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GAIT DISTURBANCES IN CHILDREN IN-TOE, OUT-TOE, TOE WALKERS

Gait disturbances are one of the most common concerns of parents. These can be caused by problems in any bone, joint, ligament or muscle imbalance in the lower extremity

CAUSE:

  • Genetic: gait problems often run in families. 
  • Intrauterine position during pregnancy.
  • Tight muscles and ligaments at any level between the foot and hip
  • Bone abnormalities in any bone of the lower extremity
  • Sleeping and sitting postures may aggravate the condition

SIGNS:

  • Out-toe: Feet excessively point to the outside and the arches bulge toward the inside
  • Out toe gait associated with flat feet, premature fatigue, and leg pain
  • In-toe: Pigeon toe(feet point toward inside and may be associated with tripping and falling)
  • Toe walking- children have a habit of walking on their toes.  Most of the time, this is done unintentionally.

TREATMENT:

  • Identify the primary and secondary level from where the problem is arising
  • Possibly casting the extremity to position it properly and stretch tight muscles
  • Physical therapy to help stretch tight muscles
  • Orthotics to help realign the extremity during activity
  • In some cases, surgical intervention may be necessary to adequately address the problem

                                                                                
                                                                                                                              

IN-TOE

 

OUT-TOE

 

HABITUAL TOE WALKER

  


           

 

 
 
 
     
     
   
     
 
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