Ask the Expert: Dr. Austin Fragomen, Orthopedic Surgeon, Answers Your Questions on Knock Knees

by Dr. Austin Fragomen
Knock knees

Q1. What causes knock knees and can they be corrected? What is the impact on the ankles, knees and hips?

There are many causes for genu valgum (knock knees). Most cases are developmental, where people are born with the deformity and it becomes more noticeable with time. An injury to the growth plate in a child can also lead to knock knees. Knock knees can be surgically corrected. The surgical technique used may vary depending on age.

Knock knees can affect the ankles and knees as well as the hips. This is a form of misalignment and it can cause increasing pressure and pain in the front of the knee because the knee cap is off center. The ankles may struggle to keep the foot flat on the ground. The ankle and foot will need to compensate to make up for misalignment at the knee, often leading to ankle pain. Abnormal hip rotation is often associated with knock knees and can cause hip pain. This needs to be recognized and addressed with any corrective surgery for the knock knees.

Q2. I have knock knees as well as hip and back issues. Is there any correlation?

Knock knees can be associated with knee, hip and back pain. Furthermore, correction of the deformity will often alleviate the pain. If a patient is overweight and has knock knees, then losing weight will help the hip and back pain. Knock knees are often related to leg length differences. A leg length inequality will often lead to hip and back pain. Having the legs equalized will help treat the pain. Consult with a physician for the best course of treatment.

Q3. Is knock knee surgery possible on someone in their late twenties?

Yes, there is no age limit for corrective surgery for knock knees. The surgical technique used may vary depending on age. Children can take advantage of their remaining growth to guide the bones straighter with minor surgery. Adults can benefit from osteotomy surgery on the knee to obtain a correction. Older patients with arthritis will often receive a knee replacement to treat both problems with great success. It is important to consult with a physician to determine the best course of treatment.

Q4. Can knock knees get worse over time?

The deformity can get worse in some cases. In children the deformity can progress with growth. If arthritis is present, the deformity can progress as the joint wears out further. In adults the medial ligaments of the knee can stretch and cause greater deformity.

Q5. Are there any non-surgical treatments for knock knees?

The best non-surgical treatments are aimed at reducing the risk of arthritis development in the knee. This includes maintaining a low body weight, keeping fit while avoiding high impact activities (running, soccer, singles, tennis, basketball, etc.) and bracing. These treatments will not change the knock knee deformity but they will help in reducing the functional problems associated with the deformity. Talk with a physician about the best treatment for you.Dr. Austin Fragomen, Orthopedic Surgeon

Dr. Austin Fragomen is an orthopedic surgeon and the director of the Limb Lengthening and Complex Reconstruction Service at Hospital for Special Surgery.

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The information provided in this blog by HSS and our affiliated physicians is for general informational and educational purposes, and should not be considered medical advice for any individual problem you may have. This information is not a substitute for the professional judgment of a qualified health care provider who is familiar with the unique facts about your condition and medical history. You should always consult your health care provider prior to starting any new treatment, or terminating or changing any ongoing treatment. Every post on this blog is the opinion of the author and may not reflect the official position of HSS. Please contact us if we can be helpful in answering any questions or to arrange for a visit or consult.

Comments

Carlo Ligammari says:

Dr. Fragomen and his team both at The Institute For Limb Lengthening and Complex Reconstruction & HSS are absolutely wonderful. It is because of their dedication to their patients that I am on my feet today.

Sincerely,
Carlo Ligammari

HSS on the Move says:

Hi Carlo, thank you for your note. We”ll share it with Dr. Fragomen.
We”re interested in hearing more about your story–please email us at socialmediacontact@hss.edu.

john little says:

i have knock knees but not that bad. My thighs touch about 4-6 inches before the bottom of my feet do. i am 18, i recently lost a lot of weight and am currently working out a bit, so i wanted to know if there is any stretch or something i can do like a brace to correct the problem? something that i wont have to sit in a wheelchair for a month or use crutches for a while, because i love playing sports, please answer asap, thanks.

HSS on the Move says:

Hi John, thanks for reaching out. For more information on knock knees, visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. It is best for you to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

sanna says:

I have a knock knee problrm from past 7 years..my legs are totally crossed I want to correct my legs..plz doctor help me if surgery is needed I am agree with surgery but legs should b corrected and my DOB is 1991

HSS on the Move says:

Hi Sanna, thank you for reaching out. For more information on knock knees, please visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Dee says:

I have knock knees and my left leg bends move to the left, this makes my left ankle weak, I would like to get both legs corrected, but I”m looking for doctors in Philadelphia, PA. If you could give me any leads I would appreciate it very much, thanks.

