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In toeing? When should I be worried?

Writer: Emily Lavine
Emily Lavine
4 days ago
2 min read
A child intoeing

As a parent of two kiddies, I can completely understand why a parent may be concerned if you see the way your child is moving doesn't appear to be 'normal'. Maybe they're tripping over their own feet? Maybe they fall occasionally when they run?


But what if I told you that for the majority of cases they will just grow out of it? What if I told you that for the majority of cases there will be no long term effects of this - including no evidence showing increased hip problems or arthritis? Lets dive into it to learn more about this walking style!


Contents


What is intoeing?

In toeing (or the old school description 'Pigeon toed' means that when a child is standing and walking, they are turning their toes inwards towards each other. Sometimes this affects one leg, sometimes it affects both.


What causes intoeing?

  1. Femoral Anteversion: This is when the thigh bones are slightly turned inwards. This measn that the rest of the leg will naturally turn inwards also. It is the most common cause of intoeing and is usually resolved by the age of 10. It is more common in girls than boys. This can be noticeably from the age of 2-4 and can be hereditary. For the majority of people, they will grow out of this with no inputs required.

  2. Tibial torsion: This is when the shin bone is slightly rotated inwards so the feet turn inwards, even though the knees are facing forwards. Children usually correct this by the age of 4-5.

  3. Metatarsus Adductus: This is when the feet are naturally curved inwards. It occurs when the baby is cramped in the womb and their feet are pushed into this position. This is visible since birth and will usually corrects itself.

  4. Tight and weaker muscles: Tightness in the hamstring (the muscle at the back of the thigh) and weakness in the gluts (muscles at the back/side of the pelvis) may contribute to intoeing. If children are sitting in a 'W' position is also not recommended if a child is intoeing.


Not sure what you should do? Why not pop in to see our children's physiotherapist Kate for more advice!


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