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means your child walks with his toes pointed in. It is also called pigeon toe. One or both of your child's feet may be affected. Your child may start to show signs of intoeing any time up to about 8 years of age. Intoeing is common in children. It can be mild or severe and often goes away without treatment.

Common signs of intoeing:

  • A deep crease in your infant's foot that is rigid or hard to straighten, and a sharply curved outer foot
  • Feet that turn inward when your child walks or runs
  • A knee that points inward, and a turned in hip
  • Bowed legs
  • A big toe that points away from the toe next to it
  • Sitting with bottom and thighs on the floor, knees bent, and feet behind (the legs form a W)
  • Problems walking, such as tripping often

Contact your child's healthcare provider if:

  • Your child develops a limp when he walks.
  • Your child has leg pain or swelling.
  • You have questions or concerns about your child's condition or care.


may be needed if your child's foot position does not straighten on its own. He may also need treatment if his intoeing is caused by a problem such as cerebral palsy or clubfoot. Most intoeing treatment is meant for babies who have not started to walk. Your healthcare provider can tell you if your toddler or older child needs treatment.

  • Stretches may help your infant's foot straighten. Your child's healthcare provider will tell you if he thinks the stretches might help. They do not work for every infant. If he does recommend the stretches, he will show you how to do them.
  • Casts or braces may be used to help move your child's feet to the correct position. His healthcare provider will apply a cast or brace and leave it in place for a time. He will then remove it and move the foot closer to the correct position. Then he will apply a new cast or brace. This will continue for up to 6 months. Your child's healthcare provider may wait until your child is 4 to 6 months old before starting. This is to make sure the intoeing is not going to go away on its own. The goal is to have the intoeing corrected before your child starts walking.
  • Surgery is only used for severe forms of intoeing that are not corrected with other treatment. Healthcare providers wait until the child is 9 or 10 years old to do surgery, to be sure it is necessary.

Manage your child's intoeing:

  • Do not use any corrective devices unless directed. Shoe inserts and cables do not help fix the problem. They can also make it hard for your child to play and walk.
  • Ask about your child's activities. Ask if your older child can do activities such as sports. He may need to wait if intoeing causes him to trip.

Follow up with your child's healthcare provider as directed:

Your child may need more tests to see if his intoeing is getting better over time. Tests may also show if your child is developing new problems. Write down your questions so you remember to ask them during your visits.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.