As your child grows, their legs and feet go through many changes. It’s common for parents to notice things like flat feet, knock knees, or bow legs and wonder — is this just part of growing up, or should I be concerned?
Understanding what’s normal and when to seek help can make all the difference in supporting your child’s healthy development.
Flat Feet
What’s Normal:
Most children are born with flat feet. The arch usually begins to develop by age 5–6 as the muscles and bones mature. Flexible flat feet that don’t cause pain or affect walking are usually not a concern.
When to Seek Help:
- Your child complains of foot or leg pain
- You notice unusual wear on shoes
- Walking appears awkward or unstable
- Flat feet are rigid and do not form an arch when standing on tiptoes
Bow Legs (Genu Varum)
What’s Normal:
Bow legs are common in infants and toddlers under 2 years of age. This happens because of the curled position babies have in the womb. It typically improves by age 3.
When to Seek Help:
- Bowing is severe or worsens after age 2
- It affects only one leg
- Your child limps or complains of knee pain
- There is a family history of bone disorders
- The legs remain bowed beyond age 3–4
Knock Knees (Genu Valgum)
What’s Normal:
Knock knees usually appear between ages 3–6 as a normal part of growth. Most children outgrow it by age 7–8 without treatment.
When to Seek Help:
- The condition is severe or getting worse
- Your child experiences pain or difficulty walking
- Knees touch but ankles remain far apart (gap is large)
- It continues beyond age 8
- Only one knee is affected
Early Diagnosis Leads to Better Outcomes
At Child OrthoCare, we understand how to distinguish between normal variations and orthopedic concerns that need intervention. If needed, we offer:
- Detailed clinical evaluations
- Gait and alignment assessments
- X-rays and imaging
- Custom treatment plans (observation, exercises, orthotics, or bracing)
Unsure What’s Normal? We’re Here to Help
Many leg and foot conditions resolve on their own — but some may require early attention to prevent long-term problems. When in doubt, it’s always better to seek expert guidance.
Concerned about your child’s legs or feet?
Book an Appointment with Dr. Nargesh Agrawal and get a clear answer — and peace of mind — from a pediatric orthopedic specialist you can trust.
Would you like a one-line summary or social media version for this blog?

