External Tibial Torsion
By Dr. Julian Lim
External Tibial torsion is a common but usually an overlooked cause of knee and foot issues such a plantar fasciitis, Achilles tendonitis and knee injuries. It occurs when the lower leg bone (tibia) turns excessively outwards when compared to the upper leg (femur).
What causes it?
- Tight ligaments and tendon structures in the knee, leg or hip.
- Hereditary issues
- Injury as a child
- Untreated foot or knee injuries
Signs and Symptoms
- Usually seen when children begin to walk, while looking at them from behind you might see their toes and feet turning outwards between the pages of 4-7
- Child may lack coordination in activities such a sports
- Knee and/ or foot pain
- Usually seen in one leg more than the other
- When standing the individual may have flatfoot deformities and “knock knees” knees bending inwards
- The knees may appear to be straight when standing or walking yet the feet turn outwards when walking
What can be done?
- Depending on the cause of the issue strengthening exercises and a specific rehabilitation program might be beneficial.
- Taping the leg, foot, knee depending on the cause while doing exercises to help retrain specific muscle patterns
- Use of a supportive brace and/ or foot orthotics during activities to minimize pain from activities.
For more information please feel free to contact our office.