Addressing My Daughter's Left Foot In-Toeing Issue: A Parent's Concern - Orthopedics

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Regarding my daughter's left foot being pigeon-toed?


Hello, Doctor: My daughter is 1 year and 11 months old.
Previously, she walked and ran normally, but her preschool teacher noticed that her left foot has a slight inward turn, and she falls while running.
From my observation, it seems like an inward turn, and it also resembles a possible ankle sprain on her left foot.
Now, when she walks, it feels like her left foot is not exerting any strength, and she drags it along.
I previously took her to a pediatric orthopedic specialist, but they only took X-rays of her thigh and hip, not her ankle.
The doctor told me there was nothing serious and suggested we wait until she is 2 years old to address the inward turn through rehabilitation.
However, I feel that my daughter's condition is worsening; she is finding it increasingly difficult to walk and seems to be relying solely on her right foot.
Should I take her back to see an orthopedic specialist to check if there is a sprain in her foot? Thank you for your response.
A concerned father.

Mr. Zheng, 30~39 year old female. Ask Date: 2005/11/03

Dr. Shi Guozheng reply Orthopedics


You can consult a pediatric orthopedic specialist.
Generally, a child's in-toeing (internal rotation of the feet) is not a significant concern.
However, if there are signs of difficulty while walking, it cannot be solely attributed to in-toeing.
There may be issues related to the foot or ankle joints.

Reply Date: 2005/11/03

More Info


Addressing your concerns about your daughter's left foot in-toeing and her walking difficulties is essential, especially as a parent who is understandably worried about her well-being. In-toeing, also known as "pigeon-toeing," is a common condition in children, particularly during their early developmental stages. It can arise from various factors, including the position of the bones in the foot, the rotation of the hip joint, or the alignment of the legs.
From your description, it seems that your daughter was initially walking and running normally, but her left foot has started to show signs of in-toeing, leading to falls and a noticeable lack of strength in that leg. This situation is concerning, especially since you mentioned that she appears to be dragging her left foot and relying heavily on her right foot for support.
Given that you have already consulted with a pediatric orthopedic specialist who performed X-rays on her thigh and hip but did not assess her ankle, it may be prudent to seek a second opinion or return to the orthopedic specialist for further evaluation. It is crucial to ensure that there are no underlying issues with her foot or ankle that could be contributing to her symptoms. A thorough examination of the foot, ankle, and lower extremities is necessary to rule out any structural problems or injuries that may not have been evident in the initial assessment.

In terms of treatment, many children with in-toeing improve as they grow, and in many cases, no intervention is required. However, if your daughter is experiencing significant difficulties with walking or if her condition appears to be worsening, it may be beneficial to explore options such as physical therapy. A physical therapist can work with her to strengthen the muscles in her legs and improve her gait mechanics. They can also provide exercises that encourage proper alignment and coordination.

Additionally, it is essential to monitor her footwear. Proper shoes can make a significant difference in how a child walks. Shoes that provide adequate support and stability can help her feel more secure while walking and running. Avoiding shoes that are too tight or have high heels is crucial, as these can exacerbate any existing issues.

You mentioned that your daughter seems to be relying on her right foot more, which could lead to muscle imbalances. Encouraging her to engage in activities that promote the use of both legs equally can be beneficial. Activities like playing on uneven surfaces, climbing, or even dancing can help her develop better coordination and strength in her legs.

In summary, while in-toeing is often a benign condition that resolves with time, your daughter's specific symptoms warrant further investigation. Consulting with a pediatric orthopedic specialist who can evaluate her foot and ankle directly is advisable. Additionally, consider physical therapy to address her walking difficulties and strengthen her legs. Lastly, ensure she has appropriate footwear to support her development. Your proactive approach as a parent is commendable, and addressing these concerns early can lead to better outcomes for your daughter.

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