![]() External Tibial Torsion – Opposite to internal tibial torsion, external torsion describes the outwards twisting of the shin bone that leads to the foot moving outwards.If out-toeing is paired with pain, discomfort or regular tripping/falling, we recommend you bring your child in sooner. If out-toeing (or in-toeing) persists past this age, it is a good idea to get the feet and legs checked by your Podiatrist. If not present at birth, it tends to occur later in childhood, but usually resolves by the age of 7. Out-toeing is less common than in-toeing and essentially has the opposite causes to in-toeing. This is one of the reasons that kids are discouraged from sitting in a W position as it encourages the rotation of the femur. Femoral Anteversion – This describes an inwardly rotated position of the femur that results in the whole lower limb being turned inwards, including the feet and even the kneecaps.It is the most common cause of in-toeing from when kids begin to walk until 4 or so years of age. Internal Tibial Torsion – Internal tibial torsion describes an inward (toward the centre of your body) twisting of the tibia (shin bone) that leads to in-toeing.It describes a kidney-like shape of the foot itself where the front half of the foot bends inwards. Metatarsus Adductus – Metatarsus Adductus is the most common cause of in-toeing at birth and in toddlers.There are actually three primary causes of in-toeing, these are: In the early years, it’s just a part of the development process for those that experience it and is not a cause for concern if there is no pain or discomfort associated with it. Let us start by saying that in the early years of life, up to 3 or 4 years old, in-toeing is not an abnormal occurrence. In-toeing, pigeon-toeing… Whatever you like to call it, it can be confusing to see your kids walking with their toes pointed inwards. Because this can be such a confusing area, we thought we’d start by talking about two things we often see kids for: in-toeing and out-toeing. Sometimes we find ourselves telling parents that signs and symptoms they are seeing in their 3 year old is normal for them, but abnormal for their 7 year old and they’re going to need a little help to get on the straight and narrow. ![]() ![]() Different characteristics are normal for different ages and stages of development. We often have parents bring their kids in to show us things they’ve noticed with the way their kids walk and stand. ![]() Knock-knees occur when a child’s lower legs turn outward, causing the knees to come close together when standing still.Our kids grow and change sooo quickly that it can be hard to know what’s up, what’s down, what is completely normal and what is a sign that something is wrong. This causes the knees to spread outward, and the legs to form an oval shape when the child is standing still. It’s an exaggerated bending inward of the legs from the knees. Bowlegsīowleggedness is another common orthopedic condition in very small children. This turning inward of the legs is normal in babies during the first 12 to 15 months of their life. Walking or standing with the toes turned inward is called in-toe or pigeon-toe walking. If your child continues to walk on their toes when they’re in their third year, or if they toe walk with only one foot, then you should consult a pediatric orthopedics doctor. This typically goes away during their third year of life. Toe walking is common for babies as they learn to walk, especially as toddlers. Flat feet aren’t generally a cause for concern and can be left untreated unless they cause your child pain.
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