Dr Somesh Virmani Shares Everything Parents Should Know About Knock Knees In Children
Expert explains knock knees causes, symptoms and treatment.
Knock knees, medically known as genu valgum, are a common condition in young children and, in most cases, form part of normal growth and development rather than a cause for concern. Paediatric orthopaedic surgeon Dr Somesh Virmani has explained that while the condition often worries parents, it usually resolves on its own without the need for braces, special footwear or surgery. Speaking to HT Lifestyle, Dr Virmani said many parents become concerned when they notice their child's knees touching while the feet remain slightly apart during standing.
This visible alignment, commonly referred to as knock knees, frequently prompts families to search for treatments ranging from corrective braces to specialised sports shoes. However, he stressed that such interventions are unnecessary for the majority of children. According to Dr Virmani, genu valgum is a normal developmental phase in early childhood. As children grow, the alignment of their legs naturally changes before settling into the adult position. "If you have ever looked at your child standing with their knees touching but their feet a little apart, chances are you have wondered whether something is wrong," he said.
He added that it is particularly common for children aged three to four years to have noticeable knock knees, as their bones and joints are still developing. The doctor explained that parents should understand the difference between physiological knock knees, which are part of normal growth, and cases that may require medical evaluation. In most healthy children, the condition gradually improves with age as the legs straighten naturally. Because of this, observation and regular growth monitoring are often the only measures required during childhood.
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Although knock knees are usually harmless, Dr Virmani noted that certain symptoms should prompt parents to seek medical advice. These include severe or worsening deformity, knock knees affecting only one leg, persistent pain, difficulty walking, limping or the condition continuing beyond the expected age of correction. Such signs could indicate an underlying bone, metabolic or developmental disorder that requires further assessment by a paediatric orthopaedic specialist.
Treatment depends on the underlying cause and the severity of the condition. For children experiencing normal developmental genu valgum, no specific treatment is generally needed, as the legs typically align correctly over time. In cases where knock knees are associated with nutritional deficiencies, bone diseases, injury or other medical conditions, doctors may recommend targeted treatment to address the underlying problem. Surgery is usually considered only in severe or persistent cases that interfere with mobility or daily activities.
Dr Virmani also advised parents against relying on unproven remedies such as corrective braces or specialised footwear without medical guidance. Current medical evidence suggests that these measures do not alter the natural course of physiological knock knees in growing children. Instead, regular paediatric check-ups can help ensure the child's leg alignment is progressing normally. Experts emphasise that while knock knees can appear pronounced during early childhood, they are most often a temporary stage of development. Understanding the condition and recognising the warning signs that require medical attention can help parents avoid unnecessary anxiety while ensuring that children who genuinely need treatment receive timely care.
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