Adult tibial torsion?

I recently viewed your video “tibial torsion audio” on youtube and was directed to your website; I was amazed to realize that the dancer in the video seemed to have the same problem as me, where she did not stand evenly on her legs, and in a demi pliet the knee turned inward in relation to the foot. I believe that my right leg has tibial torsion which is negatively impacting my ability to dance or workout. I was wondering if you knew of any doctor who specializes in diagnosing or treating adult tibial torsion, or could provide exercises to help correct this condition. I am a bit clueless, because this is the first time I have heard of someone with knowledge of the asymetry which affects others and me. Any help or direction you could provide would be invaluable and greatly appreciated.


Unfortunately, Josh, you can’t undue the tibial torsion once you have it – but it doesn’t have to stop you from dancing. You do, however, need to focus first and foremost on keeping the weight even between the 3 points of the foot, the pads of the big toe, little toe, and heel. The knees will not be over the middle of the foot as we so often hear in dance class. For the dancer with tibial torsion if they pull the knees out to get them over the middle of the foot they are doing it by supinating the foot or overly using the sartorious muscle to pull the knees out to the side. Then you’ll have more problems than just pulling the knees out to the side!

The treatment? To simply balance out any muscular imbalances and keep the weight on the feet properly placed while working the turnout as well as you can from the hip – not the knees and feet.

7 replies
  1. Graycen
    Graycen says:

    I am a twelve year old dancer. I just got back my evaluations from the ABT Summer Intensive at OC and they said my turnout needs improvement. Are there any excersises or stretches(besides the frog) that can help improve my turnout? Thanks!

    • deborah
      deborah says:

      Hi! Sometimes dancers overuse their turnout – and need to help those muscles release before they still stretch more easily, or strengthen. I would encourage you to use the pinkie ball on the pelvis before class and before stretching. Then you might want to strengthen those turnout muscles by practicing the clamshell exercise. Click here for a description.

  2. Shekina
    Shekina says:

    I am 17 and I have internal tibial torsion, I am experiencing knee pain and my legs have started to buckle. I cannot fine any website that will tell me what I can do! I started dance and after 3 years I had to quit because I could no longer dance without my legs giving out. What treatments are there other than surgery?

  3. Jason Prevost
    Jason Prevost says:

    Tibial torsion can be improved. This improvement can be evidenced in a more centrally aligned tibia. There are techniques that can reliably restore congruency between the tibia and femur. Weakening of the glute Medius must also be ruled out in the case of external rotation. The existence of a fallen medial arch with pronation must also be considered. Just a few thoughts

      SARAH SILVER says:

      Hello Jason,
      Can you recommend doctors who specialize in this area and have successfully treated adults who suffer from tibial torsion?
      Please post,
      With appreciation,

    • Jan
      Jan says:

      I also have external tibial torsion which has gradually gotten worse & is affecting my walking now. I do have fallen arches. Are you aware of any MDs who treat this condition in adults?

      • deborah
        deborah says:

        Hello, I would encourage you to find a podiatrist that works with dancers or athletes as they should be able to assess you properly to see if arch supports would be useful.
        Best, Deborah


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