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ANINDYA MUNSHI is a health expert who has written several blogs and eBooks on bow legs. If you want some information on surgery free recovery of bow legs then please read this eBook

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Page 1: Bow Legs No More
Page 2: Bow Legs No More

Bow

legs no

more

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Effective ways to cure bow legs

Are you aware of bow legs? If not then let me inform you that bow legs

is a condition in which the knees stay wide apart when a person stands

with the feet and ankles together. Bow legs are considered normal in

children less than eighteen months. In general infants are born bow

legged because of their folded position in the mother’s womb.

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Now bowlegs begin to straighten once the child starts to walk and the

legs begin to bear weight and this happens about 12 to 18 months old.

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However by around the age of three, the child usually stands with the

ankles apart and knees just touching. So if the bowed legs are still

present then the child is called bow legged.

In general no treatment is recommended for bow legs unless the

condition is extreme. In my opinion the child should be seen by the

health care provider or doctor for at least every six months. Again if the

condition is severe or if the child has another disease then specials shoes,

braces or casts can be tried.

It is however unclear how well these work, and at times surgery is

performed to correct the deformity in an adolescent with severe bowlegs.

In several cases the outcome is good, and there is usually no problem

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walking. Bowlegs that does not go away and is not treated may lead to

arthritis in the knees or hips over time.

All you need to do is to call your health care provider or your doctor if

your child shows persistent or worsened bowed legs after the age of

three. In general there is no known ways to prevent bowlegs other than

to avoid rickets. Please make sure that your child has normal exposure to

sunlight and appropriate levels of vitamin D in the diet.

The alternative name of bow legs is genu verum and this is a physical

deformity marked by outward bowing of the lower legs in relation to the

thigh and giving the appearance of an archers legs. In general usually

medical angulations of both femur and tibia is involved. Now if you

want an effective cure of bow legs then please visit bow legs no

more.com.

Natural cure of bow legs

If your child is sickly either with rickets or any other ailment that

prevents ossification of the bones or is improperly fed then the condition

of bow legs might persist. So the chief cause of the deformity of bow

legs is rickets. In general skeletal problems, infections and tumors can

also affect the growth of the legs sometimes giving rise to one sided bow

legged mess.

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Again the remaining causes are occupational especially among jockeys

and from physical truama and the condition are being very likely to

supervene after accidents involving the condoyle and femur. In general

children until the age of three to four have a degree of bow legs or genu

velum. During this time the child sits with the soles of the feet facing

one another.

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The tibia and femur are curved outwards and if the limbs are extended

although the ankles are in contact then there is a distinct space between

the knee joints. During the first year of life a gradual change take place

and the knee joints approach one another and the femur slopes

downward and inward towards the knee joints.

The tibia becomes straight and the sole of the foot faces almost directly

downwards. Now while these changes are occurring the bones which at

first consist principally of cartilage are gradually becoming ossified. By

the time a normal child begins to walk the lower limbs are prepared both

by their general direction and by the rigidity of the bones which form

them to support the weight of the body.

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Again Blount’s disease is a deformity in the legs mostly from the knees

to the ankles. The affected bone curves in or out forms the usual archer’s

bow which can also be called bow legs. Now there are two types of

Blount’s disease, the first type is infantile which means that children

under four are diagnosed with this disease.

However Blount’s disease in this age is very risky because sometimes it

is not detected and it passes to the second type of Blount’s disease. The

second type of Blount’s disease is found mostly in older children and in

teenagers sometimes in one leg and sometimes in both. In general the

patient’s age determines how severe the diagnosis is. Now if you want a

natural cure of bow legs then please visit bow legs no more.com.

What are the natural remedies of bow legs?

The natural remedies of bow legs are valgus osteotomy and the back line

is the mechanical axis. This process may be done to correct a various

deformity and generally no treatment is required for idiopathic

presentation as it is a normal anatomical variant in young children. In

general treatment is indicated when it persists beyond three and a half

years old child.

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In case of unilateral presentation or progressive worsening of the

curvature when caused by rickets the most important thing is to treat the

constitutional disease at the same time instructing the care giver never to

place the child on its feet. In most cases this is quite sufficient in itself to

affect a cure but matters can be hastened somewhat by applying splints.

When the deformity arises in older patients either from trauma or

occupation the only permanent treatment is surgery but orthopedic

bracing can really provide relief. Now treatment for children with

Blount’s disease is typically braces but surgery may also be necessary

especially for teenagers.

Basically the operation consists of removing a piece of tibia, breaking

the fibula and straightening out the bone and there is also a choice of

elongating the legs. If not treated early enough the condition may

worsen quickly. In most cases persisting after child hood there is little or

no effect on the ability to walk.

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Due to uneven stress and wear on the knees however even milder

manifestation can see an accelerated onset of arthritis. Now those with

bowlegs and a genetic predisposition for developing arthritis will likely

start having arthritic symptoms around the age of thirty. Bow legs or

genu varum is a condition where the legs are bowed outwards in the

standing position.

The bowing usually occurs at or around the knee so that on standing

with the feet together the knees are far apart. Knock knee or genu

valgum is a condition where the legs are bowed inwards in the standing

position. The bowing usually occurs at or around the knee, so that on

standing with knees together the feet are far apart. Now if you want a

natural remedy for bow legs then please visit bow legs no more.com.

How to cure bow legs naturally?

In general most people have some degree of bowlegs or knock knee and

is considered within the limits of normal structure and function. During

development in the first years of life, due to rapid and differential

growth around the knees most children are bow legged from birth till the

age of three. And then become knocking kneed till age of five and then

straighten up by the age of six and seven.

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In most children even as they grow through these phases the bow legs

and knock knee are not severe and do not engender concern on the part

of the parents. In some instances, the bowlegs or knock knee gets quite

obvious, and becomes worrisome for the parents. Now in the majority of

children with bowlegs or knock knees the cause is physiological if they

fall within the minor age.

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In general a good rule of thumb to follow is the measure of the

intercondylar distance for bowlegs and the intermolleolar distance for

knock knees. However in a young child if the distance is less than two

inch then there is no need for concern that something is amiss. Periodic

observation and measurements are all that is really needed.

However there is no known way to prevent bowlegs other than to avoid

rickets. Make sure that your child has normal exposure to sunlight and

appropriate levels of vitamin D in the diet. In general a doctor can often

diagnose bow legs by simply looking at the child. The distance between

the knees is measured while the child is lying on the back. Again blood

tests may be needed to rule out rickets.

When a child with bow legs stands with his or her feet together, toes

pointed straight ahead and the knees do not touch then he or she has bow

legs. The medical term is genu verum and it may come from the

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thighbone or femur and shin bone or tibia or both. When a child with

knock knees stands with his or her legs stands with his or legs together,

feet pointed straight ahead and the knees touch but their ankles do not

then he or she has knock knees.

The medical term is known as genu velum and it too may come from

thighbone, shinbone or both. Now if you want to know more about how

to cure bow legs naturally then please visit bow legs no more.com.

What are bow legs correction exercises?

Let me inform you that physiological bowlegs and knock knees will not

really affect your Childs ability to crawl, walk, run and play. Some

children may walk with their toes pointed in, trip more and appear

clumsier than other children of their age. This is common and frequently

will be outgrown.

