Intoeing - pigeon-toed

[@some2kill]

Thank you so much for simplifying such a twisted topic.

[@Pediatricorthopedic]

Thanks. It is my pleasure

[@Cherrycoronel]

Thank you, very much, Dr. Amr! I am a Family nurse practitioner but works part time at a primary pediatric office and we have a lot of concerned parents asking about intoeing. Thank you for your detailed physical assessment. After watching the video, I feel like I have better assessment skills! Thanks so much!

[@Pediatricorthopedic]

I am glad you like it.

[@igorbegovic6841]

Dear colleague, great video!

[@TheOsiason]

Im a PNP and this was a great review for me. I have an FNP student and this will be helpful in my teaching. Thanks.

[@Pediatricorthopedic]

Thanks for the nice comments. I am glad you like it.

[@ShinAoki1]

Very clear and detailed lecture. Thank you so much.

[@Pediatricorthopedic]

Shin Aoki thanks. I am glad you like it.

[@ruslankiryushchenkov4020]

Is they're anyway of improving your walk and feet at home, without using medical equipment, or help? Like trying to force yourself to walk straight everyday.

[@jeanpaulvwakya5346]

Very nice and clear presentation. I liked it. Keep it up.

[@Pediatricorthopedic]

I am glad you like it

[@mohammedabushiha6488]

يعطيك الصحة......we really need this for our exam!!! Please more of it.....جزاك الله خير

[@Pediatricorthopedic]

+MOHAMMED KUSIPAT Thanks for the nice comments. It will help you also in your career. Jazana wa eiakom

[@mohammednawaz5125]

what a great lecture, thank you!

[@swathij1856]

Very usefull. Looking fr more similar videos.tanks fr guidance

[@Pediatricorthopedic]

swathi j thanks. I am glad you like it

[@mtx4712]

Thank you so much, you made it easy!

[@Flyyyy]

Just subscribed. Nice work. I work with kids and learning the basics will allow me to refer (to ortho professionals) more confidently. More info on the "young athlete" 3rd thru 12th grade...would be appreciated.

[@AP-nf5mi]

This was superb. I really benefitted from this review.

[@Pediatricorthopedic]

Thanks for the nice comment. I am glad you like it

[@Khubsuraat]

Sir❤️❤️❤️ it helped a lot... Plz🙏 make more videos.

[@Pediatricorthopedic]

I am glad you like it, thanks for the nice comments

[@MissKona2009]

would special exercise? like muscle retraining help with this? or is this all in the skeletal angle and no such thing as muscle retraining...???

[@carleebradley3545]

Im 22 and went to children's when I was 14 for intoeing, I have excess femoral anteversion. And im able to lay flat on my stomach and rotate my hips inward until my feel touch the ground on the both sides. The doctor told us about the surgery to fix it but my parents decided not to go through with the surgery. I dont have many problems now other than my hips hurting and occasionally popping really bad. It feels like that pop out of place and the pop back into place. I still sit in a W position because that is what feels most comfortable. But im also able to turn that W into a T with my knees touching the ground while I'm sitting on my bum.

[@carolinavillegas6389]

That’s so crazy... I’m in the exact same boat with you. Oddly enough it was never a problem growing up & never got in the way of my athletics or anything. Just got made fun of when I ran & wasn’t the fastest from it, but it recently became a problem a few years ago when I noticed that my hip had to pop before I felt comfortable from waking up sometimes!

[@ammaratayyab6050]

Can you sit in a cross legged position?

[@ammaratayyab6050]

I'm 24. I went to orthopedics specialist when i was 9 or 10. Doctor told that there is no treatment other than surgery. I sat in W position, and i face difficulty in climbing stairs. I can't sit cross legged.

[@MissKona2009]

awesome presentation. thank you. learned a lot...when u say, most will resolve and will not need surgery...but when my nephew was brought to the surgeon when he was 9 the surgeon said no need for surgery... now he's 12 and still pigeon toed but does athletics without issues..should he still see a surgeon?... they took him to a medical doctor 2 months ago who said.."don't worry, my own kid has pigeon toe and he is just fine."...thoughts please?

[@standingnsucceeding]

Excellent Lecture!

[@Khubsuraat]

Earlier ,I was really really confused with this femoral anteversion concept...but now❤️❤️❤️ its all clear..also I get to know some more important facts....thank u sooo much ❤️❤️❤️❤️ One thing I liked about this video is well explained accuracy of the concept. Which I didn't find in other video and in some video the concept they explained was also wrong For example- That The way of examining the femoral anteversion angle Is that when u examine.. Both leg should be simultaneously moved into internal or external rotation ... otherwise there may b unwanted movement from pelvis But in 1 video I saw...... they were explaining ..one leg should be moved in internal rotation and external rotation. Once again Thank u soo 👍❤️❤️🥰 sir.. ❤️❤️

[@Pediatricorthopedic]

Thanks for the nice comments. I am glad you like it

[@limtherese2762]

why is there excessive medial hip rotation for excessive femoral anteversion?

[@Pediatricorthopedic]

In order to rotate the femur so that the neck version is within normal, the whole lower extremity will turn in

[@silamlaksisay6606]

Thank you so much! U made it simple!

[@Pediatricorthopedic]

Intoeing usually does not cause back pain.Mild intoeing usually does not require treatment. He needs to have his back pain and intoeing assessed by a physician

[@subbukannubalaravindran4496]

I am deeply grateful for educating us through your book and youtube videos. On the topic of Intoeing, I have a doubt. How to we clinically diffrentiate the two causes of intoeing - excess femoral anterversion and internal tibial torsion? I understand if we check hip rotation movements there will be more internal rotation in excess femoral anteversion and it will be normal in Internal tibial torsion. I want to know what happens to tibia in excess femoral anteversion. I read that it externally rotates as a compensatory phenomenon. Is it correct? If yes, how come an externally rotated tibia will cause foot to be intoed?

