In-toeing, should I be concerned
Why Does My Child Walk with Their Feet Turned In?
If you’ve noticed your child’s feet turning inwards when they walk or run, this is called intoeing (often nicknamed “pigeon-toed”). It’s very common in young children and usually improves naturally as they grow. Intoeing can come from the feet, shin bones, or thigh bones depending on your child’s age.
Most of the time, it doesn’t cause pain or stop children from playing and keeping active. However, if your child trips often, has pain, or if the intoeing seems to be getting worse, it may be worth seeking professional advice.
At Bloom and Balance Physio, we can assess your child’s walking, provide reassurance, and guide you with any stretches, exercises, or advice if needed.
Understanding Intoeing in Children
As a parent, you may notice your child’s feet turning inwards when they walk or run. This is commonly called intoeing or being “pigeon-toed.” It can be worrying at first, but in most cases, intoeing is a normal part of development and often improves with time.
Why does intoeing happen?
Intoeing can occur for a few different reasons, depending on your child’s age:
Feet (Metatarsus Adductus): In babies and toddlers, the foot itself may curve inwards. This is often due to how your baby was positioned in the womb.
Shin Bones (Tibial Torsion): In preschool-aged children, the shin bone may naturally twist inwards, making the feet point in.
Thigh Bones (Femoral Anteversion): In older children (usually 4–7 years), the thigh bone can rotate inwards, leading to the knees and feet turning inwards.
Will my child grow out of it?
The good news is that intoeing usually resolves on its own as children grow, and it rarely causes long-term problems. Most children learn to walk, run, and play without pain or difficulty.
When should you seek advice?
Although intoeing is often nothing to worry about, you may want to seek a physiotherapy or medical opinion if:
Your child trips or falls frequently.
The intoeing is worsening rather than improving.
One leg looks very different from the other.
Your child has pain, swelling, or difficulty keeping up with peers.
How can physiotherapy help?
A paediatric physiotherapist can:
Assess your child’s movement and alignment.
Provide reassurance and guidance on what to expect.
Recommend simple stretches, strengthening, or activity ideas if needed.
Support you with advice on footwear and posture.
Key takeaway
Intoeing is very common and usually nothing to worry about. With reassurance, monitoring, and the right support if needed, most children grow out of it naturally.
At Bloom and Balance Physio, we’re here to help parents feel confident about their child’s development. If you’d like advice about your child’s walking, don’t hesitate to get in touch.
Toe Walking
Toe Walking in Children
It’s common for young children to walk on their tiptoes when they are first learning to walk. For many, this is just a phase that they grow out of naturally. However, if toe walking continues beyond the age of 2–3 years, happens frequently, or your child is unable to place their heels down, it may be worth seeking advice.
Possible causes include:
Habitual walking pattern
Tight calf muscles or Achilles tendon
Developmental delays
Neurological conditions (e.g. cerebral palsy)
When to seek support:
Toe walking is persistent past age 3
Your child cannot walk with heels down when asked
There are concerns about balance, coordination, or development
Toe walking is painful or affecting daily activities
At Bloom and Balance Physio, we assess children’s walking patterns in a fun, child-centred way and provide tailored exercises, stretches, and strategies to support healthy movement and development.
Toe walking, should I be concerned?
What is idiopathic toe walking?
Toe walking means a child walks on the balls of their feet without their heels touching the ground. Sometimes this is due to a medical condition, but when there’s no clear cause, it’s called idiopathic toe walking. "Idiopathic" just means we don’t know the exact reason why.
Why does it happen?
Many toddlers go through a phase of walking on their toes when they first learn to walk.
In some children, the habit just continues beyond the toddler years.
Some kids might toe walk because it feels natural, or they like the sensation.
Is it something to worry about?
Most children who toe walk grow out of it on their own.
If toe walking continues past the age of 3–4 years, it’s worth keeping an eye on.
Toe walking is only a concern if:
The child can’t put their heels down when asked.
It’s happening all the time.
It’s linked with pain, stiffness, clumsiness, or other developmental concerns.
What can parents do?
Encourage your child to walk with their heels down through play (e.g., walking like animals, jumping games, or walking uphill).
