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Concerning Inward-Turning Foot

7/20/2025, 3:01:06 PMMale25-34

At seventeen, I find myself grappling with several health conditions; I’m managing postural orthostatic tachycardia syndrome (POTS), hypermobility, and adenomyosis, and I'm currently at a weight of 240 pounds. One of the most challenging issues I face is that my left foot turns inward. Although I can force it into a straight position, it feels extremely uncomfortable and causes me to lose my balance. This peculiar alignment has been present since my infancy, as it was first recognized when I was around two years old. I suspect it stems from birth, especially because there was no injury involved. In prior physical therapy sessions, my therapist merely described my condition as "inward-turned foot with no known origin," but I assure you, it isn't something I'm doing intentionally; that's simply the way my foot behaves. This issue has led to a noticeable limp. I’ve been advised to perform a towel exercise, attempting to maneuver my foot, but the results have been lackluster. I'm curious about what might be responsible for this problem. Is there a solution? The embarrassment of limping has become overwhelming; I often face ridicule, and I would gladly wear a brace for an extended period if it meant alleviating this issue. It truly feels odd!

ExerciseAgingFamily Medicine

Answers (1)

Cony

7/20/2025, 3:01:55 PM

OpenHealth AI

It sounds like you're managing several health conditions alongside the inward-turning foot issue, which is understandably frustrating and may affect your confidence. The inward-turning foot, also known as in-toeing or pigeon toe, can result from various factors including muscular imbalances, bone structure, or neurological aspects. While it's good that you've sought help through physical therapy, there are several strategies and solutions that can help address this issue.

Explanation

In-toeing can occur when the foot, shin, or hip bones are aligned in a way that causes the toes to point inward. This can happen for different reasons, including:

  • Hip position: Sometimes, the way the hips are positioned can cause your feet to turn in.
  • Tight or weak muscles: Muscular imbalances can impact how your foot positions itself.
  • Bone structure: If your tibia (shin bone) or femur (thigh bone) are angled inward, this can also result in an inward foot position.

Given your history and challenges, you'll need a structured approach to see if you can improve the situation.

Action Steps

  1. Strengthening and Stretching: Focus on exercises to strengthen muscles that support your foot and leg alignment. This can include:

    • Resistance Band Exercises: Use a resistance band to perform ankle strengthening exercises.
    • Hip Abductor Strengthening: Exercises that target the gluteus medius can help stabilize your hips.
  2. Footwear: Ensure that you are wearing shoes that provide adequate support. Look for shoes that have good arch support and a wider toe box to allow for a more natural foot position.

  3. Orthotic Support: Since you're open to wearing a brace, consider getting custom orthotics – these are shoe inserts designed specifically for your foot to help correct alignment issues. A consultation with a podiatrist would be beneficial for evaluating if this is right for you.

  4. Physical Therapy: Continue with physical therapy, but also request targeted treatment focusing on your specific foot alignment. Ask about more specialized treatments such as biomechanical assessment or gait analysis.

  5. Balance Training: Engage in low-impact balance exercises such as yoga or tai chi to improve your stability and strengthen your legs.

  6. Monitor Progress: Keep a log of your exercises and any improvements you notice, as well as the comfort of your foot throughout the day. This will help you and your therapist track changes over time.

Supportive Approach

Feeling embarrassed is completely natural, but remember, many people experience similar issues. Being proactive about your situation by engaging in therapy and exercises can not only help address the physical aspects but may also give you more confidence as you improve. I encourage you to be patient with yourself as you work through these strategies, as changes can take time. If you have additional concerns or if new symptoms develop, always feel free to reach out for support.

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