devices and they may be hot or uncomfortable. Parents may find it difficult to encourage their child to wear leg bracing regularly. While it can be very helpful for some patients that are exhibiting signs of severe in-toeing it is not for everyone. Other more conservative methods should be considered before considering this treatment option.

Surgery (osteotomy)

For adolescents with severe tibia-related pigeon toes causing functional challenges, a paediatric orthopaedic surgeon might suggest surgery. While femoral anteversion surgery is not usually advised, it could be considered for children older than 11 exhibiting severe in-toeing symptoms. Before considering surgery all conservative non-surgical options should be exhausted.

In-toeing Treatment at Footworks Podiatry

You can trust Footworks Podiatry to provide comprehensive in-toeing treatment. Our podiatrist specializes in identifying, managing, and treating issues related to in-toeing. From complete assessments to personalized treatment plans, your comfort and mobility are our priority.

Our experience will aid you in achieving a successful recovery, regardless of what stage you are at. In-toeing should not stop you from the activities you love.

Schedule an appointment with us for a consultation and embark on your journey to a healthier foot and ankle. Come to us for comprehensive foot care solutions.

We have appointments immediately available. Call us today to book an appointment with our podiatrist at +65 9437 1000