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Intoed Gait

Intoed Gait



Do you feel like one of your leg points inwards when you walk, and you often find yourself tripping over? Or do you observe that your child’s feet tends to turn inwards (or perhaps they are clumsy when playing with friends)? This condition is known as in-toeing. In-toeing commonly occurs due to four main factors that stem from either your hip, legs, feet or muscles:

1.    Thighs are turned inwards (femoral anteversion)
2.    Leg is turned inwards (internal tibial torsion)
3.    The front part of the foot turns towards the midline of the body (metatarsus adductus)
4.    Tight muscles in the legs

Most children with intoed gait will outgrow it, so in most cases it is something so keep and eye on and manage, but does not usually lead to long term problems.

Your Podiatrist will be able to assist you in determining where the in-toeing is stemming from and will be able to provide you with advice regarding non-surgical management of the condition (it is very rare to require surgical treatment).

At home there is a few things you can do. If you are worried that your child maybe in-toeing, get them to perform a squat. Firstly, avoid sitting in a W-position but instead start sitting cross-legged to stretch out your hips. We also encourage that you take up activities that position your hips, leg and foot in an outwards position, including activities such as horse riding, ballet and swimming (breast stroke preferred). See your podiatrist today for assessment and further advice. At the Perth Foot & Ankle Clinic we can use our Bodytech gait analysis machine to assess intoed gait and monitor over time.

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foot disorders 5
sports injuries 2
Common Foot Problems 12
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Back To School – Tips for School Shoes

Back To School – Tips for School Shoes

Kids spend a lot of time in their school shoes, so it’s important to get the correct shoe and have it properly fitted. Here are some tips to help you get the best for your child.


  • Back To School - Tips for School ShoesShoes should be fitted correctly. Getting a bigger size so that there is some “growing room” is a bad idea, and in any case will cause the shoe to wear out quicker, as well as being less comfortable.
  • Get both feet measured as sometimes one foot is bigger than the other. If this is the case, get shoes that fit the larger foot.
  • Make sure the feet are measured for width as well as length. A shoe that is too narrow will be uncomfortable and can injure the feet.
  • Get measured for shoes at the end of the day as feet swell slightly during the day, and so will be at their biggest in the afternoon.
  • On average, childrens feet grow about one size per year, and will be at adult size by around 13-14 years of age. This is a guideline only, and kids can have growth spurts at any time.

Design & Fitting

  • Kids School Shoes

    The sole should not twist from side to side.
  • The sole should bend at the ball of the foot to enable walking and running.
  • The area surrounding the heel (the heel counter) should be firm to support the heel.
  • The heel should fit snugly into the back of the shoe, and be held there by straps/laces etc. It should not slip forward in the shoe.
  • There should be a child’s thumb width between the front of the shoe and the longest toe (which may not be the big toe).
  • The shoe should feel stable and with good cushioning.
  • A lighter shoe is better than a heavier one as long as it is of good quality.
  • You shouldn’t need to wear the shoe in. If it is not comfortable (for both feet) in the shop, then do not buy it.
  • Different brands and styles suit different feet. Take advice from your shoe fitter.


  • You do not need to go overboard and spend a fortune on shoes. There are a few well known brands that provide quality for a reasonable price.
  • Sometimes spending a bit more on better quality shoes will save you money in the long term, as they will last longer.

Pain? Problems?

  • It is not normal for children to have regular pain in their feet, legs, knees, hips or back when doing normal activities and sport.
  • If your child reports pain, then get one of our podiatrists to check them out.
  • Untreated foot and leg problems in children can become lifelong problems if left untreated.
Happy shopping!
Common causes of knee pain in children and how to treat them

Common causes of knee pain in children and how to treat them

Knee pain is quite common in growing children. Here we discuss three of the most common causes and their treatment.

Patellofemoral Pain (sometimes known by other terms, such as chondromalacia patellae)

This is a common problem in children and results from the kneecap not tracking properly over the knee during normal movement. Pain is mostly noticed on the inside of the knee cap, and tends to be worse when loading the knee when the leg is bending, such as going up stairs or standing up.

Osgood Schlatter’s disease

Child With Bended KneeThis occurs in children and often coincides with a growth spurt. The kneecap is attached to the lower leg by a tendon. Osgood Schallter’s disease refers to an irritation of the area where this attachment is located, and can be associated with a bony lump in the area. This is cause by exercise involving lots of use of the muscles at the front of the thigh (Such as during running and jumping).

Patella Tendonpathy

This is more common in adults, but can occur in children too. It often appears after a sudden increase in training loads. Pain occurs in the tendon just below the kneecap. The area will often be still and sore after exercise, and agin the following morning.

It is not normal for children to get regular knee pain after normal activity and sports. It is essential that a proper assessment is conducted so that a diagnosis of the actual problem can be made.


How we treat knee pain in children

Kids Sports Bended KneesThere are a variety of treatment options available, depending upon the cause of the symptoms. These include:

  • Stretching and exercises to improve leg and knee function, and to make the kneecap move properly.
  • Looking sport and training, and especially being careful of sudden changes in training. Sometimes a short break from sport is a good idea.
  • If a person has a biomechanical factor which contributes to the problem, then orthoses may be required. In this case we may use our Bodytech treadmill to analyse walking, running, posture and balance.
  • We often give foootwear advice in relation to casual as well as sport shoes.
  • Our THOR Medical Laser can be used to actively treat pain, inflammation and promote rapid recovery.

If your child is complaining of knee pain, or having trouble with their knees during sport, then bring them in for some expert care at The Perth Foot & Ankle Clinic.