:)

HSS on the Move says:

Hi Dee, thank you for reaching out. If you wish to receive care at HSS, please contact our Coast to Coast (C2C) Program at 212-606-1610 or by email at C2C@hss.edu for further assistance. For more information on the Coast to Coast (C2C) Program at HSS, visit http://www.hss.edu/coast-to-coast.asp.

Danial says:

i have knee knocking problem although its not that much worse , i run 1.5 miles daily and have no problem in that , i am 17 years old , height 5”11 weight 74 kgs … how can i completely remove this knee knocking ?????
waitng for a reply

HSS on the Move says:

Hi Danial, thank you for reaching out. It is best for you and your guardian to consult with your treating physician regarding treatment. For more information on Hospital for Special Surgery, click here: http://www.hss.edu.

Ashu says:

First I would like to thank Dr. for this post. It is really helpful. helpful to understand Knock knee. I would be vert very thankful if you reply to my issue described below.

I am 24yrs female and my knock knee problem was detected some 4 or 5 yrs ago. I think the distance between feet is 21cm. I have read many posts on internet regarding this. I am fine to live with cross legs and I am lookinf for aesthetic look. I dont want to go for surgery. But I would like to know
1. if the feet gap will increase by age? How to avoid this?
2. Do we have a way to avoid the pain?
3. Precautionary measures to avoid pain and the gap.
4. ways to prevent my knee joint pain.

Sometimes I suffer from lot of pain. I dont want to get bed ridden :-( I request you to please address my issues in detail.

lot of thanks in advance.

HSS on the Move says:

Hi Ashu, thank you for your questions on knock knee. For detailed information related to knock knee, please refer to the below links. In addition, you can contact Physician Referral Service at 877-606-1555 or visit them online at https://www.hss.edu/secure/prs-appointment-request.asp to find a doctor who will be the best match for your condition.

Articles on knock knee

An interview with HSS surgeons about knock knees
http://www.hss.edu/conditions_limb-leg-deformity-pediatric-patient.asp

Overview on knee joint pain
http://www.hss.edu/conditions_patellofemoral-arthritis-in-the-knee-overview.asp

Justin Stevens says:

How can I find a doctor close to me for a consultation? I have back pain as well as knee pains but the length between my feet is not as drastic as some. I live in Columbus, Ga.

HSS on the Move says:

Hi Justin – Thanks for reaching out. We recommend the American Academy of Orthopaedic Surgeons website. They have a section called “Find an Orthopaedist.” If you are interested in traveling to HSS for your care, please reference the HSS Coast to Coast Program for Traveling Patients website: http://www.hss.edu/coast-to-coast.asp. Best of luck in your search!

Sabina says:

I am interested in this surgery and I live in NY so going to HSS isn”t a problem. However I am 23 years old, and isn”t recovering from ortho surgery much harder when you are older as opposed to when you are younger?

HSS on the Move says:

Recovery time can vary from person-to-person, so we recommend seeing a doctor to get a better estimate. If you”d like to make an appointment with us, please contact Physician Referral Service at 877-606-1555 or visit them online at https://www.hss.edu/secure/prs-appointment-request.asp

sandra says:

I am 33 yrs old and knock kneed. I have been all my life. I want to get me legs realigned and really my question is how much would it cost to have my surgery a HSS.
Are there pictures I could look at?

HSS on the Move says:

Sandra, you can see photos of realignment and learn more by visiting: http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp The success and costs involved with realignment surgery can vary from patient to patient. If you’d like to come to us, we suggest that you contact Physician Referral Service at 877-606-1555 or visit them online at https://www.hss.edu/secure/prs-appointment-request.asp.

PRIYA says:

AFTER dis surgery …how much tym will required 2 get back their ….noral routines….in short …how long dis surgery recovery takes place ?

HSS on the Move says:

Priya, Dr. Austin Fragomen says: “It usually takes 3 months for the bone to heal, then another 6 weeks of rehab to recover to normal activities.” The treating physician will advise on recovery period that is right for you. If you or someone you know would like to come to see us for this procedure, contact Physician Referral Service at 877-606-1555 or visit them online at https://www.hss.edu/secure/prs-appointment-request.asp.

carol says:

I have knock knee and would like to correct them about how much it will cost to do so?

