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Knock Knees vs. Bow Legs – Understanding the Difference

As children grow, parents often notice changes in the way their legs are shaped. Two common conditions that raise concern are knock knees and bow legs. While these terms describe different leg alignments, both are usually part of a child’s natural growth pattern. However, in some cases, they may point to underlying orthopedic issues that require medical attention. This blog will help you understand what these conditions are, how to tell them apart, and when it’s important to seek treatment. What Are Knock Knees? Knock knees, medically called genu valgum, occur when a child’s knees angle inward and touch each other while the ankles remain apart. Key points about knock knees: What Are Bow Legs? Bow legs, known as genu varum, occur when a child’s legs curve outward at the knees, creating a noticeable gap between the knees when the ankles are together. Key points about bow legs: Key Differences Between Knock Knees and Bow Legs Feature Knock Knees Bow Legs Leg Shape Knees touch, ankles apart Ankles touch, knees apart Common Age Range 3–6 years Birth to 2–3 years Natural Correction Age 7–8 years 2–3 years Possible Causes Normal growth, genetics, injury, rickets, obesity Normal growth, rickets, bone diseases, injury When to Worry While mild cases are often part of normal growth, you should seek a pediatric orthopedic evaluation if: Possible Causes of Persistent Knock Knees or Bow Legs Treatment Options Final Word for Parents Knock knees and bow legs are usually part of the natural growth process in children, and most cases correct themselves without any intervention. However, if the condition is severe, painful, or persistent, consulting a pediatric orthopedic specialist ensures your child gets the right care at the right time. Clinic Address:C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009 Call/WhatsApp: +91 88517 77145 Website: childorthocare.online

Flat Feet in Children – When to Worry and When It’s Normal

Many parents get concerned when they notice their child’s feet looking flat or when the arch seems missing while standing. Flat feet in children, also known as pes planus, is a common condition — but it’s not always a cause for alarm. In most cases, it’s a natural part of development and corrects itself over time. However, in some situations, flat feet can signal underlying issues that require medical attention. In this blog, we’ll explain what’s normal, when to be concerned, and how to ensure your child’s feet stay healthy. What Are Flat Feet? Flat feet occur when the arches on the inside of the feet are not visible or appear collapsed, causing the entire sole to touch the floor. In young children, this is often due to undeveloped arches, which gradually form as they grow. When Flat Feet Are Normal Flat feet are common in infants and toddlers because their foot bones, ligaments, and muscles are still developing. Most children develop a visible arch by the age of 6–7 years. Flat feet in this stage are usually normal if: When to Worry About Flat Feet You should seek medical evaluation if your child: In some cases, flat feet may be linked to structural problems, tight tendons, nerve conditions, or joint disorders that need treatment. Possible Treatments for Problematic Flat Feet The treatment for flat feet depends on the underlying cause and severity. Options may include: Tips for Parents to Support Healthy Foot Development Final Word for Parents Flat feet in children are often just a natural stage in development. However, if your child has persistent pain, stiffness, or difficulty walking, early consultation with a pediatric orthopedic specialist can ensure proper diagnosis and treatment. Early intervention prevents long-term issues and helps your child enjoy an active, pain-free life. Clinic Address:C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009 Call/WhatsApp: +91 88517 77145 Website: childorthocare.online

