Knock knees is a condition where the knees angle inward and touch each other when the legs are straight. People with knock knees often show a noticeable gap between their ankles when standing with their knees together. Medically, this is called genu valgum.
This alignment issue is common in young children and usually corrects itself as they grow. However, when knock knees persist into adolescence or adulthood, it may signal an underlying problem or imbalance needing medical care.
The term “knock knees” describes a musculoskeletal deviation where the thigh bone (femur) angles inward, causing the knees to meet even when feet are apart. Mild cases often cause no harm and improve naturally. But severe cases can cause pain, limit movement, and strain joints. Sometimes both legs are equally affected. Other times, one leg shows worse knock knees, causing uneven walking and issues in the hips or spine.
Overview of Knock Knees: Development and Impact
In early childhood, knock knees are usually part of normal bone growth. Between ages two and five, many children go through a phase of genu valgum. This phase helps position joints properly and supports balance while learning to walk and run. Most children’s legs straighten by age seven or eight.
If knock knees continue past this age or appear suddenly in older kids or adults, they may indicate conditions like bone diseases, injury, obesity, or genetic disorders.
Understanding the overview of knock knees helps not just with clinical care but also with emotional support. Even when no physical symptoms exist, visible leg differences can lower confidence and cause social discomfort, especially in teens. Untreated knock knees may increase risks for arthritis, unstable knees, or chronic pain later on.
Overview of Knock Knees: Types and Diagnosis
There are two main forms of knock knees: physiological and pathological. Physiological knock knees occur naturally during growth and usually need no treatment. Pathological knock knees come from abnormal growth, illness, injury, or genetic issues and may require medical evaluation.
Doctors assess knock knees by observing leg alignment and considering factors like age, growth patterns, and medical history. In adults, pain or difficulty walking can lead to further tests such as X-rays or MRIs. These help check bone shape, joint damage, and soft tissue problems like muscle weakness or loose ligaments.
When knock knees persist or cause functional problems, treatments range from physical therapy and braces to weight management and surgery. Treatment aims to improve joint use, ease pain, and prevent future joint damage—not just fix the appearance.
Overview of Knock Knees: Biomechanics and Public Health
Biomechanically, knock knees change how weight and pressure spread across the knee joint. This uneven load can cause runner’s knee (patellofemoral pain), strain on inner knee ligaments, or early arthritis. Over time, these problems can limit mobility and cause pain, especially in active people or those with demanding jobs.
In some places with limited healthcare, knock knees may go undiagnosed or untreated. Malnutrition, vitamin D deficiency, and diseases like rickets contribute to persistent knock knees in children. Public health efforts focusing on nutrition and early care can help prevent these issues.
Modern orthopaedics and physiotherapy have improved outcomes. Guided growth surgery can correct deformities in children with open growth plates. Adults with severe knock knees might benefit from bone realignment surgery (osteotomy) or, in extreme cases, knee replacement.
Overview of Knock Knees: Living with the Condition
Having knock knees does not always limit daily life. Many with mild to moderate knock knees stay active and healthy without treatment. Regular exercise, balanced nutrition, proper shoes, and good posture help reduce discomfort and slow progression.
However, those with pain, balance problems, or movement limits should see a doctor for support and monitoring. Early diagnosis and care can improve results and quality of life.
In summary, the overview of knock knees shows it can range from a normal childhood phase to a serious adult condition. Knowing its causes, effects, and treatments helps individuals and caregivers decide when to watch, when to act, and how to protect long-term joint health. Early professional evaluation makes a strong difference for people affected by this common orthopedic issue.