HSS on the Move says:

Thanks for writing, Carol. Costs and corrective procedures can vary from patient to patient and should be assessed by a doctor. If you would like to come to see us, please contact Physician Referral Service at 877-606-1555 or visit them online at https://www.hss.edu/secure/prs-appointment-request.asp.

Shorty says:

This is great …I didn”t know that can be corrected
I have knock knees but it”s not like it”s severe and I don”t
have any back pain or join pain… I”m a very active ! Do you think I should get surgery ?

HSS on the Move says:

Glad to hear you’re staying active! If you’d like to speak with one of our doctors to find out if you are a candidate for surgery, please contact our Physician Referral Service at 877-606-1555 or visit them online at https://www.hss.edu/secure/prs-appointment-request.asp.

bekkie becca says:

am a nigerian, how can i have contact with him?

HSS on the Move says:

Hi Bekkie – Thanks for reaching out. Our International Center works to facilitate the clinical and related needs of international patients and their families with cultural sensitivity to ensure the highest quality standard of care. You can contact them at +1 212.606.1186 or international@hss.edu.

xforex says:

Amazing and awesome post!Million thanks to the honourable doctor for great post.It is so useful and helpful for me and others as well.Very helpful to understand and know alot of Knock knee.I learnt many things from this great website article.Will visit back this awesome tips site again.God bless you all.Amen!Stay healthy also.

marlene says:

Thnx fr dis doctor.I”m from ghana and wld like to knw more about it cos the sight alone kills me

HSS on the Move says:

Hi Marlene, To learn more about knock knees and treatment for this disorder, please visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. If you’re interested in visiting HSS, please contact our International Center at +1 212.606.1186, international@hss.edu or http://www.hss.edu/international-center.asp.

Pankaj says:

Hi

My son is 9.5 yrs old and heavily into sports including tennis and soccer. He has knocking knees since birth and we were told it will rectify by itself. He has never complained of any issues while playing but since he wants to get serious into tennis and maybe also take it professionally down the line I am concerned if the knocking knees will become a problem and make him prone to injuries. What should be our course of action?

HSS on the Move says:

Dear Pankaj, We’re glad to hear your son is doing so well. Our chief of pediatric orthopedic surgery, Dr. Roger Widmann, recommends your son sees a physician and says, “Alignment x-rays from hip to ankle will quantify the amount of valgus (knock-knees), and the amount of valgus will dictate the course of action. Usually this is followed for a period of time, and if the valgus is very large and/or increasing then there are minimally invasive surgical options for correction during adolescence.” If you’d like to make an appointment with an HSS physician, please contact our Physician Referral Service at +1.877.606.1555 or https://www.hss.edu/secure/prs-appointment-request.asp?pageid=6463.

Ed says:

Hi,am from nigeria,i developed pain in my left kneel at d age of 9,with time,i noticed a protruded growth on my left,later,my right knee became affected,i consulted a doctor and was told dat i have exostosis,both knees became knocked,i did a surgery to remove d growth,i was told dat my knees will become normal after d surgery,am 27,d knees are still knocked and sometimes i feel pain,what should i do?should i go for another surgery?

HSS on the Move says:

Hi Ed, Thanks for reaching out. We’re sorry you’re having pain. Please contact our International Center for information on traveling to HSS for care at +1 212.606.1186 or international@hss.edu.

Leya says:

I was diagnosed with right median neuropathy consistent with carpal tunnel. Would I possibly need surgery on my left hand or on my right hand?

