Assess
We assess your child standing and walking, and measure the angle at the knees against what is expected for their age.
Legs that curve outwards at the knees, so the knees sit apart when the feet are together. Known medically as genu varum.
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If this sounds like your pain, there is a structural reason for it. The assessment is what finds 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.
Bow Legs is diagnosed with the Najjarine Biomechanical Assessment, so treatment is prescribed against a finding rather than a symptom.
We assess your child standing and walking, and measure the angle at the knees against what is expected for their age.
We look at the hip, the shin and the foot together, because the knee sits between them and usually reflects what they are doing.
Where nothing needs doing we say so and set a review. Where it does, treatment is staged around growth.
All ten treatments, starting with those most often used for bow legs. Which you need is decided at the assessment; most plans combine more than one.

A full lower limb assessment from the feet up. It is the foundation of every treatment plan we prescribe.
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Pigeon toe, flat feet and growing pains, assessed while the foot is still developing.
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Prescribed devices that change how your foot meets the ground. Manufactured on site at our Kirrawee head office.
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Hands-on work addressing restrictions across the foot’s 26 bones.
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Acoustic waves using kinetic energy to stimulate repair in tendon and soft tissue. We use it most often for persistent heel pain and Achilles pain.
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Fine needles inserted into trigger points to break down restrictive tissue.
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Running injuries, return to sport, and footwear that matches your gait.
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Routine care including ingrown toenails, corns and calluses.
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Therapeutic support to offload tissue while it recovers.
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Injectable therapy to stimulate a repair response. Paired with prolotherapy.
Read moreEvery clinic books into its own diary. Choose the one nearest you.
Measured it properly and told us it was normal for her age. No treatment pushed.
Explained how the hip and the foot were involved.
Came back in six months as suggested and compared the measurements.
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
Choose your clinic and book straight into its diary, or call and we will point you to the right practitioner.