Ahoy, mateys! Saturday, September 19th, be National Talk Like A Pirate Day for all ye sea folk and landlubbers alike. We know that sometimes goofy days like this can be the last thing on your mind, especially if you’re worried about your child’s in-toeing problem. Don’t worry, though. We are here to put your mind at ease so you can get back to swabbing the deck and living the pirate’s life. Yo ho!

Gait abnormalities in children are extremely common. One of the most often seen conditions is in-toeing. This means that your toes point inward, towards each other, instead of straight out. Another name for this condition is “pigeon toed”. There are a number of reasons why this could happen, but the main thing to keep in mind is that typically they will all sort themselves out without any intervention or treatment.

  • Metatarsus adductus: This simply means that your foot is curved in the middle. It’s usually the result of the position the child was in while still in the uterus, and can be visible at birth. Most of the time the foot bones will straighten out as the child begins to grow. If this doesn’t happen there is casting and special shoes that can be used.
  • Internal tibial torsion: If the tibia (leg bone) is twisted it can result in in-toeing. The leg bone will oftentimes straighten out as the child grows, but in some cases surgery might become necessary. In this case, casting and special shoes don’t work.
  • Femoral anteversion: This is when the thigh bone (femur) becomes twisted. It’s usually only apparent when the child reaches 4 or 5 years. The bone will usually straighten on its own without any intervention, but if your child reaches the age of 9 or 10 and they are in pain or tripping constantly you might want to consider surgery.

Although in-toeing doesn’t pose any huge potential threats it’s still a good idea to get your child looked at to get a correct diagnosis and to hear information about what is causing their in-toeing. Call Dr. Peyman Elison and Dr. Viedra Elison at (623) 584-5556 or fill out our online form to request your appointment with our expert doctors.


Dr. Peyman A. Elison
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Founder and Managing Partner of Fixing Feet Institute
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