Diagnosis and treatment.
In-toeing describes walking with the feet pointing inward. It is common at some growth stages and may have different origins.
It may originate at the hip, tibia or foot. We therefore assess the whole limb while the child walks and runs, not just the toes.
We assess symmetry, movement and weight-bearing. Age and progression help determine whether it is a changing developmental variation or requires follow-up.
Pain, frequent tripping, marked differences between sides or clear progression lead us to investigate the origin in more detail.
A specialist review helps explain the pattern to the family and when reassessment is useful.
It does not always start in the foot
The orientation may relate to the hip, tibia or foot itself. We examine the whole leg, not just the direction of the toes.
Monitoring development
Age, symmetry and progression help decide whether observation is enough or a more detailed assessment is needed.
How it is assessed
We analyse toe direction alongside rotation at the hip, tibia and foot. Age, symmetry and progression guide any follow-up recommendation.