Intoeing in children explained

What is intoeing?

Intoeing, often called pigeon-toed walking, is a walking pattern where a child’s feet turn inward instead of pointing straight ahead while walking or running. It is most prevalent during early childhood development, often noticed in the first few years of walking. Although it can be alarming to parents, many cases of intoeing resolve over time as the child grows.

Who does it affect?

Any child at some point could have an intoeing gait. It is mostly observed in toddlers and school aged children. Whilst typically noticed during early childhood, it can persist into adolescence and in some cases, adulthood. Persistent intoeing in adulthood can contribute to musculoskeletal issues however this is uncommon.

What are the signs and symptoms I should look out for?

Signs and symptoms of intoeing include:

• Feet turned inwards: Children who walk with their feet turned inward, resembling a “pigeon-toed” appearance.
• Tripping or stumbling: Children with an intoeing gait may be prone to tripping or stumbling, especially during physical activities. It can become worse as the child fatigues.
• Difficulty with running or physical activity: Children may have difficulty participating in physical activities such as running, jumping, or balancing.
• Pain: whilst not regularly associated with intoeing, pain should always be assessed

What are the possible causes of intoeing that podiatrists assess?

Assessing the causes of intoeing in children by a podiatrist normally involves:

• Analysis of the child’s gait: this tells us about the frequency and severity of the intoeing.
• Range of motion: assessing the foot and ankle joints, calf and hamstring muscles and hips for abnormal restrictions or tightness.
• Lower limb strength: weaknesses in certain muscles can contribute to intoeing.
• Foot shape variants: e.g. metatarsus adductus.
• Internal tibial torsion: how much the tibia (shin bone) – twists towards the midline of the body. Those with excess tibial torsion beyond the expected normal range for their age may experience more issues relating to intoeing.
• Footwear: to ensure it is not a contributing factor.
• Posture: focusing on avoiding problematic sitting and sleeping positions.

How do podiatrists treat intoeing?

Treatment for intoeing depends on severity, underlying causes and the child’s function. Podiatry treatment can include:

• Observation and monitoring: We often recommend observation and periodic monitoring to track the progress of the condition.
• Orthotics: Custom orthotics may be prescribed to help improve gait and reduce symptoms such as tripping and balance issues.
• Stretches and exercises: stretching and strengthening exercises can improve muscle flexibility and strength, addressing some underlying causes of intoeing.
• Posture: changing of sleeping and sitting positions
• Footwear
• Surgical referral: In very rare cases where conservative treatments fail, referral for surgical intervention to correct underlying bone or joint abnormalities may be considered.

If you suspect your child may be intoeing or want to have their gait checked at a young age, then be sure to book an appointment with one of our Melbourne podiatrists.

Does your child intoe?

At our Melbourne foot clinic our podiatrists are experts in children’s gait variants including intoeing.

So if you notice your child walking with their feet turned in and you haven’t had their gait checked, book an appointment with one of our friendly podiatrists today!