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In general a Childs legs are initially bow legged or virus and if you think

of a toddler who walks with his feet wide apart you will understand the

concept. When the child is between one and a half and two and a half

years, the legs are usually straightened. By three to four years the Childs

legs typically grow into a knock knee or valgus position and finally by

the age of eight to ten years the Childs legs have settled in to what likely

be their adult alignment.

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In general treatment for the vast majority of children only involves

observation allowing growth and time to correct the legs along with

parental reassurance. Physical therapy, chiropractic, special shoes,

vitamins and bracing have no effect on the normal development of the

normal legs.

Now if you or your pediatrician has concerns then your child may be

referred to a pediatric or orthopedic surgeon for evaluation. Concerns are

raised if one side is affected more than the other, the deformity is severe

or if there is a significant family history. Now X-ray may be ordered by

your doctor to confirm the diagnosis and to exclude other problems.

Rickets is a disorder caused by a lack of vitamin D, calcium or

phosphate. This leads to softening and weakening of the bones and it

may cause bowlegs and knock knees. They are usually diagnosed by

pediatrician with lab tests and X-rays. The treatment is medical but also

may require bracing and surgery.

Again Blount disease is a disorder which is caused by an abnormal

growth plate in the upper tibia. The cause of Blount’s disease is

unknown but it can affect toddlers and teenagers. The treatment depends

on the severity of the deformity and the age of the child. The treatment

might involve observation, bracing and surgery. Now if you want some

information on bow legs correction exercise then please visit bow legs

no more.com.

Can bowlegs be really prevented?

In general bow legs and knock knee are very common concerns for

parents. The vast majority of concern is due to the Childs normal growth

and development. Only a very small number of children really need

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treatment. Now understanding how a Childs legs change as they grow is

really important in understanding these conditions.

Now sometimes parents worry because they think a part of their Childs

body is abnormal or deformed. However in small children, often what

seems unusual is within what is normal and will get better as the child

grows. So for this reason, it is really important to know what variants are

normal and which may be problems.

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Again many children are born with their feet somewhat bent or crooked

and you need to learn the difference between a normal bend caused by

the babies position in the and true club feet. When most babies begin to

walk, they walk on the insides of their feet, with their legs wide apart.

Also their feet still have baby fat on the bottom. As a result the feet look

very flat, and the babies’ legs often bend outward.

This bending starts to disappear at the age of eighteen months and then

the legs slowly straighten until they actually bend inward a little. The

knocked kneed position develops around age two and by age five and six

the knees begin to straighten. Children with brain damage sometimes

develop a knock knee way of standing or walking.

If the child with knock knees also moves or walks in a stiff or jerky way

or shows other problems then please check for signs of brain damage. In

any child who develops bow legs or knock knees please check for signs

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of rickets and other problems. To check for severe knock knees you need

to have the child stand with her knees touching.

Now if the distance between the ankle bones is more than three inches in

a tree year old or four inches in a four year old then the problem is

severe enough to need attention. However if the knock knees are severe,

braces may help straighten the knees and keep the condition for getting

worst.

Again in a child who is over six or seven years old, braces usually do

not help and in extreme cases surgery may be needed. Let me inform

you that knock knees may also lead to flat feet. In general about 3 out of

1,000 children are born with a club foot or feet and sometimes it runs in

the family and usually the cause is unknown. Now if you want to know

if bow legs can really be prevented then please visit bow legs no

more.com.

What are the treatments of bow legs?

In general sometimes a newborn baby’s foot turns inward just because

they were in that position in the mother womb. To find out whether the

condition is likely to correct itself, or if it is a true deformity or club

foot that needs special attention, try to put the foot in a normal position.

If the front part of a baby’s foot is turned inwards then it will often

straighten out itself before he or she is two years old.

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If you can easily straightened the foot and bend it into a position

opposite to the way it was turned, then the foot probably does not have a

bone deformity and will get better by itself. Also if you scratch the foot

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lightly, then the child will move it into a normal position. If you cannot

put the foot in a normal position then it will need to be straightened with

strapping or casts.

Although club foot often occurs without any other problem occasionally

it is a complication and problem in the spinal cord. So always check the

Childs spine and test if he has feeling in his feet. The feet may gradually

become deformed into a club foot position because of cerebral palsy,

polio, arthritis or spinal cord damage.

Rarely club feet occur together with a clubbed hand or other weakness

and deformities of the body. A club foot should be held in a cast or

strapped in a straighter position soon after birth until it is corrected past

normal. After correcting the foot, daily stretching exercises are often

needed to help keep the foot straight.

A brace is used day and night if necessary to keep the foot from bending

in again, until finally normal use and exercise keeps the foot straight.

About 60% of club feet can be effectively straightened without surgery

in six to eight week, using strapping or casts. Correction of club feet

should begin soon after the child is born, if possible in the first two days.

At the time of birth a babies bones and joints are still soft and as the

child gets older his bones get harder and become less flexible. Usually

good correction without surgery is only possible in the first year of life.

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Now if the deformity is not severe , however a club foot can sometimes

be corrected with casts, even if the child is already two, three or even

five years old or more. Now if you want some more information about

treatment of bow legs then please visit bow legs no more.com.

Causes and natural remedies of bow legs

There are natural remedies of bow legs but in an older child it takes

longer and surgery if more often needed for good lasting results. Some

children with very deformed feet will need surgery even if strapping or

casting is done early. However we have found that some children work

whom surgeons have recommended surgery can have their feet

straightened with casts.

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Now once a bow leg has been straightened, great care must be taken to

keep it straight. The whole family in general must make sure that some

precaution should be taken. An ankle brace should be worn night and

day at least until the child is walking and often until the child is fifteen

or eighteen years old.

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In general foot stretching exercises will be needed especially if there is

any sign that the foot is clubbing or bowing again. Gently and steadily

stretch the foot past its normal position in the opposite direction of the

deformity. You need to do this exercise two or more times a day, and

you need to check the foot regularly and return quickly to your doctor if

any signs of bowing is coming back.

Now how difficult it is to straighten a bow leg, how long it takes and

how long braces and special exercises will be needed depends on several

factors. In general a severely deformed foot with abnormal bones is

much harder to correct. Again abnormal muscle balance if present will

keep pulling the foot to the inside even after it is corrected.

Generally correction is more difficult if both feet are bowed and bow

legs in girls although less common are likely to be more difficult to

correct than in boys. If there are any other abnormalities like clubbed

hand or stiffness in the knees or elbows bow legs may be especially

difficult to correct and usually surgery is needed.

Now the older the child the harder it is corrects a bow leg since past the

age of two years it is often not possible without surgery. Children

without feeling in their feet require special precautions and slower

correction to avoid pressure sores. Again casts if used must not apply

much pressure and must be changed often. However if the Childs foot

shows little or no improvement then please visit bow legs no more.com.

What are the surgery free remedies for bow legs?

If your Childs feet shows little or no improvement after four weeks of

casting or if improvement stops in spite of continued casting then

surgery is probably needed for more complete correction. For some feet,

a plastic ankle brace might work well and for more difficult feet a metal

brace may be needed with an ankle strap that pulls the ankle inwards.

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A slight build up on the outer edge of the sandal or show may also help,

and for babies less than one year or small children at night feet can be

held in a good position using a bar that joints the two feet. Now for the

child who feels bend mostly at the middle or front wearing shoes in

reverse might help in keeping the feet corrected.

