Intoeing refers to the position of a foot when it is pointing inwards towards the centre of the body. Many children will have feet that in-toe, it is a normal developmental stage during childhood, caused by bones in the leg which externally rotate during development. Usually, intoeing is noticed by parents when a baby begins walking, but children at various ages may display intoeing for different reasons.
Intoeing may be hereditary, developmental or due to genetic problems, this usually cannot be prevented. The cause may be due to a problem with your child’s feet, thigh or lower leg.
There are three main causes, these include:
Internal rotation of the lower leg bones (tibial torsion) Intoeing may be caused by excessive inward twist of the shin bone, this becomes noticeable when your child begins walking, the cause is probably due to your baby’s position in the womb, and usually corrects with normal growth by about eight years of age.
Internal rotation of the thigh bone (femoral anteversion) This is a rotation in the upper thigh bone which causes the whole of the lower leg to turn inward, it is more common in children over the age of three years, it usually correct itself through normal growth by the age of twelve.
Bony deviation of the forefoot towards the midline of the body (metatarsus adductus) This is when the front of the feet curved inwards, you may notice this at birth or in your child's first months. It can affect one or both legs, and is probably caused by your baby’s position in the womb. In the majority of children it corrects without treatment by walking age. If the feet are not flexible and the problem does not seem to be getting better, plasters casts or special boots attached to a bar may be used. Minor surgery may also needed to correct the foot position.
A child that intoes walks with their feet pointing inwards, this may increase the chances of developing callus or corns on the feet. A child that intoes may find themselves tripping over more.
All initial assessments begin with a thorough medical and social history, as well as a history of the problem and any presenting signs and symptoms. After the assessment the podiatrists will then have a look the child's walking style, (gait analysis) and assess the range and quality of movement of the foot, legs, knees and hips. All assessments and examinations are painless.
Once a cause of intoeing has been established this will be discussed, treatment is not always necessary, but if this is the case then this will be discussed ad appropriate action put in place, this may be a request for onward referral.
If you have a problem with your foot or lower limb, and you are unsure whether or not podiatry can help you, then why not contact us. If you have any questions or would like to book an appointment then please email us at email@example.com or call us on 0151 558 0099.
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