Genu Varum
Genu Varum, or bow legs, is a condition where the knees stay apart even when the ankles are together. It can be physiological in infants or pathological in older individuals due to bone or joint disorders.

Symptoms
- Bow-shaped legs visible during standing
- Knee or hip pain over time
- Walking imbalance
- Joint stiffness or fatigue during prolonged activity
Causes & Risk Factors
- Physiological development in toddlers
- Rickets or nutritional deficiencies
- Blount’s disease
- Previous trauma or arthritis affecting growth plates
Diagnosis
- Physical assessment and gait analysis
- Measurement of femoral-tibial angle
- X-ray to evaluate bone alignment and deformity
Effective Treatment Options
- Stretching and strengthening exercises
- Bracing in early childhood cases
- Corrective osteotomy surgery in severe adult cases
- Weight management and gait training
Frequently Asked Questions
Are bow legs normal in toddlers?
Yes, most children outgrow it by age 2–3 unless it's pathological.
Can physiotherapy help bow legs in adults?
It can help manage symptoms and improve function but may not correct bone alignment fully.