In-toeing and out-toeing are gait abnormalities seen in children, where the feet point inward or outward, respectively, when walking. In-toeing, often called pigeon-toed, is usually caused by a slight rotation in the shinbone or thigh bone, or a curve in the foot. Out-toeing is less common and often occurs in older children. It can result from conditions like femoral retroversion, where the thigh bone is rotated outward, or from external tibial torsion, involving the outward rotation of the shinbone. Many cases of in-toeing and out-toeing resolve naturally as children grow and their musculoskeletal system matures. Treatment typically involves monitoring the child's growth and development rather than immediate intervention. However, in cases where the condition persists or causes significant walking difficulties, discomfort, or tripping, a podiatrist can offer treatment. It may include specific exercises, orthotics to correct foot positioning, or, in rare instances, surgical options to realign the bones. Regular podiatric check-ups ensure that the child's walking pattern is developing normally and any necessary adjustments are made to promote optimal gait mechanics. If your child is exhibiting abnormal gait patterns, it is suggested that you schedule an appointment with a podiatrist for evaluation.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
