Out-toeing

Overview
Out-toeing occurs when the feet point outward while walking. It can appear in childhood but may also result from structural or muscular issues.

Causes

• Hip or knee external rotation

• Weak lower limb muscles

• Bone abnormalities

Risk Factors

• Children’s growth stage

• Sports injuries

Symptoms

• Feet turned outward when walking

• Wide stance gait

• Fatigue after walking or standing

Complications

• Knee degeneration

• Spinal compensation

• Unsteady posture

Diagnosis

• Clinical examination

• Gait analysis

Prevention & Home Care

• Supportive footwear

• Stretching and strengthening exercises

Management
Management of out-toeing includes physiotherapy and gait retraining to improve posture and balance. Custom-made orthotic insoles help realign the feet, reduce abnormal pressure on joints, and support proper movement. In rare severe cases, corrective surgery may be considered.