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Much unnecessary concern is caused by the appearance of the foot and leg position when toddlers first start walking. These can include flat feet, bow legs, knock knees, toe walking and feet pointing inwards (in-toeing) or outwards (out-toeing).
As the foot and lower limb grows and develops, it undergoes various positional changes that may look like a problem to the untrained eye, but may just be a matter of developmental change.
In-toeing / Out-toeing in children is a normal part of a child's development and does not require referral into Orthopaedics. Please manage in Primary Care with advice, encouragement and self-management.
The advice in this pathway applies to patients up to musculoskeletal maturity at approximately 18 years of age
If additional support is required to manage the problem, Gloucestershire Care Services (GCS) provides foot and ankle services in Gloucestershire.
The main entry point for foot and ankle services is via Core services, accessed via the online self-referral form, (click here for printable link), which the patient can complete themselves if able to and willing.