
Bow legs, also called genu varum, are the condition in which the legs bend outward at the knees. It's a normal part of growth and development in infants and toddlers and generally disappears as the child ages.
Timely treatment of bow legs (genu varum) is essential to prevent joint damage, walking difficulties, and persistent pain. Early intervention prevents the requirement for surgery, lowers the risk of arthritis, and ensures healthy bone development. It also helps improve posture, mobility, and self-confidence. Furthermore, it improves self-confidence, movement, and posture. Early therapy can improve the overall quality of life and avoid long-term consequences.
Causes
Risk Factors
The following factors can increase the chances of developing bow legs
Significant advancements have been recorded in treating bow legs in Malaysia, particularly with minimally invasive techniques such as guided growth surgery with "eight-plate" implants in children, allowing for gradual correction during growth. High tibial osteotomy (HTO) is commonly used to correct adult bending. Physiotherapy and bracing are commonly utilised alongside these surgical options to deliver a comprehensive and effective method to treat the disease.
Ensure you eat a healthy diet with sufficient calcium and vitamin D to develop strong bones and avoid bow legs. Kids should be encouraged to maintain a healthy weight and participate in frequent physical activities to promote leg alignment. Avoid exposing babies to extended early weight-bearing activities, such as excessive standing or walking, before they are ready. Visiting a doctor regularly might help detect and treat any problems with bone growth early.
Bow leg correction: involves realigning the legs to their normal posture. The issue can be corrected with bracing and guided growth surgery as children develop. Limb-lengthening procedures or surgical treatments such as osteotomy are employed for severe occurrences in adulthood. Recent developments, such as robotic-assisted correction and minimally invasive surgery, have improved results and shortened recovery times.
Physical Examination: The doctor analyses the patient's knee separation, gait, and leg alignment.
MediRehab (chain of Rehab centres - Part of MediGence) provides comprehensive rehabilitation services to support patients through Teleconsulations and online therapy sessions.
Although medications cannot treat bow legs directly, they can help control the symptoms and underlying causes; for instance, medications target the root causes, such as bone-strengthening medications for osteoporosis, NSAIDS for pain management, and vitamin D and calcium supplements for rickets. In certain circumstances, growth hormone therapy may also be helpful. In severe situations, bracing or surgery is usually necessary.









Kuala Lumpur, Malaysia
Sunway Medical Centre has initiated a comprehensive expansion plan close to its current hospital facility to enhance its ability to provide services to the global market. The new Cancer Radiosurgery Center and Nuclear Medicine Center, which will also house additional Centers of Excellence like the Digestive Health Center and Dialysis Center, marked the completion of Tower C's first phase in October 2016.

Kuala Lumpur, Malaysia
Situated at the junction of Petaling Jaya and Shah Alam, close to the Oasis Ara, Ara Damansara Medical Centre boasts a serene, luxurious ambiance.
The Centre has been awarded several prestigious awards such as the Global Health Asia Pacific Awards 2023, Newsweek Best Specialized Hospital APAC 2023, Healthcare Asia Awards 2023, and Malaysian Healthcare Wellness Excellence.

Kuala Lumpur, Malaysia
Prince Court is a private medical facility in the center of Kuala Lumpur that has 277 individual beds. Our dedication is to provide you with the best treatment possible from the time you arrive until you depart, healthier and happier. We are well-known for our top-notch facilities, cutting-edge technology, and friendly customer service.
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The reason for choosing Malaysia for the treatment is that Malaysia has highly qualified orthopaedic doctors and state-of-the-art medical facilities at reasonable prices. Bow leg treatment is highly sought after in the country. With modern technology, shorter waiting times than most Western nations, and hospitals approved by the Western world, patients can receive excellent care for a fraction of the cost.
Surgery for bow legs is required if the condition continues after age three and causes severe misalignment, pain, or movement problems. It is also necessary for cases connected to diseases like Blount’s or rickets. Treatments like osteotomy or guided growth surgery might correct the deformity and prevent joint issues if braces or therapy are ineffective.
Bow legs (genu varum) can affect individuals of all ages: Infants & Toddlers (0–3 years). It is very common for infants to be born with bow legs due to their position in the womb. It corrects itself as they grow and start walking. It may show an underlying condition, such as rickets, if bow legs persist beyond age three or worsen.
Bow legs (genu varum) can run in families. Due to genetic factors, some children inherit a natural tendency for their legs to bow, affecting bone development. However, environmental factors, including inadequate nutrition (such as vitamin D deficiency leading to rickets) or underlying medical issues, can also cause bow legs.
Mobility may not be significantly affected by mild cases of bow legs, but severe cases might result in:
In Malaysia, treatment for bow legs is generally successful, with numerous patients experiencing good results from interventions such as osteotomy. Well-established medical facilities, experienced surgeons, and advanced medical technology contribute to successful interventions.
Before choosing hospitals in Malaysia, always look for the following:
Yes, in Malaysia, surgeons have extensive experience treating bow legs. Both conservative and surgical approaches are frequently used by orthopaedic surgeons and sports medicine specialists in Malaysia to diagnose and treat these ailments.
Infants frequently have bow legs and can easily detected visually. Because of their position in the womb, most infants are naturally born with bowed legs, but this usually goes away when they are two or three years old. Additional medical assessment could be required if bending worsens or continues past this age.
Severe bow legs can cause joint pain and arthritis, especially in the knees, if not treated.
The recovery time frame following corrective surgery is determined by the procedure involved and the patient's healing process. Usually:
After receiving proper treatment, chances of recurrence are relatively rare; however, it can occur because of the:

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25 Years of Experience
Known among his patients for treating with compassion and personal care, Dr. Puneet Mishra is one of the best orthopedic surgeons in New Delhi. Dr. Puneet completed his MBBS from Maulana Azad Medical College in 1996 and from the same college he completed his MS (orthopedics) in 2000. With almost 25+ years of surgical experience under him, Dr. Pankaj takes pride in working with some of the finest medical institutions of the world such as University Hospital, Bern, Maulana Azad Medical College, New Delhi, Endoklinik, Germany, and Professor and Consultant orthopedician at Guru Teg Bahadur Hospital, New Delhi. View More
Last Reviewed - January 2026