Do not use non-prescribed treatments such as corrective shoes, twister cables, daytime braces, exercises, shoe inserts, and 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 be in the company of 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 are for protection from injury, cold, or burns and 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 the winter months. When buying shoes for your children, buy properly fitting and flexible shoes with plenty of room so that the toes are not crowded or pinched.