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Now most children whose only problem is flat feet really have no

problem at all except that poorly informed doctors or greedy special

shoe sales man might make their parents think so. Children who are late

beginning to walk often have weak arches with flat feet until their feet

gets stronger.

Even children with very flat feet seldom develop a problem or have

more than average pain or discomfort when they do a lot of standing or

walking. Usually flat feet are a problem only when paralysis or brain

damage is the cause as in some children with polio, cerebral palsy or

spine problem.

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Also children with Down syndrome sometimes have bow legs that may

lead to pain or discomfort. The best treatment to help the child with bow

legs and other problem may be go bare foot. Walking barefoot on sand

or rough ground helps the feet get stronger and form a natural arch.

Walking on tiptoe, skipping rope and picking things up with the toes

might also help.

Special exercises, training in foot posture shoe adoptions, heel wedges

and shoe inserts like heel cups and insoles are often prescribed to correct

bow legs. However studies show that usually none of these help since

use of insoles to support the arches may even cause weaker arches.

Usually insoles should be tried only when pain is a problem or in some

severe bow legs caused by polio, cerebral palsy and Down syndrome.

Now if you want some more information on surgery free remedy of bow

legs then please visit bow legs no more.com.

How to cure bow legged children?

In general some specialists try to straighten a foot that is bowlegged or

tilted by putting a wedge under the heel of the shoe. But instead of

straightening the foot this often causes further deformity, because the

heels slides to the side, and the shoes stretches here and wears out there.

Now most babies have naturally fat feet which can look flat and in older

children and adults there is a lot of variation in people’s arches.

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Even a foot a flat as this, if it causes the child no pain, need not be

considered a problem. Often flat feet run in the families and if parents or

relative have similar feet but no pain, or if the child can move his feet

strongly in all directions you do not need to worry about it. Let me

remind you that normal foot of a child under 2years old fat high arch

foot print low arch.

So do not confuse a fat foot with a flat foot and do not worry about flat

foot if there is no pain, obvious weakness or loss of movement. This

blog has been created to provide information on the normal postural

variation of children’s feet and legs as they grow. Let me remind you

that normal leg posture varies throughout childhood.

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Now a child has bow legs if when they are standing with their feet

together, their knees do not touch. Yes, this is very common in children

as they start to walk and bow legs are exaggerated by the need to have

feet wide apart to increase stability when children first start to walk.

Again many children start bow legged, and then go through a knock

kneed stage before their adult leg shape is established around the age of

eight.

Again a child has knock knees if when they are standing with their knees

together their ankles do not touch. This is more common in children

aged two to four. Now if you lay a child on their back with their knees

together then it is normal to have a gap of up to ten cm between their

ankle bones. Now if you want to know more about how to cure bow legs

among children then please visit bow legs no more.com.

How to cure bowed legs?

Let me inform you that a child in toes sometimes called pigeon toes if

when they stand or walk their feet point inwards. In toeing is frequently

found in children aged one to eight years. Now children who are in toe

may trip more than other children, especially if they are tired or wearing

heavy shoes. Now there are several causes of in toeing from the hip, the

shin and the foot.

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In general the thigh bones are twisted in at birth bringing the Childs foot

into an in toeing position as a child starts to walk they often in toe. Now

as a child physically matures the thigh bones straighten, but occasionally

this can persist. Again lax ligaments can also cause a child to in toe and

the shin bones are also twisted in at birth.

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However as a child grows this naturally straightens and children with

inward twisted shin bones often like to sit on their feet. Occasionally the

inside edge of the foot can be curved in and if this is stiff or the foot

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cannot be eased straight some simple stretches can be taught. Now this is

often noticed at birth, resolving over the first few months of life.

I would sincerely advice children who are in toe should sit cross legged

or side sit and avoid sitting with their bottom between their heels which

in general known as W sitting. A child out toes if when they stand or

walk their feet point outwards. Out toeing is less common than in toeing

but is still seen especially in children born prematurely.

Out toeing is mainly caused by an increased amount of turning out at the

hip joint and this naturally reduces as a child grows. Now a child

appears to have flat feet if when they are standing the whole of their foot

is in a contact with the floor. This is due to a fat pad that lies under a

Childs foot.

This type of foot posture is common in children under two and after two

years the arches of the foot start to become prominent. To make this

more obvious, ask a child to stand on their tip toes and look at the arch

on the inside edge of their foot.

Flat feet tend to resolve by the age of five, but if feet are not painful, are

flexible and there is evidence of an arch, no treatment is necessary. Now

if you want to know how to cure bow legs in children then please visit

bow legs no more.com.

How to cure bow legs instantly?

To cure bow legs instantly one must opt for shoes to best support

children’s feet shoes and they should have the following features. They

should be foot shaped and have a flexible sole. The shoes should be flat

and have a good grip and be well fitted both for length and width and

allow for growth. The shoes must be fastened snugly and comfortably to

a Childs foot.

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In general children also benefit from spending some time barefoot and

all the foot and leg problems described in this blog are variations of

normal which is naturally resolved with time. So for this reason, it is

extremely rare for a child to need any intervention to correct their foot or

leg posture.

Now high tibia osteotomies are performed to correct a deformity known

as bow legs and this surgery is undertaken to treat osteoarthritis and in

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some cases try avoiding it all together. A bow leg deformity at the knee

has increased forces passing through the medial or inner compartment

that gradually destroys the joint surface. Early on it may can pain can

pain, wear of the joint surface and contribute to tearing the cartilage.

Later it may develop obvious arthritis and surprisingly the amount of

pain and disability is not exactly related to the amount of arthritis

present. Now if the knee is not particularly stiff and then patient is

young then realignment may be the best option. Arthritis is a general

term for pain and stiffness of a joint.

It can be caused by an old injury, inflammatory conditions like

rheumatoid arthritis, but commonly overloading the joint surfaces causes

it. Re alignment surgery aims to slow the progression of arthritis. In a

knee without wear and with a perfect correction, the risks of arthritis can

be dramatically reduced.

Now if the pain originates from only one part of the knee, then the leg

can be re aligned. Typically, this is the only option in people under fifty

and would be considered in patients in their fifties. By the time people

are in their sixties joint replacement surgery is more seriously

considered. The amount the alignment is corrected depends on the how

much wear has occurred.

In a patient with no wear but pain, the aim is to achieve straight leg and

the more wear that has occurred the more the deformity is over

corrected. For marked wear, we aim to make the leg somewhat knock

knee.

The common osteotomy is an opening wedge on the tibia side and the

wedge is usually filled with bone graft substitute which is an artificial

material that over a number of years the body replaces with bone. A

metal plate is used to hold the new position and if you want to know

more about how to cure bow legs issues instantly then please visit bow

legs no more.com.

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All you need to know about genu verum?

Most patients with bow legs or genu verum issues along with a moderate

deformity have the problem predominantly on the tibia side. The

realignment can be done from either side of the knee, either by inserting

an opening wedge on the inner side or removing a wedge of bone on the

outer aspect of the leg.

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Now my preference is to do is do medial openings wedge osteotomies

which is based on years of experience. If you opt for lateral closing

wedges then you might find problems such as the lateral ligaments

becoming too loose, the tight medial ligament wasn’t released and if the

patient ever required a knee replacement it is really difficult.

Now the advantage of medial opening wedge is strong plate and able to

weight bear early. Two to six weeks of crutches along with tight MCL

corrected at same time. In general future options are barely

compromised but the list of complications is long.