HSS on the Move says:

Hi Leya, Thanks for reaching out. Orthopedic surgeon Dr. Aaron Daluiski says, “It depends. If the compression and the symptoms are severe, then I will often recommend surgery. It depends on the symptoms and exam findings. which can be determined by examination of the patient.” It’s best to consult with your physician. If you’d like to make an appointment with an HSS physician, please contact our Physician Referral Service at +1.877.606.1555 or https://www.hss.edu/secure/prs-appointment-request.asp?pageid=6463.

serin says:

my child 4 years old and has knock knees the width between his feet about 6 fingers is the exercise can cure or surgery needed

HSS on the Move says:

Thanks for reaching out. Unfortunately we cannot comment on your son’s case without a physical consult. If you’d like to make an appointment with an HSS physician, please contact our Physician Referral Service at +1.877.606.1555 or https://www.hss.edu/secure/prs-appointment-request.asp?pageid=6463.

noela acha says:

I have had knocked knees since I was 11.someone threw me off a high building and back home.I suffered severely. they don”t really have any way to correct this.I am beautiful but feel very ugly.i cannot wear any form of trousers,I have lost many suitors because of my knocked knee,and I have very low esteem.and my knees hurt.I can hear people talk about my leg sometimes,and I feel so bad.I didnt some research and all the websites said they was no surgery for this.trust and believe me I was already going to talk to a doctor to give them a business idea.the idea is to great a device that adults could put in between their legs underneath a dress or pants that will make the leg look straight and another device we can wear,maybe an hour or two a day to help straighten the leg.there,s a large community of knocked knees people.and am happy we can now do surgery.

HSS on the Move says:

Thanks for reaching out. We’re sorry to hear you’re suffering. If you’d like to make an appointment with an HSS physician, please contact the Physician Referral Service at +1.877.606.1555 or https://www.hss.edu/secure/prs-appointment-request.asp?pageid=6463.

des says:

hy.am frm Nigeria.. Noticed ma knock knees wen ah was abt 11…. Some said its bcuz of hw i wrk, bt nw its makin me feel dwn, nid to get rid of it

HSS on the Move says:

Thanks for reaching out. Please contact our International Center for information on traveling to HSS for care at +1 212.606.1186 or international@hss.edu.

Glo says:

Hi, I am a Nigerian, I think I have Had knocked knee all my life, I have been mocked I am 36yrs old. I have a daughter and I think she got my legs I am so frightened I don”t want her to experience what I did growing up pls help. She is just 2yrs old.

HSS on the Move says:

Thanks for reaching out. Please contact our International Center for information on traveling to HSS for care at +1 212.606.1186 or international@hss.edu

vipin yadav says:

I have knock knees problem any exercise for fit my leg
please send exercise video on my email id and reply
thanks…………………..

HSS on the Move says:

Hi Vipin, thanks for reaching out. If you’d like to make an appointment with an HSS physician, please contact the Physician Referral Service at +1.877.606.1555 or https://www.hss.edu/secure/prs-appointment-request.asp?pageid=6463

suma says:

Hello ur site is informative helpful and offcourse source of inspiration to ppl like me…I had surgery for. Correction of knock kness yr ago..can I have normal sex life later and have a baby I am in mid twenties reply plz

HSS on the Move says:

Hi Suma, If you’d like to make an appointment with an HSS physician, please contact the Physician Referral Service at +1.877.606.1555 or https://www.hss.edu/secure/prs-appointment-request.asp?pageid=6463.

JéJuana says:

Please help me find a doctor in Los Angeles, CA. that can help correct my knock knees, this condition is so ugly, and it makes my self esteem very low, I”m a little older than the norm but it still affect my daily functions, I hate walking, wearing shorts, and short dresses and or skirts, I need help bad please advise on a gud doctor in California, or do I have to travel to another state just to get the surgery done???

HSS on the Move says:

Hi JéJuana, Thanks for reaching out. Please email us at socialmediacontact@hss.edu so we can further assist you.

Jack says:

Hello, I am a 18 year old male who is heavily into soccer, I have in my opinion rather severe knock knees, around a 5 inch gap between my feet. I am interested in surgery to help correct them due to the knee joint getting painful after soccer and other exercises. I find that my left knee is more painful because I am right footed and when more pressure is often put on that joint. Will I still be able to play soccer after surgery? Or at least do exercise such as running and so on. It really is embarrassing also as my legs look ridiculous in clothes! in jeans my legs look awful!

HSS on the Move says:

Hi Jack, thank you for reaching out with your question. Dr. Austin Fragomen, Orthopedic Surgeon, says: “The short answer is that knock knees can be correctable with surgery and that a full recovery to athletics is possible. Knock knee (genu valgum) is a common deformity and can lead to knee arthritis – it is best to be corrected early before arthritis sets in. The surgery varies depending on the X-ray and physical exam. This is a congenital deformity and insurance will likely approve the surgery. The goal of surgery is to alleviate pain, improve function, and prevent arthritis and the look of the legs will also improve dramatically. The next step is to be evaluated and formulate a plan of action.” If you are interested in receiving care at HSS, please call our Physician Referral Service at 877-606-1555.

