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Advance Foot and Ankle Solutions support team is absolutely attentive to your In-toeing related issues. Call & book an appointment right away for professionally corrected In-toeing to lead a healthy, avid lifestyle.

In-toeing: Elucidated By Your Foot And Ankle Care Physician

In-toeing, commonly referred to as “pigeon toes”, is usually a childhood condition wherein a 10-15 month old toddler endeavors to gain a straight, standing posture and take steps forward with its knees and toes directed inward. This condition arises during the earliest years of life owing to the underdeveloped tendons, ligaments and muscles in the feet. In-toeing should automatically subside in kids prior to reaching their 3rd birthday; if not, it should rightly raise parents’ concerns.

Medically speaking, In-toeing is the medial, inward curvature of the feet and toes while the subject is walking. As a pediatric condition it is generally not a painful or discomforting anomaly nor is it associated with producing arthritis in the feet. Although more of a myth, in-toed individuals are believed to be good athletes and fast runners. The more severe form of In-toeing progresses into another condition called “club foot”.

In-toeing: Causative Agents

The following causes may be attributed to the development of the In-toeing phenomenon:

  • Genetic Through Inheritance may be a probable prospect according to some foot and ankle care researchers.
  • Metatarsus Adductus is termed to feet that are observed to be curved in an infant from birth owing to lack of space in the uterus which causes the unborn’s legs and feet to remain curled in an awkward direction, mainly towards the medial side.
  • Internal Tibial Torsion is caused in babies while leading uterine life in a curled up state which causes a congenital twist in the tibia that corrects itself during the baby’s first year of life, but in some stubborn cases the twist fails to completely untwist even at the age of ten so that the condition has to be catered to by a specialist podiatrist.
  • Excess Femoral Anteversion is characterized by a medially twisted knee or an inward twist in the upper thigh bone and is aggravated by the individual sitting in W-shaped posture; it is more of a common occurrence in girls than boys and normally vanishes away by the age of eight to ten, but the more resilient cases have to be referred to an expert surgeon for corrective surgery and complete treatment.

In-toeing: Signs & Symptoms To Be Considered By Your Expert Doctor

  • Feet & Toes Pointing Inward while the kid stands, walks or runs
  • Tibial Or Femoral Twist that is clearly observable
  • Clumsy Or Lethargic Movement compensatory to the condition
  • Stumbling Or Tripping Over in severe cases
  • Development Of Other Limb Issues such as ankle, knee or hip injuries

In-toeing: Treatment Procedures

The In-toeing effect is visible in infants normally till the age of three beyond which the In-toeing causes begin to diminish and completely fade away within a few more years. Since the condition usually presents as painless and uncomplicated, treatment is seldom sought and the gait, too, normalizes gradually. However, your foot and ankle care specialist may lend a helping hand in bringing about swift healing and may even advise surgical procedure wherever needed.

The Non-Surgical Treatment Course: This line of treatment may be executed in the following ways:

  • Passive Manipulation Exercises on the kid’s feet while bathing or nappy change and placing in a side-lying position during sleep
  • Leg Casts, Splints Or Braces that need to be replaced every week, although there is a clash of opinion over this particular corrective measure
  • Special Corrective Footwear that are soft, comfy and protective against sharp-edged objects
  • Ballet Dancing style studied and proved to be an effective corrective procedure
  • Correct Sleeping Posture, i.e. lying on the back or sideways
  • Appropriate Sitting Posture without the W-shaped crossed legs

The Surgical Treatment Course: Surgery, as with all other foot and ankle care anomalies, comes by as the final option resorted to by your foot and ankle care surgeon. The In-toeing condition seldom advances to the surgical process, only under a certain level of severity.

  • Bone Cutting to rotate the inwardly bone outward to make the feet point straight ahead
  • Achilles Tendon strengthening and applying post-operative leg casts to prop up the feet

In-toeing: Prevention

Since In-toeing is often genetic and/or congenital, it is a pity that there happens to be no known way of warding it off during pre-birth stage itself.