Being pigeon toed is common in children, and if the condition is not correctly addressed it continues into adulthood. What causes this condition, and what’s a pigeon-toed adult to do? In this article, we will discuss the causes of pigeon toe and provide some good advice to help you address and cope with this condition.
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- Toddler Pigeon Toed
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You’ll also learn answers to the following question:
The pre-treatment video clearly establishes a severe pigeon-toed gait problem. Soft orthotics were then placed in the child's sneakers, which were designed to stimulate the big toes while walking. The post-treatment video exhibits a major correction in the child's gait. They correct pigeon toe, ankle pronation, weak ankles, flat feet, tip toe, supination, in-toe, out-toe conditions in children That is why they are called supportive, foot forming shoes, we in Europe call them orthopedic shoes since that is a correct medical terminology Watch the video about importance of European orthopedic shoes for all children.
- What causes a person to be pigeon toed?
- Can being pigeon toed cause knee problems?
- Are fast runners pigeon toed?
Read on to learn more.
Causes
Pigeon toe (aka: “intoed foot”) may be caused by biomechanical, physiological and/or anatomical factors. The condition is not necessarily painful and may not interfere with everyday activities, so it is not uncommon for it to go untreated in childhood. As an adult with intoed foot, you may experience some injury risks so it’s a good idea to familiarise yourself with your condition and develop a plan of exercise and personal care that will minimise potential for complications.
There are three common childhood conditions that may cause pigeon toe.
1. Internal femoral torsion is a condition in which the femur (thigh bone) naturally rotates inwards and this causes the lower leg to follow suit. This is a common condition in small children, and most of the time they outgrow it naturally. Physical therapy (which can take the form of play therapy) can be helpful in accelerating this correction. Children who are pigeon toed may also benefit from wearing orthopedic shoes or use of orthotics in regular footwear.
2. Internal tibial torsion is a condition in which the tibia (shin bone) rotates inward and causes the foot to turn inward. This condition is also common in small children and usually self-corrects by age ten.
3. Metatarsus adductus is probably caused by the position of the fetus while in utero. When this is the case, the foot curves inward and correction is necessary. Sometimes this condition can be corrected with foot massage; however, in some cases the curved foot must be put in a cast to be straightened.
Causes of in-toeing as an adult
In some cases, in-toeing may be caused by a neurological condition. If your condition developed as an adult, this may be a cause for concern and you should discuss it with your doctor.
Another condition that may cause in-toeing in adults is “pelvic control” This is caused by a lifelong, sedentary lifestyle. For decades it has been very common for people in developed countries to spend the vast majority of their lives (from kindergarten to old age) in a seated position. This causes laxity of the hip ligaments. It also causes weakening of the gluteal muscles. This can cause a person to become pigeon toed later in life.
To prevent this, it is a good idea to avoid a sedentary lifestyle. Schoolchildren should have frequent recess at school and should be encouraged to play naturally. Teens, adults and seniors should get up and move about often throughout the day and cultivate the habit of exercising for at least 20 or 30 minutes daily.
There are also specific rehab exercises that can be used to strengthen the hip ligaments and exercise the gluteal muscles to provide for correct extension and external hip rotation.
In this video, the presenter shares several easy exercises to help correct pigeon toe. The video is in Chinese with clear English subtitles. Exercises are easy to follow even without reading the subtitles.
Correction of Pigeon Toe training
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Are there athletic risks?
Your joints may not diffuse the impact of running and other sports as efficiently as those of non-pigeon-toed athletes. This can lead to pain in the knees and ankles when running or participating in sports. Talk with your doctor, physical therapist or podiatrist about corrective footwear for pigeon toed adults or orthotics to provide you with greater support.
Being pigeon toed can help you as a runner
Interestingly, being pigeon toed can give you some athletic benefits. Athletes who in-toe are often thought to be more explosive and faster than others. The reason for this is that the outer edge of pigeon toed feet strike the ground first and roll inward naturally leading to smooth, quick forward movement.
Stay fit and strong
Take a multi-disciplinary approach to addressing your gait issue by exercising and participating in a wide variety of games and activities that will improve your strength, your posture and overall fitness.
Anecdotal evidence indicates that yoga practice may be helpful in correcting pigeon toes because of its focus on correct alignment of all parts of the body. While there is no solid proof of this, practicing yoga surely cannot hurt, and it is always a good thing to add to any health and fitness regimen.
No matter what the reason for your in-toeing, light, daily exercise is always a good idea. Talk with your doctor or physical therapist to identify specific exercises that may benefit you based on the cause of your condition.
What does pigeon toed mean? Get more insights on various symptoms and causes of pigeon toes in toddlers, and information about how to correct pigeon toes.
My toddler has pigeon toes (curved feet with toes pointing inwards), is it something to be worried about?
The foot is a very strong and complex structure with as many as 26 bones and 33 actively articulated joints held together by muscles, tendons and ligaments. A toddler’s foot is highly flexible as it is stuffed with fats. It is a very common and endearing sight to see an 8- 15 month old toddler struggling to walk with his or her knees and toes pointing inwards. In the initial stages, the toddler’s feet point inwards because the muscles and ligaments are yet to be developed. However, if the toddler’s knees and toe do not straighten by the age of 3 years, the parents tend to get perturbed.
Pigeon toe (medically called in-toeing) is a term used to describe a condition in which a person’s toes point inwards while walking. Pigeon toe is commonly observed in toddlers. In most cases, pigeon toe in toddlers is not really a matter of concern as the toddler gains the normal gait before reaching adulthood.
