In-Toeing in Children

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In-toeing is when a child walks with their feet turning inwards and is commonly referred to as 'pigeon toed'. It is a variation of normal and is part of normal development for many toddlers when just learning to walk. It will usually resolve as the child grows and the musculo-skeletal system matures, normally by the age of ten years. During this period of in-toeing the child may tend to trip and fall a little more than their peer group. Hip rotation is most reliably assessed in the prone position.

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Insoles are not recommended.

Physiotherapy referral and exercises are of no benefit

Consider referral for orthopaedic opinion if:-

asymmetric, leg length discrepancy or hip abduction reduced

Referral Instructions

e-Referral Service Selection

Specialty: Children's and Adolescent Services
Clinic Type: Orthopaedics
Service: DRSS-Western-Child & Adolescent -Devon CCG-15N

Referral Form

DRSS Referral Form

Pathway Group

This guideline has been signed off on behalf of NHS Devon.

Publication date: May 2017

Referral