Am I Experiencing Bow Legs? and Addressing Leg Curvature - Rehabilitation

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Unsure if it is bow-legged (genu varum)?


My legs are straight from the thigh to the knee, but they curve outward from the knee down.
For example: │ this represents the thigh) and this represents the calf.
So when my knees and ankles are together, my calves form this shape: ().
This is why I don't like wearing shorts or skirts.
Is this considered bow-legged? What should I do? I feel like I've been this way since I was a child.
I envy others who have straight legs.

snuffle, 10~19 year old female. Ask Date: 2006/07/14

Dr. Chen Jiali reply Rehabilitation


Dear Snuffle: To determine if you have bowlegs (O-shaped legs), you can consult an orthopedic specialist or a rehabilitation physician.
However, most cases of bowlegs are normal variations, similar to the differences in height and weight among individuals.
They typically do not present any symptoms, just a difference in appearance.
Only in a few cases, where there is a significant difference in the curvature of the legs, is further examination necessary.

Reply Date: 2006/07/14

More Info


It sounds like you are experiencing a condition commonly referred to as "bow legs," or in medical terms, genu varum. This condition is characterized by an outward curvature of the lower legs, which can be noticeable when the knees are together while the feet remain apart. Your description indicates that your thighs appear straight, but the lower legs curve outward, which aligns with the typical presentation of bow legs.

Bow legs can be a result of various factors, including genetics, developmental issues, or certain medical conditions. In children, bow legs are often a normal part of growth and development, as many infants and toddlers exhibit this curvature. However, if the condition persists into adolescence or adulthood, it may warrant further investigation. In adults, bow legs can sometimes be associated with conditions such as osteoarthritis, rickets, or Blount's disease.

If you have had this condition since childhood and it has not caused you any pain or functional issues, it may simply be a benign anatomical variation. However, if you are experiencing discomfort, pain, or difficulty with activities, it would be advisable to consult with a healthcare professional, such as an orthopedic specialist. They can perform a thorough evaluation, which may include physical examinations and imaging studies like X-rays, to assess the alignment of your legs and determine if any underlying issues need to be addressed.

In terms of treatment, options can vary based on the severity of the curvature and any associated symptoms. If the bowing is mild and not causing pain, treatment may not be necessary. However, if there are functional limitations or discomfort, physical therapy may be beneficial. A physical therapist can design a program to strengthen the muscles around the knees and improve overall leg alignment. In some cases, bracing may be recommended, especially for younger individuals whose bones are still growing.

For more severe cases, particularly if there is significant pain or functional impairment, surgical options may be considered. Surgical procedures can involve realigning the bones to achieve a straighter leg structure. This is typically reserved for cases where conservative measures have failed and the individual is experiencing significant issues.

It's understandable to feel self-conscious about the appearance of your legs, especially if you compare them to others. However, it's important to remember that body diversity is normal, and many people have variations in their leg shapes. If your bow legs are not causing you any physical problems, embracing your unique body shape can be a positive approach. If you're looking for ways to feel more comfortable in your skin, consider exploring different styles of clothing that you feel confident in, regardless of leg shape.

In summary, while it sounds like you may have bow legs, the best course of action is to consult with a healthcare professional for a proper assessment. They can provide guidance tailored to your specific situation and help you determine if any treatment is necessary. Remember, your health and comfort are the most important factors to consider.

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