Pigeon toeing, also known as intoeing, is most commonly described in children but can also occur in adults. Pigeon-toed adults are rare and so many family practitioners are stumped when it comes to their evaluation and treatment. Being pigeon toed or In-toeing during gait commonly begins during childhood and may continue into adult life if not addressed appropriately. There are a number of anatomical, physiological and biomechanical factors which may contribute to the visual appearance of an intoed foot.
Although some people believe a child or infant with intoeing will have permanent deformities as an adult, intoeing in children under age 8 usually corrects itself on its own without casts, braces, or surgery. Intoeing usually does not cause your child pain, interfere with learning to walk, or lead to degenerative arthritis in adulthood. An in-toeing gait is very common in children, and is a frequent complaint of many parents. In fact, an in-toeing gait (pigeon-toed) is the most common rotational deformity seen in pediatric orthopaedics. In the overwhelming majority of patients, the in-toeing will correct with growth over time. What causes an in-toeing gait in children?
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. Intoeing is the most visible symptom of internal tibial torsion. It means that the feet are noticeably angled toward each other when a child walks or stands. Other common causes of intoeing include femoral anteversion (twisting of the hip bone) and metatarsus adductus (curved foot). There is usually no pain associated with internal tibial torsion.
Femoral Anteversion In Adults: Causes, Symptoms & Treatment The femur is a thigh bone which connects the hip to the knee joint. Anteversion in medical terminology means to ‘lean forward’. Femoral anteversion is a medical condition in which the neck of femur bone leans forward as compared to the rest of the femur. Symptoms of Intoeing The three common symptoms and causes of intoeing are: Medial femoral torsion in which the femur, or thighbone, is rotated inward. Medial tibial torsion is an inwardly rotated tibia or shinbone in the lower leg.
Intoeing is defined as an abnormal angle of gait with the toes pointed excessively inward. This commonly occurs in children of various ages. The rotational (transverse plane) pathology producing this deformity can occur at the level of the hip, knee, tibia or foot. Intoeing means that when a child walks or runs, the feet turn inward instead of pointing straight ahead. It is commonly referred to as being "pigeon-toed." Intoeing is often first noticed by parents when a baby begins walking, but children at various ages may display intoeing for different reasons. Three conditions can cause intoeing.