Pediatric In-Toeing & Out-Toeing

​​In-toeing and out-toeing are among the most common reasons parents worry about their child’s development, and two of the top reasons they bring their children to a podiatrist. If your child trips more than other kids, walks on their toes, or their feet seem to point in an unusual direction, it’s worth having it checked. At Gaston Mike Liu LLC in Commack, New York, board-certified podiatrist Gaston Liu, DPM, evaluates pediatric gait concerns with a thorough, unhurried approach so you leave with real answers and solutions.

What are in-toeing and out-toeing?

In-toeing, sometimes called “pigeon-toeing,” occurs when a child’s feet point inward while walking or running. Out-toeing is the opposite; the feet angle outward, resembling the way a duck walks. 

Both conditions are very common in young children and often improve naturally as their bones, muscles, and joints develop; however, the underlying cause matters. In-toeing and out-toeing can stem from the foot itself, the shin bone, or the hip, and identifying the source helps Dr. Liu determine whether treatment is needed and what kind.

What are the symptoms and signs of in-toeing and out-toeing?

Beyond the noticeable gait pattern, in-toeing and out-toeing can cause additional concerns, such as:

• Frequent tripping or clumsiness, especially in children with in-toeing
• Complaints of foot, knee, or hip pain after running, playing, jumping, and hopping
• Uneven shoe wear
• Difficulty keeping up with their peers during sports or physical activity
• A gait that seems to be worsening rather than improving with age

If your child is tripping a lot, complaining of pain or discomfort, or if you just sense that something doesn’t look right in their walk, trust your instincts and let Dr. Liu have a look. Early assessment gives you the clearest picture and the most treatment options.

How is in-toeing and out-toeing treated?

Dr. Liu begins with a thorough gait analysis and physical examination, assessing your child’s foot, ankle, knee, and hip to determine where the rotation is originating. He reviews your child’s developmental history and discusses how the condition has changed over time.

Depending on his findings, he may recommend some or all of these treatment options:

• Observation and monitoring for mild cases that he expects will self-correct
• Stretching exercises to address muscle tightness
• Custom orthotics to guide proper foot alignment
• Supportive footwear recommendations
• Physical therapy for more involved cases

Most children respond well to conservative care, and Dr. Liu will always explain your options clearly so you can make the most informed decision for your child.

Schedule a pediatric gait evaluation at Gaston Mike Liu LLC by calling the office or booking an appointment online today.