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Is My Child Intoeing or Pigeon Toed? - Podiatrist Georgina Tay, East Coast Podiatry
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In-toeing, also known as pigeon-toe gait, occurs mostly in toddlers under the age of 2. The condition will cause a child to be clumsy and more susceptible to tripping over their own feet. Seeing a toddler with such an abnormal gait can definitely worry the parents.
Some musculoskeletal conditions which can cause in-toeing:
- Hip Dysplasia
- Femoral Anteversion
- Internal Tibial Torsion
- Clubfoot
- Metatarsus Adductus
While in-toed walking does not initially cause pain to a young child, if uncorrected it can lead to the associated muscle and joint pains as the child gets older. It can even lead to postural deformities such as scoliosis or lordosis of the spine, which can become progressively more severe with age. While some cases do self-correct over time, you should consult a specialist for a detailed assessment and prognosis.
What can a podiatrist do for my child?
If you are unsure of your child’s condition, consult a pediatric podiatrist to have your child looked at. A qualified pediatric can assess your child and determine the necessary steps to help him/ her develop a healthy gait and posture. Modalities may include specific footwear or specialized shoe insoles (orthotics) that are customized to your child’s foot and lifestyle needs.
Parental Tip: Parents should discourage their children from sitting in habitual ‘W’ positions, as this can exacerbate rotational deformities and hip joint contractures.
If you suspect a child, yours or another’s, to have hip/ knee/ leg/ foot issues, please highlight it to your podiatrist. Children’s feet are highly moldable; early intervention can be key to resolving postural deformities, gait abnormalities, and misalignment during growth.
Some musculoskeletal conditions which can cause in-toeing:
- Hip Dysplasia
- Femoral Anteversion
- Internal Tibial Torsion
- Clubfoot
- Metatarsus Adductus
While in-toed walking does not initially cause pain to a young child, if uncorrected it can lead to the associated muscle and joint pains as the child gets older. It can even lead to postural deformities such as scoliosis or lordosis of the spine, which can become progressively more severe with age. While some cases do self-correct over time, you should consult a specialist for a detailed assessment and prognosis.
What can a podiatrist do for my child?
If you are unsure of your child’s condition, consult a pediatric podiatrist to have your child looked at. A qualified pediatric can assess your child and determine the necessary steps to help him/ her develop a healthy gait and posture. Modalities may include specific footwear or specialized shoe insoles (orthotics) that are customized to your child’s foot and lifestyle needs.
Parental Tip: Parents should discourage their children from sitting in habitual ‘W’ positions, as this can exacerbate rotational deformities and hip joint contractures.
If you suspect a child, yours or another’s, to have hip/ knee/ leg/ foot issues, please highlight it to your podiatrist. Children’s feet are highly moldable; early intervention can be key to resolving postural deformities, gait abnormalities, and misalignment during growth.
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