In-toeing Gait In Kids: What Is It And How To Treat It?

In-toeing Gait In Kids: What Is It And How To Treat It?

Pigeon Toes

In-toeing in children (also known as Pigeon Toe) is a condition where the toes are pointed inwards when walking. There are three conditions to which this arises and is most common in infants and children at very young ages. It can occur either at the femur (thigh bone), the tibia (shin bone), or metatarsals (middle of foot-toe bones). And in all three cases usually one of the three these segments are turning inwards.

There are three conditions to which this arises and is most common in infants and children at very young ages. It can occur either at the femur (thigh bone), the tibia (shin bone), or metatarsals (middle of foot-toe bones). And in all three cases usually one of the three these segments are turning inwards. Parents who notice this inward pointing of their kids’ toes should be concerned and should consult their family physician.

The comments surrounding this topic are about their kid growing out of it as they get older. But is this true? If it were, then why do we see young adolescents and teenagers with in-toeing?

If the in-toeing was a very serious case, the family physician would have normally addressed it through specific means; from when they are born up until the age of 12 months.

If this is not the serious case then what should parent do about it? I for one would be hesitant about a statement of “they will grow out of it” and look at a more proactive approach.

At these younger ages the bones of a kid’s feet have not yet fully ossified and potentially there is the ability to make a change.

Keep in mind however that the age, weight, muscle development, and compliancy of a kid will determine if any change is possible.

What should be considered?

In-toeing Gait Plates:

A rigid device with first ray cut out and 2-5 extension to toes acts as a shoe insert to retrain the muscles in feet and legs to turn outwards.

Footwear:

Avoiding semi-curved or curve lasted shoes which would encourage in-toeing. Some may try to switch left and right shoes to encourage out-toeing.

blog intoeing_semi curved last shoe pic

Physiotherapy:

A combination of stretching and strengthening may be beneficial to the musculature around the hips, and legs to improve imbalances.

blog intoeing_physio pic

Where should you start?

Canadian Certified Pedorthists are trained and educated in the biomechanics of the lower limbs and work with footwear and foot orthoses. It is recommended to get a full assessment conducted by one and discuss your options.

Ermin Pagtakhan
Kintec Pedorthist, Port Moody Store Manager

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