Correcting Knock Knees: Non-Surgical Solutions for Better Alignment - Orthopedics

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Knee valgus


Hello, doctor.
I recently noticed that my knees appear to be slightly inward when I stand naturally.
What can I do to correct this? (If surgery is not considered)

Jian Xiansheng, 20~29 year old female. Ask Date: 2021/03/11

Dr. Shi Guozheng reply Orthopedics


During rehabilitation therapy while walking, pay attention to your posture and try to externally rotate your feet as much as possible.

Reply Date: 2021/03/11

More Info


Correcting knock knees, also known as genu valgum, can be a concern for many individuals, particularly if it affects mobility or causes discomfort. While surgical options are available for severe cases, there are several non-surgical approaches that can help improve alignment and alleviate symptoms.

1. Physical Therapy: Engaging in a structured physical therapy program can be highly beneficial. A physical therapist can design a personalized exercise regimen focusing on strengthening the muscles around the knees, hips, and ankles. Exercises that target the quadriceps, hamstrings, and hip abductors can help improve alignment and stability. Stretching exercises for tight muscles, particularly the hip flexors and adductors, can also be included to enhance flexibility and range of motion.

2. Orthotic Devices: Custom orthotics or shoe inserts can provide additional support and help correct alignment issues. These devices can redistribute weight and improve foot mechanics, which may alleviate some of the stress on the knees. It's advisable to consult with a podiatrist or orthopedic specialist to determine the best type of orthotic for your specific needs.

3. Weight Management: Maintaining a healthy weight is crucial, as excess body weight can place additional stress on the knees and exacerbate alignment issues. A balanced diet combined with regular physical activity can help achieve and maintain a healthy weight, thereby reducing the strain on your joints.

4. Activity Modification: Certain activities may worsen knee alignment issues. It may be beneficial to modify your exercise routine to include low-impact activities such as swimming, cycling, or using an elliptical machine. These activities can help strengthen the muscles without placing excessive stress on the knees.

5. Footwear Choices: Wearing supportive footwear is essential. Shoes that provide good arch support and cushioning can help improve overall alignment. Avoiding high heels or shoes with inadequate support can also prevent further complications.

6. Stretching and Strengthening Exercises: Incorporating specific exercises into your routine can help improve knee alignment. For example, lateral leg raises and clamshell exercises can strengthen the hip abductors, which play a crucial role in stabilizing the knee. Additionally, wall sits and step-ups can help strengthen the quadriceps and improve overall knee function.

7. Monitoring and Regular Check-ups: Regular follow-ups with a healthcare provider can help monitor the condition. If symptoms worsen or if there is significant discomfort, further evaluation may be necessary to determine if surgical intervention is warranted.

In summary, while surgical options exist for correcting knock knees, there are various non-surgical methods that can be effective in managing the condition. A combination of physical therapy, orthotic support, weight management, and appropriate exercise can lead to improved alignment and function. Always consult with a healthcare professional before starting any new treatment or exercise program to ensure it is appropriate for your specific situation.

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