Let me inform you that there is no operation that is completely safe and

complications can be severe enough. Now both patient and surgeon

might wish that it hadn’t been done and none the less the vast majority

of the realignment operations go well. The biggest issue is that it

probably means the knee probably can have a partial knee replacement,

although it can still have a total knee replacement.

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Now the theory is that partial knee replacements won’t work if the other

compartments are overloaded by the corrective osteotomy. However

obviously this decision would be on a case by case basis. This is a

serious consideration and not everyone responds equally to the surgery.

Some patients are off crutches at two weeks and some people take more

than six weeks.

Driving is not possible until you are not taking strong pain killers and

have normal leg performance. However as a rule automatic cars can be

driven a two weeks if the surgery was to your left leg. But otherwise six

to eight weeks may be necessary since the plate is usually permanent.

Removing the plate is not necessary but if causing irritation can be done

but it will cost your time and money as it is not part of the surgical fee

for doing the re alignment surgery. Now if you want some more

information about genu verum or bow legs then please visit bow legs no

more.com.

How to prevent bow legs and knock knees?

In my opinion a significant number of Americans are overweight and in

general adults should have a body mass index or BMI of 20-25. Now for

an average height male this would equate to 70-78 kg. However being

overweight will overload your joints since the knees for example carry

nine times your body weight when climbing stairs. In general most

patients blame their weight for bow legs and knock knees but don’t lose

their weight. At the end of the day your weight reflects both how much

and what you eat and how much your exercise.

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Different sporting pursuits alter how much the joints are loaded and

sports like tennis place high impacts and twisting motions on your joints.

Swimming and cycling on the other hand generally reduce bow legs and

knock knees problem. Walking can make bow legs problem worse if you

have poor quality shoe wear.

In general strength is improved with activity such as walking, swimming

and cycling. Some people also consider gymnasium training to improve

suppleness. I am sure you are aware of the fact that stiff joints hurt and

the natural response is to avoid activities that put pressure on the joints

but the opposite approach is probably better. Western society avoids

pushing joints to their full range of movement by sitting on chairs.

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A physiotherapist can demonstrate stretching exercise to you and

another option is taking up yoga classes. A physiotherapist is likely to of

help with strength and suppleness exercises. These can be useful at any

stage of bow legs and knock knees. Physiotherapists also have a specific

value prior to and immediately after surgery as a constant source of

information and coaching.

In general bow legs overload the inner part of the knee and common foot

or hoses with a large arch support can exacerbate this deformity. A

standard elastic knee brace from a chemist shop or sports store can really

help to cope with bow legs and knock knee and provide some additional

support. A knee brace has a metal hinge on each side and can provide

further support.

It has a hinge and a strap that somewhat holds the body surfaces apart.

Again a walking stick is extremely useful to prevent bow legs and knock

knees since particularly they may be helpful with activity related to pain.

Now if you want some more information on how to prevent bow legs

and knock knees then please visit bow legs no more.com.

Bow legs and knock knee prevention options exposed.

There are surgical options to prevent bow legs and knock knees and

arthroscopy is a relatively minor operation. It generally involves placing

a camera in the knee and allowing the surgeon to rectify a variety of

problem such as bow legs and knock knees. Arthroscopy is even more

common in people who have a bowed deformity.

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If the X ray does not demonstrate the features of bow legs and knock

knees prior to arthroscopy then it seems reasonable to have a look to see

if minor arthroscopic surgery will help. If the X ray shows signs of bow

legs and knock knees then it may be reasonable to do an arthroscopy or

to do both the arthroscopy and osteotomy at the same time.

The technique of chondrocyte grafting and micro fracturing aims to

restore bow legs and knock knees to normal. They may be used alone or

in combination with re alignment osteotomies. Chondrocyte grafting

involves molecular biology techniques and a good number of cases have

been done till now.

However long recovery makes it hard to prove it is better than other

techniques since twelve months are required before it is used and it tends

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to be used if the damaged joint area is very large and the patient is

young. Currently chondrocyte grafting is not supported by any private

health insurance and the out of pocket expense might be $7,000

additional to the surgeon, anesthetic and hospital fees.

Some knees have a giving way sensation caused by a previous ligament

injury in the knee. Typically the knees gives way on twisting and it is

possible to correct this problem at the same time as realigning the leg. It

does not seem to add to the recovery time since anterior curiae

reconstruction does not relieve bow legs and knock knee problems but

only improves the knee stability.

If bow legs and knock knee problem are limited to a single area then a

partial replacement may be the best option. They have a good long term

results and the requirements for this surgery are that the range of

movement is good and preferably the curiae ligament is intact. The only

disadvantage is that the scars may cause more numbness but this seems

to be offset by the otherwise more normal function that after total

replacement.

Partial knee replacement is generally not offered to young patients since

the younger patients often overworks the knee replacement and needs

further surgery. Now if you want some more information on bow legs

and knock knee prevention options then please visit bow legs no

more.com.

How to cure bow legs?

In general knock knees and bow legs are relatively common in infants

and children but are usually no cause for concern. These are stages that

children pass through and it is important to remember that most legs are

perfectly straight by the teenage years. Now bow legs are very common

up to the age of three years.

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In fact they are quite normal up to the age of 2-3 years and this means

that when the ankles are touching the knees are apart. Bow legs usually

correct themselves when the child starts walking, so much so that from

about the age of four there is a tendency for the child to develop knock

knees.

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If you are really concerned about the extent of the bow legs then the

problem can be monitored by measuring the distance between the knees.

If this is greater than 6 cm and not improving at four years and older

then it would be advisable to have them checked by your doctor. Knock

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knees are normal in children and most have them between the ages of

three and eight years.

The rules for normal three years old children is that fifty percent have 3-

5 com between the ankles, twenty five percent have more than five cm

and these invariably straighten nicely after eight years. Now for any

concerns about the degree of knock knees always measure the distance

between the ankles.

Again it should be checked by your doctor if the distance between the

ankles is greater than 8 cm after the age of eight and not improving. So

bow legs occur between the age of 0-3 years and knock knees occur

between the age of 3-8 years and legs gradually becomes straight by

adolescence.

In the first 18 to 24 months of life, a Childs legs naturally bow outwards

to the side. Now when the child stands with the feet together, the knees

are far apart. A family history of bowed legs or genu varum is very

common. Beginning around the age of two years it is common to see the

legs become knock kneed or genu valgum. Now if you want a permanent

cure of bow legs then please visit bow legs no more.com.

How can you correct bow legs without surgery?

When the child stands with the feet far apart, the knees are close

together, let me remind you that both bowed legs and knock knees are a

part of normal growth. As the child grows, the legs gradually straighten

and usually by ten years of age the legs are straight. Now for most

children the treatment is observation.

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Bracing is not generally needed for children with knock knees and only

occasionally recommended for bowed legs. Surgery is rarely necessary

and occasionally the doctor may take x rays of the Childs legs but this is

usually not necessary. Now the fact is that bowed legs and knock knees

occur as part of normal development.

Again bowed legs and knock knees will not affect your Childs ability to

walk, run or play. Bow legs is a condition in which the knees stay wide

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part when a person stands with the feet and ankles together. Now it is

considered normal in children under the age of eighteen months. There

are many people who are born bow legged because of their folded

position in the mother s womb when they were infants.