Early Signs of Bone and Joint Problems in Children Parents Shouldn’t Ignore

As parents, we want nothing more than to see our children run, jump, and play without any discomfort. Healthy bones and joints are essential for a child’s physical development, balance, and overall well-being. However, bone and joint problems in children can sometimes develop quietly, showing only subtle symptoms at first. If these early warning signs go unnoticed, they may lead to more serious issues later in life, affecting your child’s posture, mobility, and growth. The good news is that with early detection and timely treatment, most pediatric orthopedic conditions can be managed effectively — and many can be completely resolved. This guide will help you understand the key symptoms to watch out for and why early intervention matters. 1. Persistent or Recurring Pain While occasional aches in growing children are normal, persistent or recurring pain — especially in the knees, hips, ankles, or back — should not be ignored. If your child complains of pain that gets worse after physical activity, interferes with their sleep, or requires frequent rest breaks, it may be a sign of an underlying orthopedic issue. 2. Limping or Abnormal Walking Patterns A noticeable limp, walking on toes, dragging one foot, or uneven movement can signal leg length differences, hip disorders, muscle weakness, or joint stiffness. Even if the limp comes and goes, it is important to seek professional evaluation, as children often adapt to discomfort without complaining. 3. Visible Deformities or Abnormal Alignment Parents should look for signs such as bowed legs, knock knees, uneven shoulders, or an unusually curved spine. While some alignment changes are part of normal growth, persistent or severe deformities require assessment by a pediatric orthopedic specialist to rule out conditions like rickets, scoliosis, or hip dysplasia. 4. Swelling, Redness, or Warmth Around Joints Swelling, warmth, or redness around the knee, ankle, elbow, or wrist can indicate inflammation, injury, or infection. Joint infections in children need immediate attention to prevent long-term damage. 5. Delayed Physical Milestones If your child is slower to crawl, stand, or walk compared to other children their age, it could be due to orthopedic or neuromuscular issues. Delays in achieving these milestones should be evaluated early so that corrective measures, such as physiotherapy, can be started. 6. Limited or Restricted Movement Children should be able to move their joints freely and without pain. Difficulty bending, straightening, or rotating a joint — especially if accompanied by discomfort — can indicate structural or inflammatory problems that require medical attention. Why Early Diagnosis is Essential Children’s bones are still developing, which means they have remarkable healing potential. However, the same rapid growth can cause certain orthopedic issues to progress quickly if untreated. Detecting problems early not only improves the chances of full recovery but also prevents long-term complications such as chronic pain, permanent deformities, or reduced mobility. When to Consult a Pediatric Orthopedic Specialist If your child shows any of the symptoms listed above for more than a week, or if the symptoms appear suddenly and severely, it is advisable to consult a pediatric orthopedic specialist immediately. Even seemingly minor issues should not be ignored, as they can be early indicators of more significant problems. At Child OrthoCare, we specialize in diagnosing and treating a wide range of bone and joint conditions in children — from minor injuries to complex deformities. Our team understands the unique needs of growing bones and provides treatments that support healthy development, quick recovery, and long-term well-being. Clinic Address:C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009 Call/WhatsApp: +91 88517 77145 Website: childorthocare.online
Child receiving expert orthopedic physiotherapy for children from pediatric orthopedic specialist

Role of Pediatric Physiotherapy in Recovery

Role of Pediatric Physiotherapy in Recovery and Growth When children face orthopedic conditions, injuries, or developmental delays, treatment doesn’t end with diagnosis or surgery. One of the most essential components of full recovery is pediatric physiotherapy—a targeted approach that helps children regain movement, build strength, and grow with confidence. Let’s explore how physiotherapy supports healing and long-term well-being in growing bodies. What Is Pediatric Physiotherapy? Pediatric physiotherapy is a specialized branch of therapy focused on improving mobility, strength, posture, and coordination in children of all ages. It’s especially important for children recovering from: Unlike adult therapy, it’s designed to be gentle, engaging, and child-friendly, often involving play-based exercises. How It Helps in Orthopedic Recovery Whether a child has had casting, bracing, or surgery, physiotherapy plays a critical role in: For growing children, therapy also helps guide healthy bone and muscle development in the right direction. What Happens During a Session? A pediatric physiotherapy session may include: Therapists closely tailor the program to each child’s age, condition, and recovery stage. When to Start Physiotherapy? Early intervention is key. Your orthopedic specialist may recommend physiotherapy: The sooner therapy begins, the better the chances for full recovery and functional independence. Active Recovery. Stronger Future. If your child is recovering from an orthopedic condition or struggling with movement, pediatric physiotherapy can make a life-changing difference. Schedule an assessment with Dr. Nargesh Agrawal at Child OrthoCare to create a recovery plan tailored to your child’s needs. Contact Information Clinic Name: Child OrthoCareConsulting Pediatric Orthopedic Surgeon: Dr. Nargesh AgrawalAddress: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009Phone: +91 88517 77145Website: www.childorthocare.online
Child receiving expert clubfoot correction from pediatric orthopedic specialist

Is Your Child’s Clubfoot Coming Back?

Is Your Child’s Clubfoot Coming Back? Signs of Relapse Every Parent Should Know Clubfoot is a treatable condition—and with early intervention, most children go on to walk and play normally. But even after successful treatment, there’s a chance the condition can come back, especially during early childhood. This is known as clubfoot relapse. Understanding the signs of recurrence and staying proactive with follow-up care can make all the difference in preventing long-term problems. What Is Clubfoot Relapse? Clubfoot relapse refers to the reappearance of inward foot deformity after it was initially corrected—typically using the Ponseti method (casting, minor surgery, and bracing). Relapse can happen: Why Does Clubfoot Relapse? The muscles around the foot and ankle in children with clubfoot tend to be weaker and tighter, even after treatment. This makes the foot more prone to drifting back into an abnormal position if: Early Signs of Clubfoot Coming Back Watch closely for these early symptoms: It’s important to note that relapse is usually painless—but visible changes in foot shape or movement are key warning signs. What Should You Do? If you suspect a relapse, don’t wait. Early management can often correct the problem without surgery. Treatment options may include: Importance of Long-Term Follow-Up Relapse is most common in the first 5 years, so continued checkups with a pediatric orthopedic specialist are essential. Your doctor will monitor foot alignment, muscle strength, and brace fit to ensure long-term correction. Keep Your Child on the Right Path If you notice signs of clubfoot recurrence in your child, schedule a follow-up with Dr. Nargesh Agrawal at Child OrthoCare. Early intervention ensures your child stays active, confident, and pain-free. Contact Information Clinic Name: Child OrthoCareConsulting Pediatric Orthopedic Surgeon: Dr. Nargesh AgrawalAddress: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009Phone: +91 88517 77145Website: www.childorthocare.online
Child receiving expert knock-knee treatment from pediatric orthopedic specialist

