Out-Toeing Gait and Lower Limb Pain

Out-toeing gait, where the feet point outward during walking, is commonly associated with altered hip and knee mechanics. Research suggests that excessive external foot progression can increase rotational stress through the knee joint and sacroiliac region, especially during stance and push-off phases of gait.

Two common physical contributors are:

• Shortened adductor muscles, limiting controlled hip movement

• Reduced gluteus medius activation, impairing frontal-plane pelvic stability

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Corrective Approach

A combination of mobility and strength is essential:

1. Kneeling Adductor StretchImproves medial thigh flexibility and reduces abnormal rotational forces.

2. Side-Lying Gluteus Medius Isometric HoldEnhances lateral hip stability, helping control femoral and pelvic alignment during walking.

Consistent, well-guided exercise can help normalize gait mechanics and reduce cumulative joint stress. Persistent symptoms should be assessed by a physiotherapist to rule out structural contributors.

References (summary level):– Neumann DA. Kinesiology of the Musculoskeletal System– Powers CM. Hip muscle function and lower extremity biomechanics– Journal of Orthopaedic & Sports Physical Therapy (JOSPT)