Bowed Legs in Toddlers: When to Seek Help - Rehabilitation

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The child's calves are curved?


My daughter is 1.7 years old, and her calves are slightly bowed, resembling an O-shape.
When she runs, she sways from side to side, and she enjoys walking on her tiptoes.
I'm unsure if this is a normal phenomenon and whether it will have any adverse effects as she grows older.
If she needs to see a specialist for correction, should we consult a pediatric orthopedic specialist or a rehabilitation specialist? I would appreciate your advice.
Thank you!

poco, 30~39 year old female. Ask Date: 2004/04/25

Dr. Li Weiqiang reply Rehabilitation


Hello: For a 1.7-year-old child, having bowed legs is generally acceptable and is considered a physiological "O" shape.
If there are concerns or if the condition appears to be worsening, please consult a rehabilitation specialist or a pediatric orthopedic physician for an evaluation.
If by the age of two, the "O" shape is present (with a distance of more than 5 cm between the knees when the legs are together), it may be beneficial to use orthotic insoles to assist with leg development.
Special insoles can be custom-made at our hospital's rehabilitation department.
Sincerely, Dr.
Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/04/25

More Info


Bowed legs, or genu varum, is a common condition in toddlers and young children. It is characterized by a noticeable outward curvature of the legs, resulting in a "bowed" appearance. In many cases, this condition is a normal part of development, especially in infants and toddlers, as their bones are still growing and adapting to their body mechanics.
At 1.7 years old, it is not unusual for children to exhibit some degree of bowing in their legs. This is particularly common in children who are just starting to walk or run, as their muscles and bones are still developing. Most children will naturally outgrow this condition as they grow older, typically by the age of 3 to 4 years. However, there are certain factors to consider when assessing whether your child's bowed legs are a cause for concern.

1. Age and Development: Since your daughter is only 1.7 years old, it is likely that her bowing is within the normal range for her age. However, if the condition persists beyond the age of 3 or worsens, it may warrant further evaluation.

2. Symmetry: Observe whether the bowing is symmetrical. If both legs are equally bowed, it is more likely to be a normal variant. If one leg is significantly more bowed than the other, this could indicate an underlying issue that may need to be addressed.

3. Associated Symptoms: Pay attention to any associated symptoms such as pain, difficulty walking, or changes in gait. If your daughter is experiencing discomfort or if her walking pattern seems abnormal (e.g., excessive wobbling or limping), it would be advisable to seek medical advice.

4. Family History: Consider any family history of leg deformities or orthopedic issues. If there is a known history of similar conditions, it may be beneficial to consult with a specialist.

5. Physical Examination: A thorough physical examination by a healthcare professional can help determine if there are any underlying issues contributing to the bowed legs. This may include assessing her overall growth, alignment, and any potential muscle imbalances.

If you decide to seek help, it is generally recommended to consult a pediatric orthopedic specialist. They are specifically trained to evaluate and treat musculoskeletal conditions in children. A pediatric orthopedic doctor can provide a comprehensive assessment and determine whether any intervention is necessary. In some cases, physical therapy may be recommended to strengthen the muscles around the legs and improve alignment.

In summary, while bowed legs in toddlers are often a normal developmental phase, it is essential to monitor your child's growth and development. If you have concerns about the severity of the bowing, associated symptoms, or if it persists beyond the typical age range, consulting with a pediatric orthopedic specialist would be a prudent step. They can provide guidance on whether any treatment or intervention is necessary and help ensure your child's healthy development.

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