Introduction
As a parent, it’s natural to be concerned if your child’s legs appear bowed or their knees seem to angle inward. These conditions, known as bow legs (genu varum) and knock knees (genu valgum), are common in growing children. But how do you know what’s normal and when it’s time to consult a pediatric orthopedic specialist?
Understanding Bow Legs and Knock Knees
Bow legs refer to a condition where a child’s legs curve outward at the knees while the feet remain together. It is commonly observed in infants and toddlers, especially under the age of two. This condition usually improves as the child begins walking and their bones grow stronger.
Knock knees, on the other hand, are most noticeable between ages 3 to 5. In this condition, the knees touch or angle inward while the ankles remain apart. Just like bow legs, knock knees are often part of normal bone development and tend to resolve naturally by age 7 or 8.
When Should You Be Concerned?
While both conditions can be normal during specific growth phases, there are certain signs that may indicate a more serious issue. Parents should seek medical advice if:
- The condition appears only on one side
- The curvature is severe or worsening
- The child experiences pain while walking
- There is frequent tripping or limping
- The condition persists beyond the age of 7
These symptoms may point to underlying issues such as rickets, Blount’s disease, or other skeletal disorders that require specialized care.
Diagnosis and Treatment Options
At Child OrthoCare, Dr. Nargesh Agrawal carefully evaluates each child using a combination of physical examination and imaging tests like X-rays. Based on the findings, the treatment plan may involve:
- Observation and regular follow-up for age-appropriate cases
- Physical therapy and bracing for mild to moderate deformities
- Surgical correction in severe or persistent cases
The goal is always to support normal development while preventing future complications.
Conclusion
Most children outgrow bow legs and knock knees as part of their natural growth. However, timely evaluation by a pediatric orthopedic expert ensures that no underlying problem is missed. If you notice any unusual leg alignment in your child or have concerns about their walking pattern, don’t hesitate to seek professional advice.Why Choose Child OrthoCare?
At Child OrthoCare, we offer specialized care for children with orthopedic conditions. Led by Dr. Nargesh Agarwal, a leading Pediatric Orthopedic Surgeon with extensive experience in treating clubfoot using the Ponseti Method, we ensure your child receives compassionate, evidence-based treatment.
Visit Us:
Child OrthoCare Clinic
Clinic Address: C-7, Ground Floor, D- Park, Model town -3, New Delhi 110009
Call Us: +91-9873191340
Website: www.childorthocare.com
Email: [email protected]

