Pediatric Exercises To Treat In-Toeing During Gait
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- čas přidán 24. 07. 2024
- #howtotreatintoeing #howtofixintoeingintoddlers #howtofixintoeing
Have you ever wondered how to help your kiddo when they are walking with their hips in a toe in position?
Maybe you're curious that if you could help them do a few exercises, then you’ll find that their mobility improves including their gait and their overall independence. Maybe you’ve been doing everything you can think of and still feeling like if you just knew a bit more you could get a better result?
This specific technique/exercise can help with increasing hip strength and core strength to decrease the incidence of "toe in" or internal hip rotation during gait and squatting. This is perfect for kiddos who are independent with gait, have low tone, or need assistance for gait due to more significant delays.
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Thank you!! My pigeon foot is beyond insane. I have it on a single foot (the left one).
Hi Athletico ATM! I’m so glad this is helping. If you’re 18+ the best you can do is continue to work on your hip mobility and strength as well as make sure you’re working in all planes of motion (front/back, side to side, and rotation). If you have any pain or difficulties with certain movements a Physiotherapist/physical therapist (same thing) can absolutely help create a plan for you specifically to move the best you can and I would highly recommend it as asymmetries (not moving the same equally side to side) can cause long term issues (or increased wear and tear on our bodies in unequal amounts).
If you have significant concerns about the foot a podiatrist or orthopedic MD or your primary care physician are also great places to contact with concerns - our feet and hips (& everything else) ARE SO IMPORTANT so I’m so grateful you’re being proactive in your journey. Shoot me any other questions and I’ll try to share resources with you as I find them! Lauren
Hey doctor I am 32 male I have intoe walking how can I fix this my walk kind of funny when I walk it’s intoe but also opens up my feet goes out words when I lift my legs before it wasn’t like that my brain make it happen how can I make my feet walk normal are these the right exercises I can do to at least walk little normal
Hi Caner, as an adult the best thing to do for in toeing is to be evaluated by an orthopedic physiotherapist or physical therapist, they can help you determine where the in toeing is originating from. It can occur from the hip (most common) or the lower leg (tibia), depending on where it is originating from, the exercises and things you would do to assist would be different.
Often they include:
A shoe insert to help with foot/ankle position
Hip stretching and strengthening
Ankle mobility and flexibility training
Core strengthening
I really like starting with the toddler squat since it addresses a lot of these things. I usually try for 1-2 minute holds at a time. czcams.com/video/dhsJdtHAj94/video.htmlsi=_Eslx_ycGQEKQr9k
Good day Dr.Lauren,
My son is 1 year old. We didn't realised when he started walking intoeing. But now from last month I am massaging babies both legs and While the baby is sleeping, I try to tie his both legs together. Is this the right idea to correct intoeing. I make sure baby dont sit in W position.
Ur expertise to share on this. Will be really appreciated. Thank you
Dhanashree, thank you so much for your comment. I love how proactive you are for your baby. Speaking with your physician is your absolute best bet to get personalized advice that is tailored to your child and I would absolutely recommend that. That being said, I would not recommend tying any child's legs together as it can put them at risk for falling and self injury. It will also likely have them avoid walking, which is necessary to build up the strength in their limbs to have a more neutral (toe forward) toe position.
Squats specifically the toddler squat is a great exercise as well as all the exercises on this playlist: czcams.com/play/PLxYt0JBWx03Rypj4SW_2x-SbGJUcHTbU7.html
Specifically, I would look at toddler squat, tall kneeling, and half kneeling positions as they both work on the ankle and core as well as the hip.
Depending on severity, some doctors or therapists will recommend anti-rotation strapping or other external devices such as this: theratogs.com/knowledge-base/in-toeing-and-out-toeing/ but I would not try to do this on your own and only use anti-rotation strapping techniques under the direct guidance of a physiotherapist/physical therapist and/or physician. Sending lots of love! Please let me know if you have additional questions, Lauren
@@DrLaurenBaker thanks alot for your response. Yes I will do take care about it and consult a doctor.