Kimberly says:

My grandmother is 83 and one leg is like the knock knee. And it is bowed inward a lot. I am just wondering if this will worsen for her. Sometimes it takes her a minute to get going or she may lose her balance (hasn’t fallen yet and that is my fear). She wont let me ask her doctor about it either. I have no clue about this sort of issue and cannot find any helpful information about this online regarding her age group.

HSS on the Move says:

Hi Kimberly, thank you for reaching out. Here is some information on knock knees: http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp.

vishay says:

Hi its good to c that their is a doc who motivate our community of knock knees….I hv knock knees ..m 26 years n I got to know abt my condition in this year by orthopedic only…but my right leg pains a lot whn I walk for long …n I hv arthrithis in both legs … my knees pain like hell ……in my famly I dont hv history of knock knees thn y I hv … most people say that my legs r not straight n I put my foot tilted….shud I go for surgery plz doc suggest me…m really tensed….u can mail me…

HSS on the Move says:

Hi Vishay, thank you for reaching out. In order to make an appointment here at HSS, you can call Physician Referral Service at 877-606-1555. To learn more about knock knees, go to the following link: http://www.hss.edu/condition-list_limb-lengthening-deformity.asp

patty says:

Hello,
Since I can remember I’d have had knock knees and never had problems, until the age 12 and 13 I dislocated my right knee but after physical therapy I was find until the age of 20 (now 26) It dislocated again at work and every since I haven’t been the SAME. I always dislocated my right knee and now both of them. I have so much pain, swelling, and can’t do anything. It affects me to work in general….So my question is Having this problem, can I no longer work in my LIFE. EVER AGAIN???? Because I always to lose my job for this reason. And no doctor want to diagnosed me or puts me disable. (Which I already have a permanent disable platcard from a former worker’s Comp.)

Thank You,
Patty

HSS on the Move says:

Hi Patty, thank you for reaching out. It is best for you to be evaluated in person. If you are interested in care at HSS, please contact our Physician Referral Service at 877-606-1555 for assistance.

JéJuana says:

Would like to know if there are any doctors in California that can perform knock knee surgery, please advise!!!

Alfred says:

Hello
My legs were straight from birth. At age 13 I started having serious pains on my knees which later made my knees knock with the right leg a little more knock than the left- Maybe due to the condition in which I grew- the doctor gave me tabalon and said it would straighten out as I grow but it didn’t. The pain comes and go in it the cause of my growing up. I’m 27 now and I don’t have low self esteem because my knees are not that knocked but I do feel sharp pain in my knee sometimes when I walk, bend my knees or squat. I do need serious help because of the pains.

HSS on the Move says:

Hi Alfred, thank you for reaching out. Please contact our Physician Referral Service at 877-606-1555 for further assistance.

Susan Wang says:

This site is very helpful for knock knee community. I have knock knees, I’d like to know about the possible complications involved in the surgery.

Thanks,

Susan

HSS on the Move says:

Hi Susan, thank you for reaching out. Determination on whether or not surgery is appropriate would be made by your treating physician after an in-person confultation. If you are interested in care at HSS, please contact our Physician Referral Service at 877-606-1555 for assistance.

Susan Wang says:

Hi,

This site is very helpful for knock knee community. I have knock knees, I am interested in the surgery, I don’t know about possible complications involved in this kind of surgery. Could you please let me know about the complication, so I can make a decision if I go forward for the surgery?

Thanks,

Susan

HSS on the Move says:

Hi Susan, thank you for reaching out. For more information on knock knees, visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Makayla Harvey says:

I”m a 17 year old high school student. I have had knock knees since I was a very young kid. As a kid, the doctor gave me inserts to put into my shoes. Unfortunately they did not help. I am seriously considering surgery. My knees make me feel very insecure. I also have pain in both knees, but not constantly. Is surgery the way to go?

HSS on the Move says:

Hi Makayla, thank you for reaching out. Unfortunately, we are not able to answer your question because you are under the age of 18. It is best for you to consult with you treating physician with a parent.

Salman says:

Hi this is salman 24 year old. My little finger is fractured i already consult with the doctor and treatment is also over (x ray then POP)?

