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What causes in-toeing in children, and what is the best treatment?

Have you ever noticed youngsters walking or running with their feet twisted inwards? Toes should usually point straight ahead but instead curve inwards, causing pigeon toes, according to Dr. Ratnav Ratan, the best paediatric orthopaedic surgeon in Delhi.

Many babies have malformations in their hands or legs when they are born. Dealing with such issues is difficult for parents. Also, when youngsters grow older, they enjoy playing, jumping, and running. Accidents and injuries may occur as a result of these activities. Dr. Ratnav is skilled at treating children who have sustained injuries.


Dr. Ratnav Ratan also specializes in guiding and counseling parents of newborns born with malformations in their hands and legs that have difficulty caring for their children.

He specializes in treating children with walking disabilities, crooked limbs, spine curves, joint infections, and more.

Dr. Ratnav Ratan excels at dealing with difficult children’s issues such as developmental delays, bone dysplasias, and paediatric trauma, among others.

People in Gurgaon go to Dr. Ratnav Ratan if their child has a fracture or another type of suspected bone injury. He has a lot of patience with kids who have been hurt while playing, running, leaping, or in an unfortunate accident.

He is regarded as one of Delhi’s most child-friendly and skilled paediatric orthopedists.

When youngsters begin to walk, their parents are usually the first to detect intoeing. In youngsters under the age of eight, intoeing problems typically go away independently. Braces, surgery, a cast, or surgery are not required to begin the repair process. However, it can be concerning if the infant develops or is likely to create an unusual gait. It is impossible to prevent intoeing because it can be hereditary or developmental.

Signs of intoeing condition:

• Uneven footwear soles

• Small lumps or bumps on the child’s feet

• Pain/fatigue in the child’s feet and legs

• The youngster frequently falls and stumbles when walking

The child’s inward-turning walking stride does not improve.

When is an orthopaedic assessment for a child’s intoeing condition required?

The following circumstances necessitate a child’s orthopaedic evaluation:

• The child’s gait is affecting their mobility

• The child’s feet have become stiff or inflexible

• The intoeing conditions, along with abnormal gait, persist after the child has reached total growth

• The child has spina bifida, cerebral palsy, or other medical issues, which is uncommon

• Based on your child’s pediatrician’s advice

Growing children can develop intoeing at any age, either independently or in conjunction with other medical issues.

According to Dr. Ratnav Ratan, a brilliant paediatric orthopaedic surgeon in Delhi, the leading cause of intoeing is a minor rotation of bones in the leg or curvature of the foot.

The following are the conditions:

• Metatarsus adductus (inward turning of the foot)

The child’s foot bends inwards from the middle of the foot to the toes. The degree of flexibility varies from child to child; some will be flexible and mild, while others will be stiff and inflexible. In addition, the severe deformity is linked to clubfoot deformity, which necessitates rapid treatment.

Metatarsus adductus usually resolves on its own by the time a kid reaches the age of six months. However, casts and special shoes are used to treat severe Metatarsus adductus in babies up to 9 months, and surgery to straighten the feet is uncommon.

When changing diapers, an orthopaedic surgeon may recommend mild stretching of the limbs. In addition, if necessary, the baby will be forced to wear a specific cast and shoes.

• Tibial torsion (inward turning of the shinbone)

Tibial torsion is a disorder in which the lower leg twists inward when the infant is still in the womb. To fit in the womb’s restricted area, the legs must spin. The baby’s legs should also turn slowly and align themselves properly after birth. The condition of tibial torsion is when the lower leg is bent inwards.

As the tibia above the foot bends inwards, the feet of a child with tibial torsion condition turn inwards. As the youngster grows taller, the tibia is likely to untwist on its own.

Tibial torsion does not require treatment because it goes away before school age. According to Dr. Ratnav Ratan, a paediatric orthopaedic surgeon in Delhi, children with severe twists and walking difficulties should have surgery if they are at least 8 to 10 years old.

• Femoral Anteversion (turning of the femur)

The inward bending of the child’s thighbone is referred to as femoral anteversion or severe femoral torsion. When a youngster reaches 5 or 6, this problem is obvious.

The upper part of the thigh bone around the hip area twists, causing the hip to move inside, which causes the knees and feet to turn inward, especially when walking. On sitting, children with femoral anteversion assume the “W” position. On their backside, their knees are bent, and their feet are splayed out.

With age, femoral anteversion resolves on its own. Surgery is advised when a youngster is 10 years old or older and has a severe deformity. The child will trip frequently and walk with an awkward stride in such circumstances. The femur will be sliced and realigned to its proper position by the orthopaedic surgeon.

Children with femoral anteversion should be encouraged to ski, skate, study ballet, gymnastics, drum majorette, and sit in a criss-cross position so that their feet turn forward.

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