Today there are many girls who are bowlegged because of their poor

posture. Lack of calcium and genetic factors is the basic two causes of

bow legs. However the immediate cause is the poor posture of standing,

walking and sitting. Catwalk, sit cross- legged, kneeling and walking in

high heels for a long time will force the knees outwards and then the

stress will pull the octal ligaments of knee joint and make it lax.

The inside and outside ligaments of knee joint play an important role in

the stability of knees angles. Various deformity of the knee may be

present, depending up the predominant involvement of the medial joint

compartment. The inner ligament with great strength pulls the shins

inwards because of the outside ligament laxity.

Thus it can be seen that bow legs doesn’t mean that your bone is bent

and it can be corrected by non operative treatment. In general surgical

treatment is suitable but normally the surgical treatment is expensive and

hurts and you have to get rest more than two months after the operation,

and it has so many side effects.

The conservative treatments is the way try to restore the stable structure

of inside and outside knee joint through loosening the inside ligaments

of knee joints. This costs less and is less risky. The bow legged

correction bandage will not only correct the condition of knock knees

and bow legs will also help to correct due to walking habits and

formation of unsightly leg curves.

You can very well balance the leg muscles and tighten the leg bone and

then let the legs change to become straighter. Now if you want some

more information on how to correct bow legs without surgery then

please visit bow legs no more.com.

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What are bow legs?

Let me inform you that legs and feet in human beings form early in the

pregnancy and their bones are clearly visible on ultrasound by 16 weeks

of gestation. The baby kicks for the next several months and at first

unnoticed by the mom but soon becomes unmistakable. The movements

helps in the formation for limbs and in fact as spaces becomes more and

more cramped in the womb.

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The legs and feet can get pushed into awkward position that affects their

growth. In reality the legs and feet continue to change after a baby is

born. The lower leg has a C shaped curvature that is entirely normal and

by the time a baby starts walking his legs will likely to begin to

straighten.

Until then though some babies have long straight limbs while others

have wide curved ones. The feet looks like puddles early on with no

obvious arches and like the legs the feet will develop as they need to

once they bear the weight and become responsible for walking. Some

babies point their feet inwards and others turn their feet out.

All of this evolves over the first several months and years of a Childs

life, no it is normal for baby’s legs to look bowed like he just got off a

horse and this will continue until two to three years of age. There is

often a C shaped curvature between the knees and ankles from birth and

in most children maximal bowing of the legs actually occurs.

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Bow legs can be braced or casted and these days they are treated much

less aggressively. For a child with severe or persistent bowing they are

typically needed to watch their development closely and visit an

orthopedist about every six months. Now if the bow legs are so severe

then they can cause difficulty in walking which is extremely rare. Now if

you want a sure shot cure of bow legs then please click bow legs no

more.com.

What causes bow legs?

Again if a child has Blount’s disease then surgery may be needed;

however there are no complications of normal bowing. However, if the

bowing does not resolve on its own or becomes rapidly and

progressively worse then Blount’s disease or rickets should be

considered. Now as previously described due to Blount’s disease the

tibia bows progressively and unlikely normal bowing that resolves on its

own then the bowing worsens.

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Rickets is a disease of the bones caused by vitamin D deficiency and it

can result in severe leg bowing and other changes in bones throughout

the body when they new born. This deformity and curvature is natural

and almost always resolves without treatment. By two to three years of

life, the opposite problem often occurs and the child be affected with

knock kneed deformity.

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This peaks at about the age of three and can last until the age of seven or

eight. Now all of this entirely normal and it happens because of

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differential growth around the knees where the bones on one side of

each knees grows faster than the other. In reality nothing really needs to

be done for bow legs.

If the babies legs look different from each other with one significantly

bowed only then you should bring this to your doctors attention. Now as

your child grows older and begins to walk you should point out

abnormalities with walking or balance. Again if bowing of the legs

seems to be getting progressively worse rather than better than your

doctor should be informed.

Continual bowing is called Blount’s disease and it is caused when part

of the growth plate in the legs grows too fast so that the leg bone or the

tibia bows itself. Again if the bowing is so severe that your child is

unable to stand or walk then please talk to your doctor. Once a child is

three years old, the bowing should have largely corrected itself.

However if it hasn’t then you may need to consult a specialist since

severe bowing can be associated with other bony problems. Tests do not

need to be done in case of normal bowing however only if the bowing is

significant past two years of age or if the two legs are unevenly bowed

then an X-ray needs to be done and if you want an effective treatment of

bow legs then please visit bow legs no more.com.

What is the effective treatment of bow legs?

Bow legs have a giving way sensation caused by a previous ligament

injury and it is possible to correct this problem and it does not seem to

add to the recovery time. Total knee replacement replaces all the joint

surfaces and removes the anterior curiae ligament. Design keep

improving but the bow legs never feels normal and is only suitable for

sedentary activity.

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Now as a rule this is not performed for patients under fifty and

infrequently in patients under sixty years of age. This risk of failure is

well selected in case of older patients though a variety of mechanisms

and the failure rate in patients under 55 is likely to be more. The degree

of deformity is measured usually with a long standing X-rays.

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The required amount of correction depends on the deformity, the amount

of wear and to a lesser degree whether the legs also have the same

trouble. Previous arthroscopies done by other surgeons may provide

useful information including intra operative photos and previous

operation reports. An MRI scan can also sometimes be helpful.

Many patients attend the pre admission clinic to ensure the entire

required tests have been done. In general an osteotomy is a major

surgical procedure with some risk. Accepting a minimizing these risks

are a responsibility of both the patient and the surgeon. In general a

small number of patients do not achieve the results required and end up

having a knee replacement.

The osteotomy involved cutting a number of layers to do the surgery. It

is common for an area near bow legs to be numb. The area may be

smaller with time but it is usually permanent, now it is not possible to

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provide a full list of complication. Extremely rare occurrences

eventually happen to somebody.

Now if you are having a specific question then ask your surgeon and he

will very well answer your question as well as possible. Doctors

involved in the operation are: the surgeon, anesthetist, surgical assistant,

and if any medical problems occur, or an Anticipated physician.

However if you want a surgery free correction of bow legs then please

visit bow legs no more.com.

Prevalence of knock knee and bow legs deformity in children.

I am sure you are aware of the fact that child health has prime

importance in all societies. In general school curriculum always

emphasizes on proper health of the child for all round development.

However lack of correct posture and negligence of good postural habits

indulge postural deformity which can either affect the body either

structurally or functionally.

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Now the purpose of this study was to find the prevalence of knock knee

and bow legs deformity in school children. So to identify the deformities

the inter condoyle distance for bow legs and inter alveolar distance for

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knock knee was measured. Data was collected individually by

performing the clinical test of orthopedics.

Children represent the future and ensuring their healthy growth and

development ought to be a prime concern of all societies. Your child

spends more time at school than anywhere else except home. So schools

can have a major effect on children’s health since school can teach

children about health, and promote healthy behaviors.

Physical education classes give children a chance to get exercise and

Childs health includes physical, mental and social well being. In general

most parents know the basics of keeping children healthy like offering

them healthy foods, making sure that they get enough sleep and exercise

and ensuring their safety.

Children’s bones grow continually and reshape and remodel themselves

extensively. Growth proceeds from a vulnerable part of the bone called

the growth plate and in remodeling old bone tissue is gradually replaced

by new bone tissues. Many bone disorders come from the changes that

occur in a growing Childs musculoskeletal system.