In-Toeing and Out-Toeing in Toddlers

In-Toeing and Out-Toeing in Toddlers: What’s Normal and What’s Not It’s common for toddlers to walk a little differently as they learn to balance and build strength. Two of the most frequently noticed walking patterns are in-toeing and out-toeing, where the feet turn inward or outward instead of pointing straight ahead. While most cases are harmless and resolve on their own, some may require medical attention to ensure healthy development. What Is In-Toeing? Also called “pigeon-toed” walking, in-toeing occurs when a child’s feet turn inward while walking or running. It can be caused by: What Is Out-Toeing? Out-toeing is when the feet turn outward instead of straight ahead. It may result from: Out-toeing is usually noticed when a child starts walking. When Is It Normal? In most toddlers: No treatment is usually needed for children under 8 if they are active and pain-free. When Should You Worry? Seek an evaluation if your child shows: Diagnosis & Evaluation A pediatric orthopedic specialist will: Treatment Options Most cases require no treatment, but if intervention is needed, options may include: Helping Your Child Walk with Confidence If you’re unsure whether your child’s walking style is typical or needs treatment, schedule an evaluation with Dr. Nargesh Agrawal at Child OrthoCare. Early reassurance or intervention leads to better outcomes. Contact Information Clinic Name: Child OrthoCareConsulting Pediatric Orthopedic Surgeon: Dr. Nargesh AgrawalAddress: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009Phone: +91 88517 77145Website: www.childorthocare.online
Child receiving expert bowlegs correction from pediatric orthopedic specialist

Fracture Care in Children: What’s Different?

Fracture Care in Children: What’s Different? Falls and injuries are a part of childhood—but when a bone breaks, parents often worry about long-term effects. Fortunately, children’s bones heal faster than adults’, but fracture care in children requires a different approach due to their ongoing growth and development. Understanding how pediatric fractures differ and what treatment involves can help you respond confidently in case of injury. Why Are Children More Prone to Fractures? Children are naturally active and adventurous, which increases the risk of falls and accidents. Additionally, their bones are: Common Types of Fractures in Children Signs Your Child May Have a Fracture If you suspect a fracture, avoid moving the area and consult a pediatric orthopedic specialist immediately. Diagnosis and Evaluation Fractures in children are diagnosed using: Growth plate injuries need close attention because they can affect future bone development. Treatment Options Treatment varies based on the type, location, and severity of the fracture: Children’s bones often heal within 4 to 6 weeks, faster than adults, but regular follow-ups are crucial. Growth Plate Injuries: A Special Concern Growth plate fractures need expert care to ensure they don’t lead to: That’s why it’s important to follow up with a pediatric orthopedic specialist even after the cast is removed. Healing Right from the Start If your child experiences a fracture, trust the expertise of Dr. Nargesh Agrawal at Child OrthoCare. Our pediatric-focused approach ensures proper healing, alignment, and a safe return to normal activities. Contact Information Clinic Name: Child OrthoCareConsulting Pediatric Orthopedic Surgeon: Dr. Nargesh AgrawalAddress: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009Phone: +91 88517 77145Website: www.childorthocare.online
Child receiving expert radial club hand care from pediatric orthopedic specialist

