{"id":4056,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T11:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/intoeing\/"},"modified":"2024-12-30T14:38:36","modified_gmt":"2024-12-30T14:38:36","slug":"intoeing","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/intoeing\/","title":{"rendered":"In-toeing"},"content":{"rendered":"\n<p><strong>M.A. &amp; M-J.S. 17-04-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>Very common in young children, usually seen in both feet, but can be unilateral or more obvious on one side.<\/p>\n\n\n\n<p>Usually improves over time but not always completely. Does not usually cause functional problems other than increased tripping\/falling which is caused by toes catching and nothing to worry about<\/p>\n\n\n\n<p>Can be coming from hip, knee or foot (or combination)<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Insoles and exercises will not correct this, neither will stretches.<\/p>\n\n\n\n<p>Reassure parents normal variant, provide with leaflet.<\/p>\n\n\n\n<p>When to refer on to paediatric orthopaedics<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>unilateral<\/li>\n\n\n\n<li>pain<\/li>\n\n\n\n<li>affecting ADL&#8217;s or restriction of activity<\/li>\n\n\n\n<li>significant deformity&nbsp;<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Normal-Lower-Limb-Variants-in-Childhood-RHCYP-V2.0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Normal-Lower-Limb-Variants-in-Childhood-RHCYP-V2.0.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>M.A. &amp; M-J.S. 17-04-24<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3664,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[761],"class_list":["post-4056","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-intoeing"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/paediatric\/paediatricorthopaedics\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-intoeing\/\" rel=\"tag\">In-toeing<\/a>","rttpg_excerpt":"M.A. &amp; M-J.S. 17-04-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4056"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4056\/revisions"}],"predecessor-version":[{"id":22311,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4056\/revisions\/22311"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3664"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}