Can X-Leg and Flat Feet Be Corrected in a 16-Year-Old? - Rehabilitation

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Correction of X-shaped legs (genu varum)


My 16-year-old daughter has X-shaped legs and flat feet.
Can a doctor still correct this at her age? Thank you.

Vivian, 50~59 year old female. Ask Date: 2022/08/25

Dr. Li Weiqiang reply Rehabilitation


A 16-year-old girl with bowlegs may not be aware of the severity of her condition and whether it affects her mobility.
At this age, her skeletal development is nearly mature, making it difficult to correct the issue with standard braces.
As for flatfoot, custom orthotic insoles can be used to improve the condition.

Reply Date: 2022/08/25

More Info


When it comes to correcting conditions like X-Leg (varus deformity) and flat feet (pes planus) in a 16-year-old, there are several factors to consider. At this age, the growth plates in the bones may still be open, which means that there is potential for some degree of correction through various methods. However, the extent of correction and the methods used will depend on the severity of the conditions and the individual’s overall health.


Understanding X-Leg and Flat Feet
X-Leg (Varus Deformity): This condition occurs when the knees bow outward, creating a gap between the knees when the feet are together. It can be caused by a variety of factors, including genetics, nutritional deficiencies, or underlying medical conditions.
Flat Feet (Pes Planus): This condition is characterized by a lack of arch in the foot, which can lead to pain and discomfort, especially during physical activities. Flat feet can be flexible (where the arch appears when not bearing weight) or rigid (where the arch is absent even when not bearing weight).


Potential for Correction
1. Growth Plates: At 16 years old, many individuals are nearing the end of their growth spurts, but growth plates may still be open. This means that there is still some potential for bone growth and alignment correction.
2. Non-Surgical Options:
- Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the knees and feet, improving alignment and function. Exercises that focus on strengthening the quadriceps, hamstrings, and calf muscles can be beneficial.

- Orthotics: Custom orthotic devices can be prescribed to provide support and improve foot alignment. These can help alleviate discomfort associated with flat feet and may assist in correcting the alignment of the legs.

- Bracing: In some cases, braces may be recommended to help guide the growth of the bones and improve alignment.

3. Surgical Options: If non-surgical methods do not yield satisfactory results and the conditions are severe, surgical intervention may be considered. This is typically a last resort and would be evaluated on a case-by-case basis. Surgical options could involve realigning the bones or correcting the foot structure.


Importance of Professional Assessment
It is crucial to have a thorough assessment by a healthcare professional, such as an orthopedic specialist or a podiatrist, who can evaluate the severity of your daughter’s conditions. They may recommend imaging studies, such as X-rays, to better understand the alignment of the bones and the condition of the growth plates.


Conclusion
In summary, while there is potential for correction of X-Leg and flat feet in a 16-year-old, the approach will depend on the severity of the conditions and the individual’s overall health. Non-surgical methods such as physical therapy and orthotics are often effective, but surgical options may be considered if necessary. It is essential to consult with a healthcare professional to determine the best course of action tailored to your daughter’s specific needs. Early intervention can lead to better outcomes, so seeking professional advice sooner rather than later is advisable.

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