Intoeing, often referred to as a “pigeon-toed” gait, is a common condition seen in young children, particularly those under four years old. It occurs when one or both feet point inward while walking or running. Although it usually doesn’t cause pain, severe cases may lead to tripping and coordination challenges.
Signs and Symptoms of Intoeing
If you notice your child has an intoeing gait, look for these signs:
- One or both feet turning inward during movement.
- Knees appearing turned in when standing or walking.
- A curved or “banana” shape of the feet.
- Clumsiness or frequent tripping while walking.
While many children experience no discomfort, in-toeing can sometimes lead to embarrassment, affecting their confidence and participation in activities.
Causes of Intoeing
Intoeing can result from various conditions, including:
- Metatarsus Adductus: This condition causes the front of the foot to curve inward, resulting in a “banana” shape that can lead to an intoeing gait.
- Internal Tibial Torsion: This occurs when the tibia (the bone in the lower leg) twists
inward relative to the knee, potentially affecting one or both legs. - Internal Femoral Torsion: This condition happens when the femur (thigh bone) turns inward relative to the hip joint, causing the knees and feet to point inward while walking.
Additional contributing factors may include:
- Genetics
- Poor postural habits
- Muscle tightness
- Low muscle tone
- Previous injuries
Diagnosis
Diagnosing in-toeing is typically straightforward. At Podiatry Care Gawler, our paediatric podiatrists assess your child’s gait through a thorough physical examination. In some cases, we may use gait analysis technology to determine the underlying causes, enabling us to create an effective treatment plan.
Podiatry Treatment for Intoeing
Early intervention is crucial for children with in-toeing. Our experienced team at Podiatry Care Gawler experts in managing this condition. Treatment options may include:
- Postural Correction
- Children’s Orthotics
- Stretching and Strengthening Exercises
Most cases of in-toeing resolve naturally as children grow, but some may persist or worsen without intervention. Timely assessment and treatment are essential.
If you have concerns about your child’s gait or suspect in-toeing, consult our team at Podiatry Care Gawler. We are committed to providing the expert support your child needs to thrive. To schedule an appointment, please contact us online or call us on 08 8522 4717.