Still i dont have grip on my little finger its not actioning unable to strech nothing. I covered it with a bandage just. Can any one tell me how much time it will take to heal and what shall i do now for care? Even swelling at injury place.

HSS on the Move says:

Hi Salman, thanks for reaching out with your question. Dr. Duretti Fufa, Orthopedic Surgeon, says: “Swelling can persist anywhere from 6 months to a year after a fracture. Working with an occupational therapist can help with increasing movements. You should follow-up with a hand surgeon for the best course of treatment.” It is best to consult with your treating physician who is most familiar with your injury and treatment plan. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

munish says:

sir my both knees are paining since 2012but paining alot in winters…
summers.are.okay with my knees . I
cant situps ..

HSS on the Move says:

Hi Munish, thank you for reaching out. For more information on knee pain, you can visit the following link: http://www.hss.edu/conditions_partial-knee-replacement.asp. It is important to contact your treating physician regarding pain. If you are interested in receiving care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

kay says:

Kay from Nigeria. So happy to have this information. My son is 14 years with a knock knee, this makes him loss his self confidence when with his peer, I really want to get it corrected for him. Hw do l go about.

HSS on the Move says:

Hi Kay, thank you for reaching out. If you are interested in receiving care at HSS, please contact our International Center at 212-606-1186 for further assistance. More information on the International Center can be found here: http://www.hss.edu/international-center.asp.

Shell says:

Hi, Like many others, I have been researching on venu valgum and reading upon Dr. Rozbruch & Dr. Fragomen. I have read from other posts they are both wonderful at their profession. I am 28 yrs. old and have been experiencing knock knees all my life. As a toddler, I did receive limited treatments- casts and orthopaedic shoes-from what I can remember. However, treatments were discontinued due to whatever reason. As a result from inconsistency of treatments, I feel if I have been punished.

About 2 years ago, I went for a orthopaedic consult due to aches and pains in my knees- esp. my left knee to pick up was left off. I was told I was fine and everything appears to be normal. I did correction workouts to help. It doesn’t feel normal. Over the years, I’ve experienced increase aches and pain when I walk and stand. I have also had an increase of low-esteem deep inside. However, I do well at masking it with my great personality and beautiful smile. I don’t want to suffer even more in the future. I can choose to deal with it and just be the individual GOD made me to be. But, I would like to look into correctional surgery for knock knees. I would love to receive trws treatment from the best. Unfortanely, I am from SC. Could you recommend an excellent M.D. who Dr. Rounding & Fragomen would personally recommend in my area?

Thanks for reading my lengthy email.

HSS on the Move says:

Hi Shell, thank you for reaching out. We have sent your question to Westley Holiday, Coast to Coast (C2C) Program Coordinator, and he should be contacting you shortly.

sherafgan says:

i am 19 years old and have knock knees my knees do not bend but only knock when i stand straight. I want to join the military but with knock knees I do not have a chance. Can knock knees be eliminated by exercise and horse riding. And if yes how much time will it take>

HSS on the Move says:

Hi Sherafgan, For more information on knock knee deformities, click here: http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. It is best that you consult with your treating physician on a treatment plan. If you are interested in receiving care at HSS, please call our Physician Referral Service at 877-606-1555 for further assistance.

pooja says:

hello I am pooja .I am 21 year old I have a problem before 10 years . how can I solved this problem with out surgery please help me I live in New Delhi

HSS on the Move says:

Hi Pooja, thank you for reaching out. It is best that you consult with your treating physician to find a suitable non-surgical treatment for you. If you are interested in receiving care at HSS, please contact our International Center at 212-606-1186 for further assistance.

pooja says:

Would like to know if there are any doctors in
India .who can help me to correct my knok knee with out surgery
please advise

Shweta Rajgaria says:

Hi I am Shweta. I am 31 years old. I have this knock knee problem. How can I solved this problem without surgery? Is it possible doing exercise regularly? Please help me I live in Kolkata, India. Can u recommend me good orthopaedic doctors in India.

