Parents of children who have bowed legs often want to know if the child’s legs are abnormal. To help answer that question, here are some basic facts about bowing.
First, bowing or the technical term genu varum (genu = knee, varus / varum = angles in) is a part of the normal development of a child. The role of the physician is to determine if the bowing is physiologic (part of normal development) or pathologic (due to some disease process). Physiologic bowing will improve as the child grows without treatment, while pathologic bowing will tend to worsen over time without treatment. The bowing can arise from the lower portion of the femur near the knee, the knee joint itself, the upper shin bone near the knee, or a combination of these areas.
Normally, an infant is born with bowed legs. Over time, the leg alignment will correct and usually straightens out by about eighteen months of age. By the time the child is three to four years old, he or she will normally develop a knock-kneed alignment. The technical term for this is genu valgum (valgus/valgum = angles out). This genu valgum will then correct somewhat by the age of five to six years old, leaving the normal adult alignment of slight genu valgum (slight knock-kneed).
These are the mean ages for these changes to occur so half of the children will correct their bowing earlier and half will correct it later. Occasionally, the bowing never fully corrects. That is why some adults have bowed legs. So you can see, there is a wide range of normal when looking at bowed legs. Physiologic bowing does not require any treatment other than observation for correction as the child grows.
Internal tibial torsion (inward twist of the tibia caused by intrauterine positioning), also called medial tibial torsion, can complicate matters by making the bowing appear worse than it really is, as we see the side of the knee relative to the foot rather than the front. Correction of the torsion will make the legs appear straighter. Fortunately, internal tibial torsion tends to correct itself without treatment up until the age of four to six years, thereby correcting the visual bowing also.
Many disease processes effecting bone growth cause pathologic bowing. Two of the more common pathologic diseases known to cause bowing are Rickets and Blount’s disease.
Rickets vs Osteoporosis
The difference between rickets and osteoporosis is really age. As a child the bones are soft and –get this forming- so the become hard over a period of time. As an elderly person the bones go from hard to brittle, due to age, lack of exercise, a lifetime of bad diet and illness.
Osteoporosis can be reversed and or delayed by mineral supplement and exercise. Pathological rickets can be reversed or cured by mineral supplement and or physical therapy.
However, Dr. Frankenstein’s children prefer to inject African children with poisons as an excuse to cure them of a disease that is rare today, practically non existent in the West, by point to a natural physiological phenomenon as detrimental to only a specific segment of society, ie., Vegans, non consumers of cow juice, people with dark skin and breast feeding mothers.
Mmm! Can you say population control?
Instead of going into a long discourse about this topic, I will refer my readers to Djehuty Ma’at-Ra who has written an extensive piece on this subject. You can also refer to a previous article of mine that gives supplemental information on the topic.
Read and enjoy, contemplate and educate yourself and in the mean time, see you down the line for more answers to the next bogus article.