Do not use non-prescribed treatments such as corrective shoes, twister cables, daytime braces, exercises, shoe inserts, or back manipulations. They do not correct the problem and may be harmful because they interfere with normal play or walking. They may also cause additional deformity. In-toeing may occur with another foot deformity called clubfoot. With a clubfoot, the forefoot is twisted out of shape and the heel is turned inward.
Early treatment is needed and includes manipulation and possible casting.
Shoes provide for protection from injury, cold, or burns. Shoes may interfere with toddlers learning to walk. They prefer to walk barefoot and use their toes for balance. Let them be shoeless indoors or on grass or sand. Use booties or socks during winter.