HSS on the Move says:

Hi Shweta, thank you for reaching out. It is best to consult with your treating physician to get a better diagnosis. If you are interested in receiving care at HSS, please contact our International Center at 212-606-1186 or by email at international@hss.edu for further assistance.

hny says:

hi i am 22 and have knock knees,im afraid of surgery! how that is? is that painful? does non-surgery remedies work instead?
thanx

HSS on the Move says:

Hello, thank you for reaching out. It is best to consult with your treating physician to get a better diagnosis. If you are interested in receiving care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

nitish says:

hello sir i ve knook knee any exersice to reduce it

HSS on the Move says:

Hi Nitish, thank you for reaching out. It is best to consult with your treating physician to get a better diagnosis. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance. For more information on knock knee deformities, please visit http://www.hss.edu/newsroom_hss-information-knee-health-injury-treatment.asp.

Em says:

As a child I was diagnosed and treated for genu varum, currently my legs are looking normal as they have been from age 7, when I finished the recovery. Now I’m pregnant and I’m worry my hips could be somehow deform, and could cause problems once I reach my due date. Is this possible, or genu varum holds no connection to the hips?

HSS on the Move says:

Hi Em, thank you for reaching out. Dr. S. Robert Rozbruch, Orthopedic Surgeon, says: “If your genu varum was corrected and your legs are now straight, there should be no causative problem to the hip. Your limb alignment can be checked if you feel like something does not feel right.” It is best to consult with your treating physician. If you wish to receive treatment at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

vimal singh says:

Dear sir,
I have a 3 year male child. I have noticed that my child has knee lock condition. Even he didnnot put his foot straight. What to do. whether i should go for medicine or surgery..
Please reply..

HSS on the Move says:

Hi Vimal, thank you for reaching out. Dr. Emily Dodwell, Pediatric Orthopedic Surgeon, says: “From your description, it is a bit difficult to understand exactly what your son’s symptoms are. When we talk about a locked knee, it typically describes a knee that gets stuck in one position, either straight or bent. The most common cause of locking is a problem with the meniscus, the cushioning tissue within the knee joint. However, there are a number of other causes that could explain a locked knee. A pediatric orthopedic surgeon could determine the cause through taking a complete medical history, examining your son, and possibly obtaining x-rays or other images. Once the cause has been determined, the surgeon would recommend treatment options.” If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Ryan says:

Hey am 16 and my knees are a little bit kn0ckd..it kinda pull me down s0metimes..n i dnt want dat..m so afraid of surgery..pls i nid help

HSS on the Move says:

Hi Ryan, thank you for reaching out. Unfortunately, we are not able to answer your question because you are under the age of 18. It is best for you to consult with your treating physician with a parent. For more information on knock knees, visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp.

Carolyn Stokes says:

What is the condition called where both knees are knocked and both knees are bending to either the right or left together. And what can be done at the age of 65,

HSS on the Move says:

Hi Carolyn, thank you for reaching out. For more information on knock knees, please visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. It is best for you to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

varsha vishwakarma says:

i am 20 yrs old college student….i have knock knees since 12-13 age.My knees pain when ever i walk for long time..i wanna know that i have a time of 2 month so can i do surgery.Is it 2 month ok for complete bed rest because i m a college student so its impossible for me to have 3 months to take full bed rest.

HSS on the Move says:

Hi Varsha, thank you for reaching out. For more information on knock knees, visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. It is best for you to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Carolyn says:

First time at orthopedic can he limit my restriction for standing on the job with severe osteoarthritis

HSS on the Move says:

Hi Carolyn, thank you for reaching out. It is best for you to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Karen Delport says:

I am 37 yr old South African with knock knees. i”ve had ACL on my left knee and I suffer terribly with hip and back pain. I have seen my GP on more than one occasion and all they recommend is physio therapy for my back. Please help me?

HSS on the Move says:

Hi Karen, thank you for reaching out. For more information on knock knees, please visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. It is best for you to consult with your treating physician so that they can better advise. If you wish to receive care at HSS, please contact our International Center at 212-606-1186 or by email at international@hss.edu for further assistance.

Jacqueline says:

Hello,
I am an 18 year old and in the last year I have become very active and take workout classes, including weight training. I noticed that I couldn’t put my feet together like other people in the class, and when I did squats and ran upstairs my knees would make a “popping/crunching” sound. So I looked it up and sure enough I had knocked knees. I am starting to get worried about the sounds my knees make and want to fix my knocked knees.
I was hoping that there was exercises I could do that would correct it. Is this true? Is there any physical therapists I could go to? I really am uneasy about getting surgery. Is there anything else that I can do? Thanks.

