In-Toeing and Out-Toeing

The way the feet point has a lot to do with gait, or how a person walks. Children (and adults) can sometimes develop conditions known as in-toeing and out-toeing. This means that instead of pointing forward normally, the toes point either inward or outward. This can affect not only the way a person walks, but how their hips and legs work as well.

In-Toeing

Also called pigeon-toeing, it is when the feet point in towards each other. Many children will eventually just grow out of this problem, but not all do. There are different biomechanical causes for in-toeing. The three most common are metatarsus adductus, tibial torsion, and femoral anteversion. Metatarsus adductus is when the feet begin to curve near the middle of the foot. It may be flexible or rigid and it is usually corrected on its own. Tibial torision occurs when the tibia (lower leg) twists inward. This type usually corrects itself by the time the child starts walking and the tibia grows longer. Femoral anteversion occurs when the femur (thighbone) twists inward. It usually spontaneously fixes itself as the child continues to age and develop.

Out-Toeing

This condition is not seen as frequently as in-toeing. It can occur because the child has flat feet, which causes the appearance of “duck feet.” When flat feet are the cause, there is usually no treatment required, as long as there are no other symptoms. Another reason for out-toeing is external tibial torsion. This means that the tibia is twisted outward. It usually affects children later in childhood and is often seen in only one leg, not both. Hip contracture is a third reason your child may toe out. This is just a fancy way of saying that the hips are turned outward. This usually occurs during gestation because of the placement of the fetus. Hip contracture will usually fix itself. Lastly, femoral retroversion can lead to out-toeing. This means the femur is tilted backwards, causing the entire lower extremity to point outwards. This is typically seen in children who are obese.

Treatment for Toeing Problems

Treatment is not always necessary, because most of these problems will spontaneously sort themselves out. However, if there is pain associated with any of these toeing issues, there are things that can be done to help with that. Treatments such as special shoes, custom-made orthotics, physical therapy, and chiropractic manipulation often do not help, although metatarsus adductus can be treated with casts or orthopedic shoes. If tibial torsion and femoral anteversion do not fix themselves on their own you might be looking at surgery as a necessary option. A doctor will usually wait until the child is a bit older and then reset the bone. The same thing is done for children with severe cases of out-toeing. If it interferes with daily life, it can be surgically fixed by resetting the alignment of the bones.

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Coastal Podiatry

Podiatrists & Podiatric Surgeons located in Mount Pleasant, SC & Moncks Corner, SC

Coastal Podiatry, LLC specializes in foot care and reconstructive surgery. Under the direction of Drs. Rahn and Tamika Ravenell, patients from Mt. Pleasant, South Carolina are welcome for the treatment and care for many foot conditions such as ankle sprains, Athlete’s foot, bunions, corns and calluses, diabetic foot problems, plantar fasciitis, and more.

At Coastal Podiatry, LLC, the best care possible is offered for each patient who walks through the door. The doctors and staff work together to ensure a positive experience from checkups to surgeries. They offer the most advanced technology to provide patients with quick and convenient results including a state-of-the-art digital ultrasound machine and digital X-ray onsite that makes diagnostic procedures faster and safer than ever before. The doctors specialize in everything from preventative maintenance to reconstructive foot surgery for all your podiatric needs.

If you are experiencing foot pain of any kind, call or visit Coastal Podiatry, LLC today. Welcoming new patients and accepting most forms of insurance.

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Coastal Podiatry

Coastal Podiatry, LLC specializes in foot care and reconstructive surgery. Under the direction of Drs. Rahn and Tamika Ravenell, patients from Mt. Pleasant, South Carolina are welcome for the treatment and care for many foot conditions such as ankle sprains, Athlete’s foot, bunions, corns and calluses, diabetic foot problems, plantar fasciitis, and more.

At Coastal Podiatry, LLC, the best care possible is offered for each patient who walks through the door. The doctors and staff work together to ensure a positive experience from checkups to surgeries. They offer the most advanced technology to provide patients with quick and convenient results including a state-of-the-art digital ultrasound machine and digital X-ray onsite that makes diagnostic procedures faster and safer than ever before. The doctors specialize in everything from preventative maintenance to reconstructive foot surgery for all your podiatric needs.

If you are experiencing foot pain of any kind, call or visit Coastal Podiatry, LLC today. Welcoming new patients and accepting most forms of insurance.


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