However these disorders may get better or worse as the child grows and

other bone disorder may be inherited or occur in childhood from known

reason. The objective of this eBook is to find the prevalence of knock

knee deformity in school going children.

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The orthopedics variables is selected for the study are the bow legs and

knock knee to detect the prevalence of variables clinical examination of

orthopedics was applied in which knock knee and bow leg deformity

was diagnosed by measuring inter condoyle and inter alveolar distance

in standing position.

One can determine the prevalence of bow legs and knock knee in

children by making them stand in normal standing posture with feet

apart by using the steel stapes to measure the distance between inter

alveolar and inter condoyle according to the clinical examination of

orthopedics method of knock knee.

Now if the distance is 6 to 8 cm between the two alveolar than mild

knock knee deformity is found. If the distance is 10 cm then the

deformity is sever for bow legs and if the distance is 6 to 8 cm then mild

deformity is found and if the distance is 10 cm or more then the

deformity is severe.

One needs to diagnose the underlying cause of bow legs and knock

knees and the treatment for bow legs can vary depending on the medical

condition causing the legs to bow. Some conditions may affect other

parts of the body and so it is important to address the overall disorder

instead of fixing only the bow legs. Now if you want some more

information on the prevalence of bow legs and knock knee in children

then please visit bow legs no more.com.

How can you correct bow legs without surgery?

Physical genu verum is the most obvious reason for bow legs in children

under two years of age. This is a normal variation in leg appearance that

usually corrects itself as the child continues to grow. Blount’s disease

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can cause bowlegs in toddlers and adolescents and it occurs when the

growth plate in the upper part of the tibia develops abnormally.

Rickets is another common cause of bowlegs in children and when

children do not get enough calcium, phosphorus and vitamin D then

bone deformities like bowlegs can develop. When bow legs develop in

adolescents and adults then they usually result from fractures or breaks

that heal improperly and lead or fluoride poisoning, obesity, tumors,

infections or arthritis.

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In some instances treating the underlying disease responsible for

bowlegs can correct the problem without further measures being taken.

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Treatment for lead poisoning usually involves the use of lead binding

medications and injections of ethyledediainetetraacetic acid a chemical

that helps in correct the lead levels in the blood.

Fluoride poisoning can be treated with calcium carbonate and

magnesium hydroxide both of which bind fluoride in the stomach.

Tumors can are either physically removed through surgery and treated

with chemotherapy or treated with radiation. However when the

infection is to blame strong antibiotics may be administered though a

brief extended hospital say will usually be necessary.

Obesity can be enough of a problem on its own to cause bowlegs in both

adults and children. When another cause is to blame even moderate

amounts of excess weight can worsen the problem. Again when the hips

and knees need to support excess amounts of upper body weight the

joints and bones can weaken and gradually become distorted.

Your doctor may recommend weight loss surgery if you are severely

overweight and in urgent need of a solution. In most cases, however, it is

such safer and healthier to drop extra weight by getting plenty of

cardiovascular exercise and maintaining a balanced diet fill with

conservative portions of healthy foods.

Some underlying conditions can only be fixed through surgical

correction of the leg bones. Even underlying conditions that are typically

treated in other ways may require surgery when non surgical methods of

correction fail. If a leg heals improperly after a fracture, break or similar

trauma then surgery is almost required to straighten the leg out.

The exact procedure can vary by need and by surgeon but in most

instances small incisions are made in the leg to provide the surgeon

access to the bone. If the natural bone cannot be straightened itself,

artificial devices might be inserted into the structure of the legs to help

straighten it. Often times, little to no major scarring is left behind.

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Regardless of the treatment used you may need to undergo some form of

physical therapy to straighten the leg muscles once the bowlegs are

cured. Physical therapy can make it easier to walk correctly in a shorter

period of time. You may need in patient physical therapy for two weeks

or so after surgery is performed.

When gradual, non surgical methods of correction are used you may

need to under go physical therapy for two to five months. Now if you

want some more information on how to correct bow legs without surgery

then please visit bow legs no more.com.

Suggested treatment of bow legs

In general bowlegs are a common deformity in toddlers and young

children, but in rare case it can also develop in teenagers and adults.

Now the proper way to cure bow legs will depend on the underlying

condition causing the deformity. When physiological genu verum causes

bow legs in a toddler the problem will usually correct itself by the time

the child is three or four years old.

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Your Childs doctor will usually want you to schedule a check up every

six months, if not sooner, until the bowing corrects itself. If little

improvement is seen, the doctor will then determine if another causes is

to blame or if surgical intervention might be needed. Please try to avoid

leg braces and similar non surgical treatments.

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When bow legs are naturally occurring like this, the use of orthopedic

devices may actually hinder the body’s natural method of straightening

the legs. However everyone’s circumstances and needs can vary and so

your toddlers doctor may still recommend the use of braces or similar

devices if he or she believes it to be beneficial.

You need to resort to surgery only when necessary and in rare instances;

the problem may not correct itself even though no other underlying

cause is behind it. If the deformity is minor, your doctor may advice

against surgery. If the deformity is significant and causes pain, difficulty

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walking and major cosmetic concerns only then you can usually resort to

surgery meant to straighten the leg bone.

As soon as bowed legs are diagnosed as a symptom of Blount’s disease,

you should work on curing the problem. When left untreated, leg

deformities caused by this disease will usually worsen and bowing will

become more apparent. By the time a child with infantile Blount’s

disease reaches adolescence, he or she will likely experience severe

discomfort or pain in the knee of the bowed legs.

During a Childs toddlers years and early childhood a doctor may

recommend the use of leg braces, corrective shoes and special casts. The

devices are successful for some children but may not be successful for

all. Bracing and similar methods are rarely effective for teenagers and

adults with this disease.

You need to treat the disease with surgery if non surgical treatment fails.

As soon as non surgical bracing is deemed ineffective, a doctor will

usually recommend corrective surgery to fix the bowlegs. Children

suffering from infantile Blount’s disease should undergo surgery before

the age of four to minimize the risk of permanent growth damage.

Older children, teens and adults are almost always treated with surgery.

The growth of bones might be permanently affected at these stages of

life but the legs can usually be straightened adequately nonetheless. You

need to undergo physical therapy and regardless of the treatment used

you may need to undergo some form of physical therapy to straighten

the legs muscles one the bow legs are cured.

Physical therapy can make it easier to walk correctly in a shorter period

of time. You may also need in patient physical therapy for two weeks or

so after surgery is performed. When gradual, non surgical methods of

correction are used, you may need to undergo physical therapy for two

to five months. Now if you want to cure bow legs without surgery then

please visit bow legs no more.com.

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Sure shot ways to cure bow legs.

If you are having bow legs then you need to treat early on, and when left

untreated it will usually cause the bowing to worsen and become more

pronounced. As the condition continues to worsen, discomfort and pain

can begin to develop in the knee throughout the entire legs. We need to

note that other skeletal deformities can develop in an individual who has

bow legs. These deformities will need to be treated too.

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You need to fortify the leg bones with improved nutrition since bowlegs

and other effects caused by bowlegs can often be managed by increasing

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the body’s intake of calcium and vitamin D. in mild cases, natural

sources might provide more vitamin D as can fish and liver, and

processed milk.

Most dairy products provide calcium and in more severe cases the doctor

may prescribe special vitamin D supplements. However too much

vitamin D can be dangerous, so it is important that one should follow the

doctor’s instructions carefully when using these supplements. You need

to schedule regular appointments with your doctor.