Best Backpack Practices for Spinal Health

Best Backpack Practices for Spinal Health in School-Going Children Backpacks are a daily necessity for school children—but when worn incorrectly or overloaded, they can contribute to poor posture, back strain, and long-term spinal issues. The good news? A few smart habits can go a long way in protecting your child’s growing spine. Let’s look at the safest and most effective backpack practices for children of all ages. Why Backpack Safety Matters Children’s bones and muscles are still developing. An ill-fitting or heavy backpack can lead to: These issues are more common during growth spurts when the spine is especially vulnerable. Ideal Backpack Features When shopping for a backpack, look for: How Heavy Is Too Heavy? A child’s backpack should not weigh more than 10–15% of their body weight. For example, if your child weighs 30 kg, the loaded backpack should weigh no more than 3 to 4.5 kg. Best Practices for Backpack Use Help your child protect their spine with these daily habits: Warning Signs to Watch For If your child frequently complains of back or shoulder pain, or if you notice: It’s time to consult a pediatric orthopedic specialist for evaluation. Protecting Young Spines Starts with Smart Habits Support your child’s healthy growth with the right backpack and guidance. For posture concerns or back pain, schedule an evaluation with Dr. Nargesh Agrawal at Child OrthoCare. Early intervention ensures strong and pain-free development. Contact Information Clinic Name: Child OrthoCareConsulting Pediatric Orthopedic Surgeon: Dr. Nargesh AgrawalAddress: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009Phone: +91 88517 77145Website: www.childorthocare.online
Child receiving expert rickets treatment in children from pediatric orthopedic specialist

Limb Length Discrepancy in Growing Children

Limb Length Discrepancy in Growing Children: What Parents Should Know It’s natural for every child’s body to grow at its own pace. But when one leg grows noticeably longer than the other, it may be a sign of limb length discrepancy (LLD)—a condition that can impact walking, posture, and long-term joint health. When detected early, most cases of LLD can be managed successfully. Here’s what you need to know. What Is Limb Length Discrepancy? Limb length discrepancy occurs when one leg is shorter or longer than the other by at least 1 centimeter. In most children, minor differences are common and harmless. But larger differences—especially those that increase with age—can cause discomfort and functional problems. What Causes It? Limb length discrepancy can be: Congenital (present at birth): Acquired (develops later): Signs to Watch For Some signs of limb length discrepancy may include: If you notice these signs, it’s a good idea to get an orthopedic evaluation. How Is It Diagnosed? A pediatric orthopedic specialist will examine your child’s posture and gait, and may recommend: Treatment Options Treatment depends on the severity of the difference and the child’s age and growth potential. Mild (under 2 cm): Moderate (2–5 cm): Severe (over 5 cm): Why Early Evaluation Matters Early detection allows for timely, less invasive treatment options. Left untreated, limb length discrepancy can lead to: Step Toward a Balanced Future If you notice uneven leg length or walking patterns in your child, don’t wait. Book a consultation with Dr. Nargesh Agrawal at Child OrthoCare. A simple evaluation today can prevent complex problems tomorrow. Contact Information Clinic Name: Child OrthoCareConsulting Pediatric Orthopedic Surgeon: Dr. Nargesh AgrawalAddress: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009Phone: +91 88517 77145Website: www.childorthocare.online
Child receiving expert clubfoot correction from pediatric orthopedic specialist

Understanding Hip Dysplasia in Babies

Understanding Hip Dysplasia in Babies: What Parents Should Know Developmental dysplasia of the hip (DDH) is a condition where a baby’s hip joint doesn’t form properly, making it loose or prone to dislocation. The earlier it’s diagnosed, the easier it is to treat—often without surgery. As a parent, knowing the basics of this condition can help ensure your child’s hips develop normally and avoid complications later in life. What Is Hip Dysplasia? In a healthy hip joint, the rounded top of the thigh bone (femoral head) fits securely into a cup-shaped socket in the pelvis. In babies with hip dysplasia: This condition is usually present at birth or develops shortly after. What Causes Hip Dysplasia? Several factors can increase the risk of DDH: It’s important to note that DDH is not painful in infancy, which is why regular checkups are so crucial. Signs Parents Can Look For Though often silent, some signs may include: However, many cases are only detected through a pediatric hip exam or ultrasound. Diagnosis of DDH Doctors typically perform hip screening tests at birth and during follow-up visits. If DDH is suspected, further evaluation may include: Treatment Options The goal of treatment is to align the hip properly and allow it to grow normally. Options depend on the child’s age and severity: 0–6 Months: 6–18 Months: After 18 Months: Long-Term Outlook With early diagnosis and proper treatment, most children with DDH go on to lead completely normal, active lives. Left untreated, however, it can lead to chronic pain, joint problems, and early arthritis. Early Hip Checks Build Strong Futures If you suspect something unusual in your baby’s hip movement or development, consult Dr. Nargesh Agrawal at Child OrthoCare. Early detection of hip dysplasia makes all the difference in achieving long-term mobility and comfort. Contact Information Clinic Name: Child OrthoCareConsulting Pediatric Orthopedic Surgeon: Dr. Nargesh AgrawalAddress: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009Phone: +91 88517 77145Website: www.childorthocare.online
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