Gait disturbances are one of the most common concerns of parents. These can be caused by problems in any bone, joint, ligament or muscle imbalance in the lower extremity
CAUSE:
- Genetic: gait problems often run in families.Â
- Intrauterine position during pregnancy.
- Tight muscles and ligaments at any level between the foot and hip
- Bone abnormalities in any bone of the lower extremity
- Sleeping and sitting postures may aggravate the condition
SIGNS:
- Out-toe: Feet excessively point to the outside and the arches bulge toward the inside
- Out toe gait associated with flat feet, premature fatigue, and leg pain
- In-toe: Pigeon toe(feet point toward inside and may be associated with tripping and falling)
- Toe walking- children have a habit of walking on their toes. Most of the time, this is done unintentionally.
TREATMENT:
- Identify the primary and secondary level from where the problem is arising
- Possibly casting the extremity to position it properly and stretch tight muscles
- Physical therapy to help stretch tight muscles
- Orthotics to help realign the extremity during activity
- In some cases, surgical intervention may be necessary to adequately address the problem
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