Throughout the treatment a patient suffering from bowlegs should see

the doctor every few months so that the doctor can follow the

progression of the disease and act accordingly. You may also need to see

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a metabolic specialist for more specialized management. One needs to

use braces and similar orthopedic treatments while leg braces cannot

cure rickets it can help correct bow legs caused by rickets in some

patients.

Corrective shoes and special casts might also be used since bracing is a

supplemental treatment at best. If left untreated, rickets will only cause

the bones to continue weakening and the bowlegs will surely return. You

need to correct the problem with surgery and non surgical treatments are

usually successful when treating bowlegs caused by rickets.

When bowlegs persist or worsen even after treating for rickets, though

surgery will be needed. Early treatment is the best way to avoid the need

for surgery. When the deformity occurs during the developmental stage

of growth and is not treated until after major growth has stopped,

surgical correction is frequently required.

Now have you ever noticed how your knees look like? However if you

observe carefully you will see that both your knees are not parallel but

deviated slightly outwards by say 5-7 degrees. This outward genu is

known as physiological genu valgum and nature has devised it in this

way. But you might have seen elderly people especially females with

both their knees inwards.

This condition is called bow knees or genu varum because both the

knees appear to have bent inside each other instead of the normal

slightly outer presentation. This deformity involves tibia alone or the

femur or tibia and fibula both. This deformity may be seen only in one

knee or both the knees.

The cause of the problem is due to growth abnormalities of upper tibia

epiphysis and infections like osteomyelitis. The problem may be caused

due to trauma near the growth epiphysis of femur and tumors affecting

the lower end of femur and upper end of tibia. Now if you want to cure

bow legs without surgery then please visit bow legs no more.com.

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What are the possible complications of bow legs?

You might have noticed that in a new born child and children up to four

years, the knees are normally bent and tend to touch each other. This is

known as physiological genu varum because nature has devised it this

way. Only if this deformity persists after four years of age then it is

abnormal and you need to show to a doctor.

The disease of the knee can lead to more serious bow knee deformity

that is not normal and needs to be treated by a doctor. Bow legs can be

caused due to birth defects, postural abnormalities, developmental

defects, rickets, hormonal disorders, degenerative disorders like

osteoarthritis of knee which is a common cause.

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Again occupational disorders in jockeys and some disease of the knee

like Pagets disease, Blount’s disease can cause bow legs. The problem is

more common in elderly people that too females and is due to

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degeneration of knee joints and is called osteoarthritis of the knee. The

primary deformity in genu varum is inward bowing of the knee.

Secondary deformities develop in the tibia and the foot and patients

complains of pain during walking, standing etc. limps may be present

and this leads to difficulty in carrying act ivies of daily living. In general

bow legs are common in elderly people and are commonly due to

osteoarthritis of the knee.

In case of bow legs the patient is examined in a sleeping position with

knee extended, patella facing the ceiling and the ankles touching each

other. If the separation of knee exceeds more than 3cm or it is unilateral,

one should investigate for bow legs. Again a line is drawn from the outer

aspect of the hip called the anterosuperior iliac spine through the centre

of patella to inner side of the ankle called the medial alveolus.

Normally all the structures are in the same line but in case of bow legs

the medial alveolus is medial to this line. Now for more accurate

assessment, the angle of genu verum is calculated by the doctor on a

standing radiograph of the whole limb. In case of genu varum the

distance between the inner knees is more than the normal 3cms.

Radiograph of the whole limb should be done to assess the severity of

bow legs or genu varum but also helps to know the extent of the disease

of the knee especially osteoarthritis of the knee. Plain X ray of the knee

helps to know the extent of bow legs or genu varum and also the disease

like the osteoarthritis of the knee.

In general the treatment of bow legs is non operative and conservative

until four years of age. During this age knee ankle foot orthotics with the

medial bar and the lateral strap are used. Correction of the early

deformity is done by dynamic bracing or splints. However after four

years, significant deformity should be corrected by surgery.

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The treatment of bow legs after the age of four years is mainly surgical

and the methods which are applied are stapling the outer aspect of the

knee when the child is within the growth period and cutting the outer

portion of the tibia and straightening is called tibia osteotomy or high

tibia osteotomy and it could be wither medial open or lateral closed

wedge osteotomy and is done after the child has attained skeletal

maturity. Now if you want some more information on possible

complications of bow legs then please visit bow legs no more.com.

How to know that you have bow legs?

In case of, bow legs and genu varum due to osteoarthritis of the knee in

very advanced cases, the joints are replaced and this is called total knee

replacement surgeries. If only inner half of the joint is replaced it is

called unicondylar knee replacement, and if all the three chambers of the

joint are damaged, then the entire knee joint is replaced and this process

is called total knee replacement.

Outer cutting of the tibia and closing the inner bending of the knee is

called lateral closed wedge ostetomy and is done in young individuals.

In knee replacement surgery all the three compartments of the knee are

replaced. In case of uni condoyle knee replacement, only the inner part

of the diseased knee is replaced and is done in inner compartment

osteoarthritis.

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Again in case of total knee replacements all the three compartments of

the knee are replaced and are done in more advanced case of bow legs

and genu varum due to osteoarthritis of the knee in elderly people. Bow

legs or genu varum is a condition when legs have deformity outward of

natural legs position.

Knock knee or genu valgum is a condition when legs have deformity

inward of natural legs position. Arthritis means a disorder of the knee

joint, generally implying early joint surface damage. Leg axis is

conventional axis that shows how the body weight distributes among leg

joints.

Auricular cartilage is a type of dense connective tissue which can supply

smooth surfaces for the movement of articulating bones. First of all bow

legs or genu varum and knock knee or genu valgum are deformities that

are not only cosmetic defects. They also lead to knee joint movement

abnormalities that after a number of years result to arthritis.

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Now we find out the normal body weight distribution is when the leg

axis goes straight through femoral head which is the center of the knee

joint and center of articulation of foot. In this case the body weight

distributes naturally and auricular cartilage of the knee joint has equal

distribution at full surface.

In reality there is natural position of knee joint that allows saving the

auricular cartilage in health during years. Now as you can imagine that

legs axes go still straight through femoral head and center of articulation

of foot but do not go through center of the knee joint. So body weight

distribution change and regarding the knee joint one part of the knee

have more load than another.

In case of bow legs there is more load of inner part of knee joint and in

case of knock knee there is more load of the outer part of the knee joint.

Thus auricular cartilage of knee joint has different weight distribution at

surface that leads to its attrition in the part where the loading is

maximum.

In time the auricular cartilage attrition leads to arthritis and a person

feels pain in knee joints. Appearance of arthritis usually happens after

years in elderly age abut sometimes it happen in middle age. In general

it depends on individual health of each person and the only way to

protect from appearance of knee joint arthritis is the surgery of bow legs

and knocks knee correction.

Now with the surgery the leg axis becomes natural position so auricular

cartilage of knee joint get equal weight distribution at full surface and

keep its health in years. Also there is a cosmetic effect that lets a person

feel himself or herself more comfortable around other people. Now if

you want some more information on how to know that you have bow

legs then please visit bow legs no more.com.

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What are the symptoms of bow legs and knock knees?

It’s really easy to check whether or not your legs are suffering from bow

legs and knock knees or your legs depart from the norm. All you have to

do is to stand up with feet together and in this position your feet should

be in contact, without strain or discomfort, from heels to the end of your

big toes.

