Intoeing in 3 year old, causing knee pain. Help.

[MonsterBookOfTysons]

Hi
My ds who is 4 in June has intoeing.
We have been to the hospital after being referred and the Doctor said he has two types of intoeing. One that usually goes by age 3 and one that lasts till age 11.
He is also flat footed and been prescribed insoles to help this.
My worry is that he has a very painful knee as basically due to the two types of intoeing his thigh and his shin bone twist in opposite directions and his knee is left to struggle in the middle.
He finds walking for more than 15 mins difficult and complains of pain in his knee.
I told all of this to the Doctor who left it that they won't do anything till he is 11 :(
I have to carry ds around as much as possible which I can not do when I have dd 18 months in a buggy.
I do not want him in pain like this and I can't carry him around forever.
I do not know what to do anymore.
Any suggestions or people who have been in this position.

Poor little chap - and poor you, sounds like hard work and also upsetting.

My dd2 has some intoeing, and flat feet and ankles that roll inwards: she now has insoles and they have made a world of difference. Does your ds have his yet? All I know is that dd couldn't walk more than a few yards without complaining of 'my feet/legs hurt', and couldn't run without falling over - but now she can walk for half an hour, and run. With insoles. She is 5.

I hope someone with more specific intoeing experience comes along to help...

Aw your poor DS.

DD is now 8 and has specially molded insoles for her intoeing. They have really helped with the pain. The off the shelp ortho ones they try first didn't make much difference, so she had moulds made of her feet, and now has rubberised ones. What kind of insoles does he have?

As well as her more "usual" intoeing, DD also has Excessive Femoral Ante - version on both legs, though her right leg is worse than her lefts, and she is hypermobile. This makes her intoeing worse.

They are just monitoring her at the moment and she may (or may not) need a fairly major ortho op when she is 10-11 to help rectify it. Tyhey prefer to wait and see though, than act when it may not be needed.

Since having her new insoles she hasn't really complained about pain in her legs and will walk long distances with us, altohugh we are mindful of her condition and give pain relief as appropriate.

I am awaiting the insoles still atm, they are not moulded ones I don't believe as the doctor only took his shoe away for a couple of minutes.
He has gone up a size since then though.
I hope the insoles make a difference like they have for both of your dc then.
Thanks

dd's are moulded too. The NHS ones she was fitted for took six months to arrive (they lost our address ) so we gave up and took her to a private orthotics place. It cost £60, but they are brilliant - and still fine in spite of having gone up a shoe size.

Monster, go back to the GP and ask for a referral to an NHS Peadiatric Podiatrist. The GP may not know how to access that but a general referral into the Podiatry service will start the ball rolling.
I'm a Podiatrist and would NEVER prescribe anything less than casted orthotics for a child. Good luck

Get referred to Consultant Paediatrician - dd's probs caused by poor Vit D/calcium uptake and lax ligaments
Treated with meds and physio

You need to push your gp for an orthotics referal. The orthotist will assess your child and probably prescribe moulded insoles, which have been mentioned above, these make a huge difference.

Go back to your GP and ask for a paediatrician referral to your local hospital. He/she can then refer on to orthotics/podiatry/paeds physio or a combination of those. In some areas, the GP can also refer you directly.

Podiatrist rather than orthotist I think is best placed to assess and prescribe / cast for custom othotics and can refer across to physio too.

Would Physio help at this age with everything not fully developed?

I popped into the hospital today and have an appointment for tomorrow as somebody had cancelled.
I saw the insoles with looked like normal ones.

I am going to write.down some questions for the doctor tomorrow, one being if these insoles don't work can we try moulded ones,
I have spoke to dh about going private and he seems keen, we.will talk after tomorrows appointment.
I also will ask the doctor what happens if no insoles make a difference to his knee and whether they will help him as I can't carry him till he is 11
I plan in being this blunt :o
Thanks for all the advice and I Will update with how the appointment goes :)

Should of said as well that I think the doctor is a paediatric podiatrist.

Your child should have molded/casted, its best practice to cast for any paediatric orthoses.
Go private if needs be but chose your Podiatrist carefully. If you let me know where about in the country you are I may be able to recommend someone.
Paediatric Podiatrists are not doctors btw but specialists in the field of Musculo skeletal and developmental gait analysis.
Good luck

Appointment went ok, we have another for 3 weeks time and if the insoles, which are similar to shop bought ones have not improved his knee, then he is being referred to a consultant.
I am hoping the consultant will do moulded insoles, but if they don't I am keen to have advice wrt a good private podiatrist please lifeisfuckinggreat I am in Northampton.
I want to avoid surgery so moulded insoles would be next step imo :)

You can go here www.northampton.ac.uk/info/20038/school-of-health/1635/podiatry-clinic
They should have top class free assessments initially by students but then by musculo skeletal podiatric specialists and no referral needed from the GP.

Excellent thank you for that lifeisfuckinggreat!