Intoeing

At what point should I address turned in toes. I am concerned about my 7 year old daughters feet. Will this be something she out grows or do we need to see ortho about it?

The vast majority of cases of intoeing are normal and resolve on their own. A generation ago, intoeing was commonly treated with bracing or reverse last (curved) shoes. Today, experts believe that these devices do not help most cases intoeing.

There are three types of intoeing that occur at three different locations of the leg. Femoral anteversion and internal tibial torsion occur at the level of the femur (thigh) and tibia (shin area) respectively. These two causes of intoeing only require treatment in extreme conditions. Children with femoral antersion or internal tibial torsion who fall frequently or have a stumbling gait should be referred to an orthopedist. With these conditions the only treatment is surgically cutting and turning the bones. (I do not know anyone who has had this done). The third type of intoeing is metarsus adductus (a curved C shaped foot). Children with metatarsus adductus should be referred to an orthopedist as some patients will need serial casting to correct the condition.

While not an emergency, I would ask your daughters doctor to evaluate her gait at her next visit.

Intoeing while learning to walk

Written February 2011 by
Dr. Gordon, Orlando Pediatrician