Pigeon Toes | Galleria Podiatry

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In-toeing is a common lower limb problem in which the feet point inwards, towards the midline of the body. It does not become apparent until the child begins to walk at about 12 – 18 months of age.


One of the most common causes of in-toeing is hamstring tightness. However, the condition can also be caused by abnormal positioning of the bones in the feet (metatarsus adductus), leg (medial tibial torsion), or hip (internal hip position). It can also be a result of neurological conditions such as Cerebral Palsy.

Your PODIATRIST can diagnose this and advise on the appropriate course of action.


Treatment for in-toeing initially consists of adjusting the childs sitting and sleeping positions to encourage normal muscular development, and stretches for the hamstring muscles.

If this action fails, functional orthotics (custom-made shoe inserts) designed to encourage the child to walk in a more ‘normal’ position (gait plates) may be prescribed by your PODIATRIST. In the most serious of cases, serial plaster casting may be required. Your PODIATRIST can advise you on the appropriate course of action.

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