How should inward-facing walking (pigeon-toed) in toddlers be corrected?

Patient's question:

My family has a girl, who is now 4 years old. The child is already attending kindergarten. When she was young, I noticed that she walked with some in-toeing, but I feel it's more severe now. I want to consult about what should be done.
What kind of help I want: How should I deal with in-toeing in a young child?

Doctor's answer:

The cause of pigeon-toed feet is due to prolonged incorrect pressure on the feet, uneven foot pressure, which leads to bone deformation and the recurrence of pigeon-toed feet. Pigeon-toed feet can be corrected with gait orthotics. These insoles primarily provide support for the arch of the foot during walking. In such cases, it is important to pay attention to whether the child is calcium-deficient. Try to ensure that the baby is exposed to direct sunlight for at least an hour each day and have regular health check-ups at the pediatric health clinic. If calcium deficiency is detected, calcium acetate series can be considered, as it is relatively easy to metabolize.

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