Intoeing is a presentation of the feet turning inward when standing, walking and or running. The feet often collapse in the center of the arch causing a flat foot presentation. Intoeing usually comes from a deformity in the hips or femur called internal femoral torsion along with tight ligaments and muscles. Usually conservative treatment provides enough biomechanical control to eleviate major problems such as tripping over ones feet especially when running, leg tiredness or pain within the arch. Conservative treatment consists of standard inserts-orthotics or specialized inserts called gait plate orthotics along with stretching exercises and physical therapy. Very rarely is surgery required to help correct the deformity.