What is Knock Knees?
Knock knees is a condition in deformity of knees on which knee tilt in word while the ankle remain space a part
This condition is also known as gen valgus & genu Val gum
Knock knees depends upon the Tibiofemoral angle of knee joint
The normal Tibiofemoral angle is 5degree – 7degree
If tibiofemoral angle is more then 70 degree is a condition which leads to knock knees.
Medical side of space is increased & lateral side of space between the femur and tibia is decreased.
Functional Genu valgum?
Commonly seen when person go for squatting position.
It is mainly caused due to tightness of abductor muscles
It is most commonly seen in CP child due to spasticity of muscles.
The condition is more common in girls, through boys can also develop knock knees
How Knock Knees Related to child development?
Knock Knees are usually part of child normal growth & development
In some children knock knees is more visible but in some young children have knock knees for a period of tie and with time decrease
Many children develop knock knees & bow legs in their early years as child grow the shape & size of bones charge.
It is common is children aged 3-6 yrs and usually gets better on its own as they grow without causing any problem
In children the gap between the ankle is more then 8cm when standing the knees together
Both or the 1 knee are painful, swollen, stiff or feel warm to touch
Children will have difficulty in walking and running
Causes
- Injury to the knees or legs
- Osteomyelitis
- bone infection
- Rickets
- Ehlers Danlos syndrome (joint hypermobility syndrome)
- Arthritis
- CP child
- Spasticity of M/S
- Weakness of hip muscles
- Weakness of Adductor muscles
- Genetic Conditions (Skeleton Dysplasia’s)
- Metabolic bone Diseases
- Obesity
Symptoms
1 visible Deformity
2 Asymmetry appearance of legs
3 Limp when walking or running
4 Knee or hip pain
5 Short statures
6 difficulties in standing
7 Difficulty in cross by sitting
8 Low confidence of adduct because of bad cosmetic appearance
9 abnormal gate patterns
10 Difficulty in squatting
11 Outward rotated feet
12 Ankle remain apart while the knees are touching
13 symmetric inward angulations of knees
Diagnostic
Doctor will check the position of your legs knees and ankles to determine the severity of condition
Doctor will measure the distance between the ankle of child bones
The condition will be seen if the distance between the ankle is move, move the distance between ankle is more, more the distance between ankle more will be the problem
X- ray of both legs only if the child has difficulty in walking, running and doing daily life activities this avoids the exposing the child to unnecessary radiation
If the child is above the 7 years of age Doctors will look the following factors to determine the security of condition includes:
- Leg Length
- Leg symmetry
- Walking pattern
- Gat abnormality
- Height and length of child legs
- Weight or BMI
Treatment
Majority of children with knock knees get better without treatment
Both surgical and non-surgical treatment or procedure are quite safe and children BMI usually heal faster than adults
Non – surgical procedure
- Physical therapy
- Manual therapy
- Medicine
- Steroids for pain
- Vitamin D Supplements
- Calcium supplements
- Posture correction
- Rest
- Exercise
Surgical procedure
- Guided growth surgery
- Osteotomy surgery
About us
When visiting a chiropractic clinic in Delhi our trained staff will 1st discuss with you on your presented symptoms before gently locating the source of subluxation in your body
They undergo comprehensive training in the process of attaining their degrees, learning about the anatomy & physiology of the human body, effective osteopathic biomechanics & nutrition
After discuss your problems they will then utilize manipulative therapy to apply compression, mobilization & elongation to the tissue in the affected area
A session generally last for 30- 40 minutes and your osteopath & chiropractic and discuss with you on the number of sessions needed depend in your symptoms.