During normal development it is quite common for children to be seen walking pigeon toed. Between 10-30% of children up to 5 years old may display an in-toeing gait, whereas it occurs in only 4% of adults.

What causes it?
In-toeing is most commonly due to developmental factors and will resolve as your child gets older. There are other factors including family history, neurological or structural  that can lead to in-toeing which your podiatrist will determine following a detailed history and assessment.

When should I seek professional advice?
Generally in-toeing is not a cause for concern unless:

• your child is reporting pain or limping
• leads to frequent tripping
• there is difference between one side to another
• it is getting worse over time or highly exaggerated

However if you are unsure and worried about your child’s feet then it is always best to get an opinion from your podiatrist.

What can be done?
Depending on the causal factors of the in-toeing there are several options for treatment available that your podiatrist can offer:

• Monitor regularly as the child develops to determine if intervention is needed
• Improve sitting/sleeping positions
• Prescribe exercises to reduce the in-toeing
• Advice regarding footwear
• Orthotic therapy