--- title: "Pigeon-Toed in Children: Causes, Treatments, and When to Seek Help" description: A comprehensive guide to help you understand pigeon-toed, its causes, treatments, and when you might need to seek professional help. image: https://info.sweeneyfootankle.com/hubfs/screen_2x.webp --- - [Home](http://www.sweeneyfootankle.com/index.php) - [Our Doctors](http://www.sweeneyfootankle.com/our-doctors.php) - [Blog](https://info.sweeneyfootankle.com/blog) - [Contact Us](http://www.sweeneyfootankle.com/contact.php) The Woodlands [(281) 292-4944](tel:) | Magnolia [(281) 789-4956](tel:) *Certified by the American Board of Foot and Ankle Surgery* [![vast.png](https://info.sweeneyfootankle.com/hs-fs/hubfs/logo.jpg?width=319&height=87&name=logo.jpg "vast.png")](https://www.sweeneyfootankle.com/) - [Services](http://www.sweeneyfootankle.com/services.php) - [New Patient Info](http://www.sweeneyfootankle.com/new-patient-info.php) - [Common Disorders](http://www.sweeneyfootankle.com/common-disorders.php) - [Foot & Ankle Resources](http://www.sweeneyfootankle.com/foot-ankle-resources.php) - [Appointments](http://www.sweeneyfootankle.com/appointments.php) --- 2 min read [Kids Foot Issues](https://info.sweeneyfootankle.com/blog/topic/kids-foot-issues) --- # Pigeon-Toed in Children: Causes, Treatments, and When to Seek Help 3 Jul, 2024 ![baby walking pigeon-toed](https://info.sweeneyfootankle.com/hs-fs/hubfs/screen_2x.webp?width=900&name=screen_2x.webp) SHARE - - - [mailto:?subject=Check%20out%20https://info.sweeneyfootankle.com/blog/pigeon-toed-in-children-causes-treatments-and-when-to-seek-help&body=Check%20out%20https://info.sweeneyfootankle.com/blog/pigeon-toed-in-children-causes-treatments-and-when-to-seek-help&media=https://3108168.fs1.hubspotusercontent-na1.net/hubfs/3108168/screen_2x.webp](mailto:?subject=Check%20out%20https://info.sweeneyfootankle.com/blog/pigeon-toed-in-children-causes-treatments-and-when-to-seek-help&body=Check%20out%20https://info.sweeneyfootankle.com/blog/pigeon-toed-in-children-causes-treatments-and-when-to-seek-help&media=https://3108168.fs1.hubspotusercontent-na1.net/hubfs/3108168/screen_2x.webp) - - Pigeon-toed, or in-toeing, is a condition where a child’s toes point inward while walking, running, or standing. While it may look concerning to parents, it’s a common condition that often resolves on its own as a child grows.At Sweeney Foot & Ankle, we understand that every parent wants the best for their child’s development. Here’s a comprehensive guide to help you understand pigeon-toed, its causes, treatments, and when you might need to seek professional help.   #### What Causes Pigeon-Toed in Children? In-toeing can result from several factors, often depending on the child’s age and development stage. The primary causes include:   1. **Metatarsus Adductus**: This is when the front half of the foot turns inward. It’s common in infants and often noticed when the baby begins to walk. 2. **Tibial Torsion**: This condition occurs when the shinbone (tibia) twists inward. It is often observed in toddlers who are learning to walk. 3. **Femoral Anteversion**: This happens when the thighbone (femur) twists inward. It’s usually seen in preschool and school-aged children and often becomes more noticeable around age 5 to 6. #### How Is Pigeon-Toed Diagnosed? At Sweeney Foot & Ankle, we diagnose pigeon-toed through a thorough physical examination and review of the child’s medical history. Our specialists may observe the child’s walking pattern and perform specific tests to determine the cause and severity of in-toeing.   #### Treatment Options for Pigeon-Toed In many cases, in-toeing doesn’t require treatment and improves naturally as the child grows. However, some interventions might be necessary depending on the severity and underlying cause:   1. **Observation and Reassurance**: Often, the best approach is to monitor the child’s development. Most children outgrow in-toeing without any medical intervention. 2. **Physical Therapy**: Exercises to strengthen muscles and improve coordination can be beneficial, especially if in-toeing is caused by muscle weakness. 3. **Orthotic Devices**: In some cases, custom orthotic devices or braces may be recommended to help guide the foot into a more natural position. 4. **Surgical Intervention**: Rarely, surgery may be considered for severe cases of in-toeing that don’t improve with other treatments. This is usually reserved for older children and adolescents. #### When to Seek Help While pigeon-toed often resolves on its own, there are situations where you should seek professional advice:   - **Persistent In-toeing**: If the condition does not improve as your child grows, or if it worsens, consult with a specialist. - **Pain or Discomfort**: If your child experiences pain, discomfort, or difficulty walking, it’s essential to get a professional evaluation. - **Developmental Concerns**: If you notice other developmental delays or abnormalities in your child’s gait, a comprehensive assessment is recommended. #### Supporting Your Child’s Foot Health At Sweeney Foot & Ankle, we are committed to ensuring your child’s foot health and overall well-being. Our team of experts is here to provide the best care, from diagnosis to treatment and ongoing support.   If you have concerns about your child’s pigeon-toed condition or any other foot and ankle issues, don’t hesitate to [contact us for an appointment](https://www.sweeneyfootankle.com/contact.php). Together, we can ensure your child steps into a healthy future. --- By understanding pigeon-toed and knowing when to seek professional advice, you can ensure that your child receives the best care and support for their developing feet. 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