Dr. Abbie Clinics

Bow Legs

Legs that curve outwards at the knees, so the knees sit apart when the feet are together. Known medically as genu varum.

  • Assessed as they grow
  • Children seen at every clinic
  • About 45 minutes
  • Nine NSW clinics

Trusted by patients from Sydney to Narrabri

Podiatry NSW/ACT American Academy of Podiatric Sports Medicine (AAPSM) Sports Medicine Australia AHPRA — Australian Health Practitioner Regulation Agency
What you notice

Symptomsand causes

If this sounds like your pain, there is a structural reason for it. The assessment is what finds it.

Common symptoms

  • A gap between the knees when the feet are together
  • Feet that roll outwards, wearing the outer edge of the shoes
  • Tiring quickly, or complaints of aching legs after activity
  • In adults, aching on the outside of the knee or in the hip
  • Sometimes one leg more than the other

What causes it

Some bowing is expected in young children and straightens as they grow. What matters is whether it is within the expected range for the age, and what sits above and below the knee. Where the angle of the hip joint sets the thigh bone more upright, the leg tends to bow and the foot to roll outwards, which makes the foot rigid and poor at absorbing shock. A leg length difference can also produce it on the shorter side only.

A school-aged boy running
A school-aged boy running
How we diagnose it

The cause,not the sore spot

Bow Legs is diagnosed with the Najjarine Biomechanical Assessment, so treatment is prescribed against a finding rather than a symptom.

Dr Abbie Najjarine assessing a patient’s gait on a treadmill
01

Assess

We assess your child standing and walking, and measure the angle at the knees against what is expected for their age.

02

Diagnose

We look at the hip, the shin and the foot together, because the knee sits between them and usually reflects what they are doing.

03

Treat

Where nothing needs doing we say so and set a review. Where it does, treatment is staged around growth.

Dr Abbie Najjarine demonstrating a lower limb assessment, with alignment marked on the leg and practitioners observing
Start here

Book an assessment

Find out what is actually causing your bow legs.

Patient feedback

What patients sayabout bow legs

Google 4.9 Based on 286 Google reviews across our clinics
Laura B. Dr. Abbie Clinics · 2 weeks ago Google

Measured it properly and told us it was normal for her age. No treatment pushed.

Craig D. Dr. Abbie Clinics · 1 month ago Google

Explained how the hip and the foot were involved.

Monica F. Dr. Abbie Clinics · 2 months ago Google

Came back in six months as suggested and compared the measurements.

Questions

Bow Legsquestions

Often, yes — a degree of bowing is normal at certain ages and straightens on its own. The assessment is what tells you whether your child is within that range or outside it.

They are opposites. Bow legs sit apart at the knees and are linked with a foot that rolls out; knock knees touch at the knees and are linked with a foot that rolls in. Both are assessed the same way.

Where the leg stays bowed, the load through the knee and the hip is uneven. In adults that is linked with wear on the outer side of the joint.

Where treatment is needed, it is usually orthotics to change how the foot loads, alongside hands-on work and stretches for the muscles that have tightened.

No. You can book directly.

Treating lower limb pain since 1990

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