Please let me know if you have additional questions after talking with the doctor or if you’re looking for a specific resource and you cannot seem to find it. I’m a huge fan of google but it can be incredibly frustrating if you need to find something but aren’t sure what to search for.
I’m 23 and I have Intoe gait problem. Will these exercises work for me?
Hi All Round Entertainment! Thanks so much for your comment. For an adult with in-toeing, typically I would recommend seeing a physical therapist (physiotherapist) because there could be a lot going on in the hip, low back, ankle, and/or knee and you might learn a ton about your body simply by having someone assess your joints and see how they are moving and what you/they can do to help them move better.
That being said, there are a few exercises I myself would try if I was a 23 year old struggling with in-toeing. First would be the femoral nerve glide here: czcams.com/video/AIXqrjteZx0/video.html with internal rotation of the femur, the femoral nerve on the front of the thigh is in a shortened position and might be not moving as well as it could be. I would also try this hip stretch: czcams.com/video/LTV2eKEgCo4/video.html if you do have any pelvic floor pain or issues with bladder/bowels I would absolutely recommend seeing a physio/PT (especially one trained in pelvic floor -- in the US we call them Pelvic Floor Physical Therapists and you can find a list of them here: pelvicrehab.com/ (in-toeing and tightness in hips can definitely lead to urinary incontinence or pelvic floor tightness that shows up in other ways so it's good to know they're all connected!). Hope this is helpful! Lauren
@@DrLaurenBaker thank you so much for the reply
I have a doubt.
Should I be seeing a pediatrician, orthopedic or physiotherapist? Who is best suitable to solve my problem?
@@allroundentertainment8821 you're so welcome! A physiotherapist would be my go to, they should be able to help with Hip alignment (toe in is likely due to hip tightness/weakness and some other imbalances above and below the hip/knee joints). That being said, if the physio beleives that a radiograph/xray would help, the orthopedic MD or your primary care physician would be able to order those likely (depending on your country it might be a little different). If there were to be any bladder/bowel concerns or intimate concerns (this can all be due to tight/weak pelvic floor muscles that are also connected to the hip) a pelvic floor physiotherapist would be my next expert to chat with. Likely though, a general orthopedic physiotherapist would be extraordinarily helpful in learning about how
your hips are currently moving and how they can likely move better.
@@DrLaurenBaker thank you once again
I'm 17 I have pigeon toed can you tell me treatment please?
Hi Swati! There are a lot of factors that go into pigeon toe (or in-toeing another term) gait/walking or standing pattern. The most important would be to focus on strengthening the gluteal muscles that produce the opposite motion (external rotation of the hip). Most workout programs focus heavily on this because it’s a common area of weakness and physiotherapists or physical therapists can assist in person if you have one in your area. You may also want to look into stretching the opposite direction (external rotation) in positions such as the pigeon pose in yoga. In fact, yoga is a generally good well rounded practice that may help strengthen and balance your body to limit the effects or presentation of in toeing. That being said, there could be bony considerations to if there is pain or difficulty walking please consult with your physician and request an X-ray or radiograph to rule out any bony implications.
Another area to look at is increasing the support at the foot. In toeing can be associated with lack of control at the arch which may be helped with an orthotic or insole. An orthotist would be the expert to assist in that area. I hope this is helpful. Lauren
@@DrLaurenBaker I meet doctor but it doesn't work because I ask you when I walk my both foot turn, tell me which orthotics can i use?
@@srl852 the orthotics used are typically custom made, but I do like the over the counter versions of superfeet (not sure if they are internationally available or not): amzn.to/3IeDkqL (affiliate link). Likely; however, there is weakness in the core and hip that is resulting in in-toeing. So strengthening to the hip muscles is often needed. This video might help get you started on that journey: czcams.com/video/rqw3rYmw0F0/video.html