A twisted femur called “femoral retroversion” could also cause out-toeing, but it’s most common in obese children. Lie flat on your back with your legs extended. If your knees point out to the side, then the issue is in your hips. If your knees are straight up and your feet turn to the side, then the issue is in your tibia. [2] X Research source
Flat feet could also be a symptom of a twisted hip or tibia. You may not have any pain if you have out-toeing from flat feet.
Orthotics will not fully cure out-toeing, but it can help to correct mild conditions. [9] X Research source Some experts have found that special shoes or braces aren’t effective or show no differences in treatment. [10] X Research source
Butterfly stretch[12] X Research source : Sit up straight and bend your knees. Drop your legs to the side and press the soles of your feet together. Hold onto your feet and slowly lean forward. For a deeper stretch, press down on your thighs. [13] X Trustworthy Source Arthritis Foundation Main organization devoted to arthritis support and education Go to source Piriformis stretch[14] X Research source : Lie on your back and pull your right knee up toward your chest. Hold onto your knee with your left hand and pull it toward your left shoulder. Hold the stretch for about 30 seconds. Then, pull your left knee toward your right shoulder. [15] X Research source Hamstring stretch: Place your heel on a table that’s about waist-height and keep your leg fully extended. Keep your toes pointed up and bend forward at the hips. Hold your stretch for 30 seconds for each leg. [16] X Research source
If you don’t see any changes, talk to your doctor about what you can do for the next steps.
For more severe conditions, you may have wires, plates, or screws inserted to hold your leg in position while it heals.
Out-toeing can also make it difficult or painful to run, bike, or play sports. [20] X Research source
Your doctor will usually give you a physical to check your range of motion and do a neurological exam to check for nerve and muscle function. They may order x-rays if they find anything concerning.
