Contact details Children’s Physiotherapy Direct - 01452 891409 9.00-1200 Mon-Fri. n Children’s Physiotherapy 01452 891414 (office). Knock-Knees and Bow- Podiatry at Gloucestershire Royal Hospital 08454 228499. Legs io Podiatry at St Pauls Medical Centre Cheltenham 01242 215470. r s ve n e n li o GHPI0908_05_08 Author: Barbara Banks/Sarah Frodsham Review: May 2011 Patient Information for the Gloucestershire Health Community What are knock knees? The legs gradually straighten as the baby grows and develops and bow legs will usually have disappeared by the Knock-knees describe a position of the legs where the age of 4 when it is common for children to appear knock- n knees are together when the ankles are apart. It is common kneed. in children aged 3-8 and it is part of the normal process of growth and development and will gradually correct itself. It o may be more noticeable in children who are overweight. General Advice i When it is the same on both sides it is very unlikely to be In most children bow legs and knock-knees do not need s due to serious disease. No treatment will be needed unless treatment. They will gradually correct themselves during the condition continues to get worse or there is severe the natural growth and development of their bones and r deformity due to a disease or accident muscles. If you are concerned about your child’s progress you may e wish to take a photograph of their legs every six months to keep a record of changes. v If the bowing gets worse as the child grows or is worse on one side than the other then an assessment by a physiotherapist may be necessary. There are a few diseases e that can cause bowing and these can be treated. Very rarely surgery is used to straighten severely bowed n legs or knock-knees in older children where correction has li not happened naturally. 1 2 3 n Typical alignment Bow Legs Knock-Knees o What are bow legs? Bow legs describes a position where the knees are apart when the ankles are together. Bowing happens when the baby is growing in the womb, when the bones are soft. Some bowing is common in babies and toddlers. It may cause the child to walk with their feet turned inwards: intoeing.