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In-toeing & Out-toeing



The majority of children's feet point straight ahead or slightly outward. Children whose feet point inward are said to have "in-toeing" or be "pigeon toed". In the vast majority of children, in-toeing will go away without any treatment. The usual progression of rotational growth in the lower extremity leads to correction of most cases of in-toeing by age 6 to 8.


Out-toeing is the result when they first start walking and the feet point outwards. Most children are born with external rotation of the hips and this resolves shortly after walking begins. In those children where resolution is slower, out-toeing is the result when they first start walking. This will almost always resolve within a year from the onset of walking.