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