Stretching the calf muscles can sometimes help if they are a bit tight.
Supportive, heavier footwear can make heel contact easier.
If toe walking is persistent or you’re worried, a physiotherapist can check for tightness, muscle strength, muscle tone or balance issues.
Reassurance: In most cases, idiopathic toe walking is just a habit and doesn’t cause long-term problems. With time, encouragement, and sometimes physiotherapy support, children usually learn to walk with their heels down.
Tummy Time Tips: How to Make it Fun for Your Baby
Tummy time doesn’t have to be a struggle. With a few simple tweaks, it can become a playful way to bond with your baby while helping them build strength for rolling, crawling, and exploring the world around them. From face to face cuddles on your chest to colourful toys and mirrors that spark curiosity, there are lots of gentle ways to make tummy time fun. Discover easy tips and encouragement in our latest blog post.
Many parents breathe a sigh of relief when they hear the words “tummy time.” It can feel like yet another thing to tick off the list, especially if your baby isn’t a fan of being on their front. But tummy time doesn’t have to be stressful for you or your little one. It can be a gentle and playful way to bond, while giving your baby the chance to grow stronger each day.
At Bloom and Balance Physio, I believe every small moment matters. Tummy time helps your baby build the strength and confidence they’ll need for rolling, crawling, and eventually walking. And with a few simple tweaks, you can turn it into an activity your baby looks forward to, filled with smiles, connection, and reassurance.
Why Tummy Time Matters
Tummy time is more than just lying on the floor. It strengthens your baby’s neck, shoulders, arms, and back, setting the stage for key milestones like rolling, sitting, and crawling. It also helps prevent flat spots on the head and encourages your little one to explore their surroundings from a new perspective.
How Much Tummy Time Does My Baby Need?
Newborns: Start with just 1–2 minutes, a few times a day.
By 3 months: Aim for around 20–30 minutes spread throughout the day.
By 6 months: Babies often enjoy longer stretches and may roll into tummy time themselves.
Remember, little and often is best. Short, positive experiences add up over time.
Fun Ways to Make Tummy Time Easier
Start on your chest. Lie back with your baby on your chest so they can lift their head to see your face. This is both comforting and strengthening.
Use a rolled towel or pillow. Place a soft roll under your baby’s chest to make lifting up less challenging.
Mirror play. Babies are fascinated by their own reflection. A baby-safe mirror on the floor can capture their attention.
Sing and chat. Your voice is your baby’s favourite sound. Gentle singing or talking keeps them calm and reassured.
High-contrast toys. Black-and-white or brightly coloured toys encourage your baby to look, reach, and explore.
After nappy changes. Adding a short burst of tummy time after changes can build it into your daily routine.
Sibling play. If there are older brothers or sisters, have them lie down on the floor too. Babies love to copy and connect.
What If My Baby Struggles with Tummy Time?
It’s very common for babies to fuss at first. Here are some tips if tummy time feels tricky:
• Try shorter sessions more often. Even 30 seconds counts.
• Stay close and offer eye contact, touch, and encouragement.
• Mix it up! Change locations, use toys, or try tummy time outdoors on a blanket.
• Remember, persistence with kindness is key. It will get easier as your baby gets stronger.
When to Seek Extra Support
Every child develops at their own pace, but you might want to check in with a physiotherapist if:
• Your baby consistently avoids tummy time.
• They always turn their head to one side.
• You notice flat spots on the back of the head.
• By 3–4 months, your baby struggles to lift their head at all during tummy time.
Professional guidance can make a big difference, and you don’t have to navigate it alone.
Final Thoughts
Tummy time is about more than physical development; it’s also about bonding, laughter, and discovering the world together. With patience and creativity, you can transform it into a positive part of your daily rhythm.
If you’d like more personalised support or reassurance, Bloom and Balance Physio is here to guide you. Together, we can help your little one grow in strength and confidence, one playful moment at a time.
Useful Resources
https://www.lullabytrust.org.uk/
https://www.nhs.uk/conditions/baby/babys-development/play-and-learning/keep-baby-or-toddler-active/