In-toeing almost always gets better on its own and does not pose a problem during childhood or adulthood.

Out-toeing also can be a normal part of development. Unlike in-toeing, however, it doesn’t spontaneously correct itself, for the lower limbs tend to rotate outward with growth rather than inward. At best, out-toeing stays the same as the child matures; at worst, it can become more pronounced. Out-toeing can get worse with age and can interfere with a child’s ability to participate in physical activities, such as sports.