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Again the top of your thighs, your knees, calves and inner and medial

ankle bones should also touch slightly. The long axis of your leg should

pass through the middle of the knee, ankle and second toe. Your toes

should be spread out and the sides of your feet should be oblique and in

a straight line, apart from the inner and lateral ones, notched by the

longitudinal arches which should be visible.

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Now any departure from this ideal shape would mean that you are

having bow legs or genu verum, knock knees or genu valgum and lock

knees or genu recurvatum. Again you might have flat or hollow feet,

helix valgus, and Quintus virus or hammer toes and if this happens the

chances are that your thigh bones are rotated inwards.

However if the bow legged and knock kneed shapes are just an aesthetic

problem they would not be worthy of any treatment. But as shape

conditions functions, it’s reasonable to expect musculoskeletal troubles

to arise from misalignment between the upper and lower legs. In general

knees are often the site of pain and dysfunction from an imperfect

arrangement of parts of the leg.

I am sure you are aware of the most common problem affecting knees

are known as patella syndrome or anterior knee pain which in other

words is known as chondromalacia patellae. This condition is common

among young people but does not spare older ones. The three main

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symptoms are knee pain, subjective feeling of instability as if your knee

will give way and locking of knee joints for a short duration.

In reality many studies have been done to find a cause of this annoying

condition but specialists are still in the dark. However a careful

morphological examination will reveal, in most cases, an inward rotation

of the thighbones or a lock knee as if the knee was bent back leading to

bow legs or knock knees.

Now in this far from ideal condition, the knee joint is under undue

constant pressure which literally scrapes the cartilage in the knee cap. In

due time if nothing is done to stop this pathological process, the knee

joint will become arthritic to a point of irreversibility. Classically,

treatments offered from these conditions are unfortunately analytical and

local.

At the end of the day toning of the quadriceps is a common form of

treatment but sadly it is useless at best and harmful at worst. Acquired

physical distortions usually start from the top of the body and the

primary departure from normal shape is a deepening of the concavities

of the spine. This is caused by a chronic shortening of the dorsal

muscles. Now if you want some more information about symptoms of

bow legs and knock knees then please visit bow legs no more.com.

What can your doctor do about bow legs and knock knees?

In case of bow legs and knock knees it does not stop at the back, it

spreads down to the legs. As the problem tends to turn on them the

concavities appear to be deeper on one side of the spine. The asymmetric

shortening is commonly evidenced in the legs, where one of them will

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usually present a more severe inward rotation, outward or inward

bending and backward bending.

However since all these distortions are caused by an excess of muscle

tone in the muscle chains, a rotational treatment will concentrate on

decreasing it. Apart from cases where a dysplasia of the trachea is found

the prognosis is good as long as the condition is not too advanced. Now

it is quite common for toddlers to appear mildly bow legged.

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In fact toddlers can often have bowed legs that may even interfere with

walking. The majority of cases of bowed legs in toddlers result from

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physiologic genu varum, the term used by doctors to refer to a variation

in normal appearance that makes some toddlers appear bow legged.

However toddlers with is normal condition in appearance of the legs

usually begin to improve around the age of 15 to 18 months.

By the age of three the problem will generally be resolved without any

type of bracing or treatment. However certain medical conditions can be

responsible for bow legs that do not improve or even worsen as a child

ages. Blount’s disease is a medical condition that affects bone growth,

resulting in abnormal growth of the upper portion of the tibia and shin

bones leading to bow legs.

Now according to the American academy of orthopedic surgeons in case

of children under two years of age, it is impossible to distinguish normal

bow legs from Blount’s disease. However children with physiologic

genu varum will improve with time while those with Blount’s disease

will progressively worse.

In general by the age of three x ray studies of a Childs legs will show the

abnormalities of Blount’s disease. However Blount’s disease is a

treatable condition when discovered really in the toddlers. This is called

infantile Blount’s disease and leg braces can be used to correct the

condition.

If bowing of the legs persists or increases despite of the use of a brace,

surgery may be needed. Braces are not effective in adolescents and teens

with the condition of Blount’s disease are usually treated with surgery.

Other rarer conditions may also result in bowed legs in toddlers.

Disorders of metabolism such as rickets which is basically a deficiency

of vitamin D that is rare in developed countries can also lead to bow

legs.

Now if you are concerned about bow legs in your child, your doctor can

perform tests if necessary to help determine the cause of the problem.

Young babies often have bow legs and this is especially the case with

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sturdy babies of above average weight. In reality bow legs are caused by

different alignment of the bones in a baby’s thighs and legs during

growth.

Bow legs can also be the result of other problems such as rickets and

vitamin D deficiency but this is rare these days. Most children with bow

legs have an underlying problem and bow legs are usually quite normal.

Most children have bow legs to some extent when they are babies and

this becomes more noticeable when they start to walk. Bow legs are also

known as genu varum and if you want to know what your doctor can do

about your bow legs then please visit bow legs no more.com.

When to contact a medical professional if you are having bow legs?

If your child has bow legs then you will notice that when she stands with

her feet together, her ankles touch but her knees are apart. You should

see your doctor if your child is over two years of age and has very severe

bowed legs. Let me inform you that bowing occurs on only one of your

Childs legs.

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The legs will usually line up properly by the time your child starts

school and no treatment is needed. If the bowing doesn’t improve after

this age and the bowing is severe, a specialist might think about night

splints. Bow legs can cause the knees to separate when the feet are

placed together.

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When the condition is severe enough to be considered a deformity the

cause is usually a disorder that occurs early in life such as rickets, flat

feet, a congenital disease or an injury. Bow legs can be corrected

mechanically by braces, shoe wedges, or other orthopedic devices. In

some cases the bone is straightened surgically.

Bow legs in a toddler is very common and when a child with bow legs

stands with his or her feet together there is a distinct space between the

lower legs and knees. This may be a result of either one, or both, of the

legs curving outwards. Again walking often exaggerates the bow legs

appearance and adolescents occasionally have bow legs.

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In many cases the child is significantly overweight and in most cases

children under two years old bowing of the legs is simply a normal

variation in leg appearance. Doctors generally refer to this type of

bowing as physiologic genu varum and in children with physiologic

genu varum the bowing begins to slowly improve at approximately

eighteen months of age and consitnues as the child grow.

By the age of three to four, the bowing will be corrected and the legs

will typically have a normal appearance. Blount’s disease is a condition

that can occur in toddlers as well as in adolescents. It results from an

abnormality of the growth plate in the upper part of the shin bone or

tibia. Growth plates are located at the ends of Childs long bones and

they help to determine the length and shape of the adult bones.

In a child under the age of two years, it may be impossible to distinguish

infantile Blount’s disease from physiologic genu varum. By the age of

three years, however the bowing will worsen and an obvious problem

can often be seen in an x ray. Again rickets is a bone disease in children

that causes bow legs and other bone deformities.

Children with rickets do not get enough calcium, phosphorus and

vitamin D all of which are important for healthy growing bones.

Nutritional rickets is unusual in developed countries because many foods

including milk products are fortified with vitamin D.

Rickets can also be caused by a genetic abnormality that does not allow

vitamin D to be absorbed correctly. This form of rickets may be

inherited. Now if you want some more information about the causes of

bow legs then please visit bow legs no more.com.

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