In-toeing in your child is a foot deformity where the front half of the foot bends or turns inward toward the side of the big toe. This condition, known as metatarsus adductus, can be attributed to the baby's positioning in the womb. Family history can also play a role. Symptoms of metatarsus adductus typically include inward angulation of the front part of the foot, with ankles and heel in a normal position. In-toeing, or walking with the forefoot turned in, can result from this deformity. Diagnosis is typically made after a physical exam, with an additional assessment of the hips to rule out other issues. Although metatarsus adductus may correct itself with time, performing certain stretching exercises, wearing splints, special shoes, or a cast may be treatments prescribed by a podiatrist. The type of intervention is generally based on the flexibility of the foot. Surgery is rarely needed for in-toeing, and is usually postponed until the child is older. Despite their in-toeing, most children can still engage in athletic activities later in life without interference. To find out more about managing your child's in-toeing, it is suggested that you schedule an appointment with a podiatrist. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Summit Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact one of our offices located in Wilmington, Whiteville, and Wallace, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.