Understanding In-Toeing and Out-Toeing in Children

Have you noticed your child walking with their toes pointed inward or outward? Commonly referred to as “pigeon toes” or “duck feet,” these unusual walking patterns are common in young children. Luckily, we focus on pediatric foot care at Goldsmith Podiatry, and are here to reassure concerned Manhattan parents.

In-toeing (Pigeon Toes) or Out-toeing (Duck Feet)? 

  • In-toeing: When a child walks with their feet and toes turned inward. In-toeing is most noticeable when a child stands still or walks.

  • Out-toeing: Less common than in-toeing,  this is when a child walks with their feet and toes pointed outward.

Why Do Children Walk In-Toed or Out-Toed?

  • Normal Development: In-toeing and out-toeing are normal variations in a child's leg and foot development, especially during the first few years of walking.

  • Underlying Conditions: However, persistent in-toeing or out-toeing after age 6-8 could indicate an underlying condition, such as internal twisting of the thigh or shinbone.

When to Seek Professional Help

Consult with a podiatrist if any of the following occurs: 

  • Persistent In-toeing/Out-toeing: If your child's in-toeing or out-toeing persists beyond age 6-8.

  • Pain or Difficulty Walking: If your child experiences pain, discomfort, or difficulty walking due to their gait pattern.

  • Uneven Wear on Shoes: Uneven wear on the soles or sides of your child's shoes can indicate an abnormal gait pattern. 

Treatment Options for In-toeing and Out-toeing

In most cases, in-toeing or out-toeing resolves on its own. However, for persistent cases, a podiatrist might recommend the following:

  • Physical Therapy: Exercises can help improve muscle strength and alignment.

  • Orthotics: Shoe inserts can provide additional support and correct foot positioning.

Keeping Your Child's Feet Healthy:

  • Schedule Regular Checkups: Regular checkups with a pediatrician can monitor your child's overall development, including their feet.

  • Encourage Proper Footwear: The APMA advises you to choose well-fitting shoes with good arch support for your child's activities

Early intervention is key to your child’s foot development. For more guidance on in-toeing and out-toeing, call us at (212) 877 1002 to set up an appointment with either Dr. Howard Goldsmith, Dr. Rosanna Troia, or Dr. Kristina T. Ruff at Goldsmith Podiatry, located on the Upper West Side of New York City. Any of our brilliant podiatrists can consult with you on the proper course of action for your child. 

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