Knock Knees
Knock knees, or genu valgum, is a condition where the knees angle inward and touch each other when the legs are straightened. It’s common in young children and usually corrects itself with growth. However, if it persists into adolescence or adulthood, it may cause discomfort and lead to other problems.
Causes of Knock Knees
- Physiological: Common in children aged 2-5 and usually self-corrects by age 7.
- Genetic: Family history of knock knees.
- Rickets: Vitamin D deficiency leading to bone softening.
- Injury: Trauma or fracture that affects the growth plate.
- Arthritis: Rheumatoid arthritis can affect joint alignment.
- Obesity: Excess weight can put pressure on the knees, affecting alignment.
Symptoms
- Knees touch while ankles remain apart.
- Abnormal walking gait.
- Knee pain or discomfort.
- Difficulty with activities like running or jumping.
Non-Surgical Treatments
- Physical Therapy: Strengthening and stretching exercises for the legs and hips.
- Orthotics: Custom shoe inserts or braces to improve alignment and reduce strain on the knees.
- Weight Management: Maintaining a healthy weight to reduce pressure on the knees.
- Medication: Pain relief with NSAIDs if there's associated discomfort.
Surgical Treatments
For persistent or severe cases that do not respond to non-surgical treatments:
- Guided Growth Surgery (Hemiepiphysiodesis): A small metal device is placed on the growth plate to guide bone growth and gradually correct alignment.
- Osteotomy: Cutting and realigning the bones to correct knee alignment.
- Knee Replacement: In severe cases where arthritis has damaged the knee joint, partial or total knee replacement may be considered.
Rehabilitation and Management
- Post-Surgery: Physical therapy is crucial for recovery and to restore strength and mobility.
- Regular Monitoring: Follow-up appointments to assess progress and make adjustments as needed.
- Supportive Care: Pain management, psychological support, and ensuring adherence to rehabilitation protocols.
If you would like to have additional information contact Dr. Vipul Shet, serving communities and people from all walks of live.
