hello doctor, recently observed that my daughter's right foot is tilted inside while walking....is this a deformity?

Question

Accepted Answer

It’s common for young children to have some irregularities in their walking patterns, as they are still developing coordination and strength. However, if your daughter’s right foot is consistently tilting inward while walking, it could indicate in-toeing, also known as "pigeon-toeing." This is usually not serious and often resolves on its own as the child grows, but it’s worth observing closely.

Possible Causes

1. Tibial Torsion: The shinbone (tibia) is twisted inward.

2. Femoral Anteversion: The thighbone (femur) is rotated inward.

3. Metatarsus Adductus: The front of the foot is curved inward.

When to See a Doctor

Consult a pediatrician or an orthopedic specialist if:

The tilt is severe or causing frequent tripping or falling.

The condition worsens over time.

There is pain, swelling, or difficulty walking.

One leg appears shorter than the other.

The condition persists beyond 7-8 years of age.

What You Can Do

1. Encourage Barefoot Walking: This strengthens foot muscles.

2. Monitor Shoes: Ensure the shoes fit well and don’t force the foot into an awkward position.

3. Physical Activity: Activities like cycling or swimming can help improve leg alignment.

4. Tummy Time: If she's younger, more tummy time can help strengthen leg muscles.

In most cases, mild in-toeing resolves naturally without any intervention. If needed, a doctor may recommend stretches, exercises, or in rare cases, braces or surgery.