In-Toeing and Out-Toeing Treatment For Children


Comprehensive Care for In-Toeing and Out-Toeing in Children
In-Toeing and Out-Toeing Treatment For Children in Metro Detroit
In-toeing (also known as pigeon-toed) and out-toeing (also known as duck feet) are common conditions in children where the feet point inward or outward during walking. These issues can cause concerns for parents, but in many cases, they are a natural part of development that resolve with age. However, when these conditions persist or cause discomfort, professional treatment may be necessary. At Nationwide Foot & Ankle Care, P.C., we specialize in diagnosing and treating in-toeing and out-toeing in children, helping to ensure healthy, properly aligned feet as they grow.
What is In-Toeing and Out-Toeing?
In-Toeing occurs when a child’s feet turn inward while walking or running, causing them to appear pigeon-toed. This condition is often observed in young children and typically resolves on its own as the child grows. Out-Toeing, on the other hand, occurs when a child’s feet point outward while walking or running, resembling a duck-footed stance. Both in-toeing and out-toeing can affect a child’s gait, posture, and overall foot function.
While many children naturally outgrow in-toeing and out-toeing as they develop, it’s important to monitor these conditions to ensure they do not cause long-term problems.
In-Toeing and Out-Toeing Livonia, MI
Common Causes of In-Toeing and Out-Toeing
In-Toeing Causes
- Metatarsus Adductus: A condition where the front part of the foot turns inward, often present at birth. This condition is the most common cause of in-toeing in infants.
- Tibial Torsion: A condition where the shinbone (tibia) twists inward, causing the feet to turn inward. This is most common in children under the age of 2 and typically resolves as the child grows.
- Femoral Anteversion: A condition where the thighbone (femur) turns inward, which is often seen in children under 5 years old and usually improves with age.
Out-Toeing Causes
- External Tibial Torsion: A condition where the shinbone (tibia) twists outward, causing the feet to point outward. This is more common in older children.
- Hip Dysplasia: A condition where the hip joint is improperly aligned, which can cause the legs to rotate outward, leading to out-toeing.
- Laxity of Ligaments: Loose ligaments in young children may contribute to out-toeing, causing the legs to rotate outward.

Symptoms of In-Toeing and Out-Toeing
Both in-toeing and out-toeing are characterized by abnormal foot positioning during walking or running. Other symptoms to watch for include:
Postural Issues: In-toeing or out-toeing can affect a child’s posture, causing them to walk awkwardly.
Gait Abnormalities: Your child may appear to walk with their feet pointing inward (in-toeing) or outward (out-toeing).
Tripping or Falling: A child with in-toeing or out-toeing may trip or fall more often, especially when running or participating in physical activities.
Complaints of Pain: Though many children with in-toeing or out-toeing experience no pain, some may complain of discomfort or soreness in the feet, knees, or hips.

Treatment Options for In-Toeing and Out-Toeing in Children
While in-toeing and out-toeing are often self-limiting and resolve as the child grows, treatment may be necessary if the condition persists, causes pain, or affects the child’s ability to walk or play. At Nationwide Foot & Ankle Care, P.C., our experienced pediatric podiatrists offer a variety of treatment options based on the severity of the condition.
Observation and Monitoring
For many children, in-toeing or out-toeing is a normal part of growth and development. Our pediatric podiatrists may recommend observation for children under the age of 5 to see if the condition resolves naturally as the child’s muscles and bones develop.
Bracing
In certain cases, a brace or splint may be recommended to help position the legs and feet properly. These devices are typically used for a short period to encourage proper alignment as the child grows.
Stretching and Strengthening Exercises
Physical therapy may be recommended to improve flexibility and strengthen the muscles around the hips, legs, and feet. Exercises aimed at improving muscle balance can help to correct in-toeing and out-toeing over time.
Strengthening exercises: Strengthening the muscles around the hips and feet can help support proper foot and leg alignment.
Stretching the hips and legs: Stretching exercises can help increase flexibility in the muscles and joints, reducing the rotation of the legs.
Surgery (In Rare Cases)
Surgery is rarely necessary for in-toeing or out-toeing, but in severe cases or if the condition is causing significant pain or mobility issues, a surgical procedure may be recommended. Surgery may involve correcting bone alignment or realigning the tendons and ligaments to improve foot position.
Custom Orthotics
If in-toeing or out-toeing is causing pain or affecting the child’s gait, custom orthotics (shoe inserts) may be prescribed. Orthotics can help correct abnormal foot alignment, provide support, and relieve discomfort.
When to See a Podiatrist for In-Toeing or Out-Toeing
If your child’s in-toeing or out-toeing causes persistent pain, affects their ability to walk or run, or doesn’t improve with age, it’s important to seek professional care. A pediatric podiatrist can assess the severity of the condition and recommend appropriate treatment options.
You should also see a podiatrist if your child is experiencing
- Abnormal gait that doesn’t improve over time.
- Pain in the feet, knees, or hips.
- Frequent tripping or falling due to abnormal foot positioning.
- Postural issues that are affecting walking or physical activities.
Why Choose Nationwide Foot & Ankle Care, P.C. for In-Toeing and Out-Toeing Treatment?
At Nationwide Foot & Ankle Care, P.C., we specialize in pediatric foot care and have extensive experience treating in-toeing and out-toeing in children. Our compassionate pediatric podiatrists provide personalized care to ensure that your child’s feet and legs develop properly, promoting healthy movement and comfort.
Benefits of Choosing Nationwide Foot and Ankle Care
- Experienced Pediatric Podiatrists: Our team specializes in pediatric foot care, including the diagnosis and treatment of in-toeing and out-toeing.
- Comprehensive Foot Care: We offer a range of treatment options, including physical therapy, custom orthotics, and bracing to address in-toeing and out-toeing.
- Personalized Care: We create customized treatment plans based on your child’s unique needs and developmental stage.
- State-of-the-Art Technology: We use the latest diagnostic and treatment technologies to provide the best care for your child’s feet and legs.
Contact Nationwide for In-Toeing and Out-Toeing Treatment
If you’re concerned about your child’s in-toeing or out-toeing, don’t hesitate to reach out. Nationwide Foot & Ankle Care, P.C. offers expert care for pediatric foot conditions, including in-toeing and out-toeing. Contact us today to schedule an appointment and help your child walk, run, and play comfortably.