However, it is a good idea to discuss any abnormality in your child’s gait with the paediatrician. Pigeon toe is generally not associated with any pain or inconvenience in toddlers, neither is it known to cause any serious medical conditions like arthritis. It does not hinder physical activities like walking or running. In fact, it is believed that people who are pigeon toed tend to be good runners or athletes. However, it should be noted that severe cases of pigeon toe can give rise to a condition called club foot. In some children pigeon toes may be observed as a result of pre-existing medical conditions such as cerebral palsy.
What are the Symptoms of Pigeon toes?
The symptoms of being pigeon toed include feet pointing inwards, twisted shin or thighbone clumsiness while walking and stumbling which occur in severe cases. People with pigeon toes tend to suffer from hip, knee or ankle injuries at later stages of life.
What Causes Pigeon toe?
While pigeon toe may be caused due to genetic predisposition, most of the cases occur due to misalignment occurring due to squeezed- up position of the baby in the mother’s womb.
Metatarsus adductus is a condition in which the outer edge of the foot has an inward curve, giving a kidney like appearance to the foot. Metatarsus adductus is very commonly observed in newborn children. It most commonly occurs due to the position of the child in the womb during pregnancy.
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It is often observed in children who like to sleep with their face down. These children are more susceptible to dysplasia of hip, a condition in which the top of the thigh slips within or outside the socket. Metatarsus adductus is classified into two types – flexible (the foot can be straightened to a certain degree by massaging or bending with hand) and non-flexible (the foot cannot be straightened by any amount of massaging with hand). Generally flexible form of pigeon toe corrects itself as the baby grows without any treatment.
Sometimes, an inward twist of the tibia or shin bone is observed. Like metatarsus adductus, the twist in shin bone may also be caused due to the position in which the baby lays in the mother’s womb. This condition is most commonly observed in children learning to walk. In most of the cases, the shin bone slowly untwists and the leg straightens out by the time the child turns one year old. However, surgery may be required if this condition persists above the age of ten. Children who are pigeon toed and trip often may have internal tibial torsion.
In some cases it is seen that the knee caps tend to point inwards when the child is walking. This condition is caused due to femoral anteversion or an inward twist in the upper thighbone. Toddlers with femoral anteversion can be identified by their unique affinity to sit with their legs in ‘W’ position. It is always advisable to discourage your toddler from sitting in the ‘W’ position so as to avoid worsening of the femoral twist. Femoral twist is more commonly observed in girls than in boys. Most children outgrow this condition by the age of eight to ten years. However, in some children complete untwisting of the thighbone does not occur. Most of the cases of pigeon toes occurring in adults are due to femoral anteversion.
Pigeon toes Treatment
How to put game pigeon on iphone. It is common to notice some extent of in-toeing in infants up to the age of two or three. This in-toeing is observed as a result of differences in the structure of the child’s foot. As the child’s age increases, their gait begins to improve without any particular treatment. However, if this does not happen by the age of three, a physician or a podiatrist should be consulted to make sure that the child’s bone development is taking place correctly. Most cases of metatarsus adductus are diagnosed in infancy when developmental changes in the child’s foot are still going on.
Exercises
The physician may ask you to perform some passive manipulation exercises on your child’s feet while bathing or changing his diapers. A change in the sleeping position of the child, for instance side- lying position, may help.
If the foot does not respond to any amount of stretching or exercise, long leg casts, braces or splints may be used, which have to be changed every 1 to 2 weeks. If improvement in in-toeing is seen with the use of leg cast, the use of straight cast shoes may be prescribed. Straight cast shoes are made without an arch in the bottom and help to hold the forefoot in place. There is a difference in opinion amongst physicians regarding the use of braces for correction of pigeon toes. While some doctors feel that pigeon toes can be corrected by using braces when the child is 4- 6 months old, others feel that use of braces speeds up the development of pigeon toes, thereby worsening the alignment of the toes.
Surgery
In very severe cases of pigeon toes, surgery may be required to correct the condition. Most of the time, surgery involves strengthening of the achilles tendon. Leg casts may be used post-surgery to hold the foot in place.
Toddler Pigeon Toed
Proper Shoes
The shoes that your child wears play an important role in shaping the child’s gait. A child gains meaningful sensory information from the soles of their feet. Shoes that have hard soles may make walking difficult. Toddlers should be allowed to walk barefoot and shoes should be used only to protect their feet from injury due to sharp objects. In order to prevent worsening of pigeon toe, the child should be discouraged from crossing his or her legs while sitting. Regular use of corrective shoes, splints or cast should be encouraged. Ballet, which is a dance form, has been used to improve the symptoms of pigeon toe.
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Do not allow your child to sleep on his or her tummy with feet curved under the stomach, in the position similar to which the baby sleeps in the womb. This sleeping position worsens the in toeing. Encourage your baby to sleep on his or her back or side.
Moreover, do not allow your toddlers to sit with their feet bent beneath their bottoms. Stretching their legs gently while massaging helps in proper development of toes and leg muscles. If your baby trips a lot while walking, do not forget to mention it to the paediatrician during the next visit.
If your child is above 10 years of age and has a pigeon toe with very little possibility of being corrected, do not get discouraged. Remember that many gifted athletes are pigeon toed. In fact many football, basketball, soccer and track coaches want pigeon toed players to join their club. It is important to bear in mind that pigeon toe does not affect your child’s ability to walk, run, swim or participate in any sports activity. At any time seek medical help if your child is facing trouble in walking, running or complains of excessive pain in the legs.