Some children’s feet point in because there is a twist in the bones of the foot, the shin, or the thigh. When the twist is in the foot, it is called “metatarsus adductus.” Most cases are mild and will correct without treatment. Otherwise, special orthopedic shoes or braces will be required. The length of the treatment depends on the severity of the foot condition, but generally, will extend until the child is standing and walking.

When the twist is below the knee, it is called “internal tibial torsion.” Treatment is usually unnecessary since almost all children will correct by 3 years of age.

Some children toe in because there is a twist between the knee and the hip. This is called “femoral anteversion.” This internal twist of the thighbone (femur) is a part of normal growth in children. It is noticed around age 3 and corrects gradually by itself up to at least age 8 or 9 years. However, persistent sitting with the legs in the “W” position may delay spontaneous correction. Sitting with legs crossed helps to stretch the muscles and correct the twist. Activities such as roller-skating, ice-skating, and ballet also help to correct the twist. No braces, splints, or shoes make any difference and are therefore not recommended. After growth slows in adolescents, toeing in neither improves nor worsens. For rare children, who do not improve and have significant symptoms, there is a possibility of corrective surgery.