Hello Dr
The attached photo is of my 18month old daughter’s standing position without support. I am concerned of pronation here. Can you advise

Question

Accepted Answer

It’s great that your 18-month-old daughter is standing without support. Pronation, or the tendency for the feet to roll inward when standing or walking, is relatively common in toddlers and can be a normal part of their development. However, it's important to monitor it and take some steps:

1. **Observe the Extent**: Assess how much her feet roll inward and whether it affects her ability to walk or causes discomfort.

2. **Encourage Proper Footwear**: Ensure she wears well-fitting, supportive shoes that provide good arch support and cushioning.

3. **Provide Physical Activities**: Encourage activities that strengthen her legs and improve balance, such as walking on different surfaces, climbing, and playing with balance toys.

4. **Monitor Development**: Keep an eye on her walking pattern as she grows. Most children outgrow mild pronation as their muscles and bones develop.

5. **Consult a Pediatrician**: If you notice significant pronation, if it seems to be affecting her gait, or if you have concerns about her development, consult a pediatrician or a pediatric orthopedic specialist. They can evaluate her condition and provide recommendations or treatment if needed.

Pronation often resolves on its own as children grow and their muscles and bones mature.

Hello Dr The attached photo is of my 18month old daughter’s standing position without support. I am concerned of pronation here. Can you advise