{"id":4238,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/outtoeing\/"},"modified":"2024-12-30T14:48:55","modified_gmt":"2024-12-30T14:48:55","slug":"outtoeing","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatricorthopaedics\/outtoeing\/","title":{"rendered":"Out-toeing"},"content":{"rendered":"\n<p>\u200b<strong>Information<\/strong><\/p>\n\n\n\n<p>Often simply a normal variant.<\/p>\n\n\n\n<p>Can be associated with flat feet.&nbsp; Will usually resolve spontaneously over time.<\/p>\n\n\n\n<p>Sometimes when babies first start walking they turn one or both feet out to help improve their stability \u2013 this is normal and should resolve over time.<\/p>\n\n\n\n<p>If presenting in older children as new onset out toeing think SCFE (can be unilateral or bilateral).<\/p>\n\n\n\n<p><strong>M.A. &amp; M-J.S. 17-04-24<\/strong><br><\/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\">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>Referral to Physiotherapy is generally not necessary.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">When to refer on to Paediatric orthopaedics:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>concern regarding DDH or SCFE<\/li>\n\n\n\n<li>stiffness in hip\/hips or concern one leg is different length to the other<\/li>\n\n\n\n<li>if the presentation is unilateral, new or worsening<\/li>\n\n\n\n<li>pain<\/li>\n\n\n\n<li>functional \/ ADL difficulties<\/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>&#8203;Information Often simply a normal variant. Can be associated with flat feet.&nbsp; Will usually resolve spontaneously over time. Sometimes when babies first start walking they turn one or both feet out to help improve their stability &ndash; this is normal and should resolve over time. If presenting in older children as new onset out toeing<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[767],"class_list":["post-4238","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-outtoeing"],"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-outtoeing\/\" rel=\"tag\">Out-toeing<\/a>","rttpg_excerpt":"&#8203;Information Often simply a normal variant. Can be associated with flat feet.&nbsp; Will usually resolve spontaneously over time. Sometimes when babies first start walking they turn one or both feet out to help improve their stability &ndash; this is normal and should resolve over time. If presenting in older children as new onset out toeing","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4238","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=4238"}],"version-history":[{"count":5,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4238\/revisions"}],"predecessor-version":[{"id":22317,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4238\/revisions\/22317"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4268"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}