[@Pediatricorthopedic]

Subbukannu Balaravindran Thanks for the comment. in Most cases of excess femoral anteversion, the tibial will be either normal rotation or internally rotated (hence you will see intoeing). In very small subset of patients, the tibia will be externally rotated and the foot will be pointing forward (this is what is sometimes call miserable mal alignment syndrome)

[@helenapower8862]

I'm 19 years old with excess femoral anteversion in my left foot. When I turn my left foot forward I have back and hip pain. Do I need to see a doctor or is this normal for adult intoeing?

[@Pediatricorthopedic]

Pain is not a normal finding. I would recommend to see a physician

[@janna7843]

my left toe was normal but my right toe always point inward i don't understand my toes

[@Pediatricorthopedic]

If inoteing is obvious, please ask your parents/guardians to consult an orthopedic surgeon for possible correction

[@foxconix8319]

Is it true by the age of 10 that 99% of cases will be corrected without any intervention?

[@luckyparsi]

@@foxconix8319 my daughter is 10 still in toeing

[@Pediatricorthopedic]

severe intoeing can cause tripping. If you think he is tripping more than usual 8 years old, he needs to see pediatric orthopedic doctor for more assessment

[@foxconix8319]

It does cause my daughter to fall a lot. She fell and busted her head one day. I had to take her to the er to have the laceration closed with surgical glue.

[@rosah64124]

I am not sure if I have the condition, but when I was in third grade about 7 or 8 some people pointed out my inward walking. Then as I reached fifth grade this girl noticed I walk inward. I am in sixth grade right now and everyone notices my inward walking. Do I need to go to a doctor to check it out? Any surgery since I am 12 and not an infant? Pediatricorthopedic

[@Pediatricorthopedic]

If the condition is noticeable, Your parents can seek medical advice by orthopedic surgeon. Surgery is rarely indicated but can be done, however, this has to be decided by the orthopedic surgeon who will assess your condition.

[@rosah64124]

Okay thanks for the advice!

[@Pediatricorthopedic]

Thank you

[@waterwiss1014]

I'm already 12 years old and my pigeon toe hasn't corrected! I've been picked on in school about it and embarrasses me and I really wanna correct it

[@nancyneff7951]

My husband (who is 27 years old) suffers from intoeing, it is not severe but I believe it causes him back pain due to the incorrect axis of his legs. What are his treatment options?

[@pineappleprincess5138]

My son is 8, he suffers moderate to severe in-toeing/ Pigeon toed, I had brought him to pediatric doctor at age 2, due to flat footedness and tripping, and it was obvious his feet were pointing inwards. He's suffered frequent tripping, and has difficulty running, even walking, he will trip himself. Is it too late to correct this? Is it possible? I'd like to bring him back but he'll be on a long waiting list :(

[@mizchellebell]

My daughter just turned 1 yr old May 27th & she has been walking since she was 9 months. She trips quiet often when she walk...one foot seems to intoe much more than the other.

[@avndoctor3294]

Brilliant thx

[@jignapatel2479]

Hello doctor. My son is 8 years old and still walks with his toes pointed inwards. What are the exercises he can do to fix it? Please help.

[@Pediatricorthopedic]

It really depends on the cause of intoeing. In general, if intoeing is not severe or bothering the child, there is no need to address the problem. This is a general advice and not patient specific

[@luckyparsi]

@@Pediatricorthopedic do u suggest the exercises or braces improve the intoeing as I'm reading once people are older they get pain

[@paigebrunson9924]

I am 18 and still have intoeing. It causes me alot of pain daily and it causes me to trip alot. Im done growing and havent been able to correct the intoeing. I think im going to need surgery, how long is the healing process in adults?

[@Pediatricorthopedic]

paige brunson in general , 18 years old is still considered young with good healing potential.

[@luckyparsi]

@@Pediatricorthopedic what are the options for a 10 yr old who doesn't have pain. Ortho didn't suggest any. Said there's nothing to do. Is podiatrist a good option?

[@gauravsanjay]

beautiful lecture sir :)

[@Pediatricorthopedic]

Thanks for the nice comment. I am glad you like it

[@Arunima668]

Nicely presented lecture 👏👍

[@ashe510]

I am 13 and still pigeon-toed should I see a doctor?

[@Pediatricorthopedic]

yes, if it is obvious

[@mohamedkilany8152]

thnxs alot dr for ur presentation . dr what about diplegic children ? is their intoeing gait permenant all over their life ? and what r the other causes that make this deformity not for cp child (thnxs dr

[@Pediatricorthopedic]

+Mohamed Kilany For CP child, this is completely different causes and pathology. The only other cause that I did not describe in the video (very very rare), is medial deviation of the big toe (very rare)

[@ashe510]

Thank u

[@jamesandchante]

Lately, my 9-year-old son is walking very pidgen toed, while shaking his hips, and swinging his arms wildly. He seems to think this looks cool, and insists on walking like this, even though the doctor says there is nothing physical causing him to walk like this. However, it is becoming a habit. I wish he would stop walking like this. I don't know if there is actually something physically wrong with him, and the doctor is wrong, and my son pretends to think this walking is cool because he can't help but to walk like this, or if he really just likes it...sigh. he keeps getting teazed all the time, and called a nerd, weirdo, etc., and he doesn't know why. but, I'm sure the strange way he walks has something to do with it. He wants to play sports too, but I know this abnormal gait he has wqhen walking and running isn't helpful if he plays sports.

[@Dhruv28726]

bless you