HSS on the Move says:

Hi Jacqueline, thank you for reaching out. For more information on knock knees, please visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. It is best to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Marcie Cobb says:

I am a health 60 years old. At the age of 7 I had a foot to Lawn Mower injury. The lawn mower lost due to a brilliant surgeon. I danced ballet, wore heels and only began to limp from pain 40 years later.

That is where I Am. I Am a Flight Attendant of 40 years and wish to continue, but know that I can”t much longer if my foot pain cannot be corrected. The crux of my pain is scar tissue. Without help? I”ll be in a cripplling situatation.

Can you help me?

HSS on the Move says:

Hi Marcie, thank you for reaching out. It is best for you to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

sakina says:

Hi this is sakina, m 26 years old and m Indian. I have problem of knocked knee since the age of 12 but from my childhood till the age of 12 i didn’t have this problem but suddenly from the age of 12 i have this. I really don’t know the reason y it happened to me. And i never have any kind of pain in my knees but still i want to get it corrected. I consulted to a physician for this and he advised me to get my both legs operated at the same time. Is it right to get it done? Plz help me answering my question. Is there a lot of pain in this surgery? M really scared of this.

HSS on the Move says:

Hi Sakina, thank you for reaching out. For more information on knock knees, visit http://www.hss.edu/condition-list_limb-lengthening-deformity.asp. It is best for you to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

ENIOLA says:

Am Eniola from Nigeria. This site has been so helpful. it might sound creepy but it”s comforting to know that am not in this alone. My self-confidence is bashed cos am knock-kneed. I think about it every day. Pls,what about the side effects after surgery? Hope one won”t go from being knock-kneed to being crippled?

HSS on the Move says:

Hi Eniola, thanks for reaching out. For more information on knock knees, click here: http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp#.U3pgRtJdXTo. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance. For more information, visit http://www.hss.edu/physician-referral-service.asp. For information on traveling to HSS for care, please contact our Coast to Coast program at 212-606-1610 or visit http://hss.edu/coast-to-coast.asp.

Reuben says:

I am 37 and have knocked knees and I desperately need a solution as this condition is affecting my self esteem. Does corrective sur gery have any future implication? How long will it take to get this done? What is the cost implication? What other alternative treatment is available apart from surgery? Is the surgery guarranteed 100% success? Thanks

HSS on the Move says:

Hi Reuben, thanks for reaching out. For more information on knock knees, visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. It is best for you to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Terry says:

Hello doctor, it started off slowly without me noticing untill people started asking me what happened to your knees. I would want you to refer me to a south african goverment hopital where they are able to corrent my case. Kind regards, Theresa

HSS on the Move says:

Hi Theresa, thanks for reaching out. For more information on knock-knees, click here: http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp#.U57yVnJdXTo. For information on traveling to HSS for care, please contact our International Center at 212-606-1186 or by email at international@hss.edu for further assistance.

Kiran says:

My son is 2.5 years old and since last 6 month we notice knee locking same as per picture attached with this post.We are worried but our son is not experiencing any kind of pain but his walking style, leaning on one leg is quite visible.We are worried.How can we treat this ? Will he able to walk like normal person if get treated ? What kind of treatment is available for this? Plz help

HSS on the Move says:

Hi Kiran, thanks for reaching out. For more information on knock knees, click here: http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp#.U6rQ_5RdXTo/. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance..

shanah says:

When i was born one leg was longer then the other! I had some therapy and both legs pretty even now! Just hip issues! My question is my 2yr was bow legged a little when she first started walking! And now only her right leg/new is tilted in ward! Could this because her right leg is really just a little longer then left leg so to compensate it tilted in? Can this be fixed with different proper shoes and therapy?
Thanks Shanah m Boye

HSS on the Move says:

Hi Shanah, thanks for reaching out. Dr. Austin Fragomen, Orthopedic Surgeon, says, “2 years old is a little young to conclude much. I would need to evaluate your child to see what the problem is. Typically, intervention starts around 5 years old. Your hip problems may well be from a limb length discrepancy that you compensated for by tilting your pelvis. This can lead to hip arthritis. This is preventable by wearing a shoe lift or lengthening the leg (or shortening the long leg). I suggest having this checked out as well.” If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Anthony says:

Hi Dr,

I have knock knees which I presume I got from my grandmother because she has them as well, but much more severe & noticeable. With mines I have a leg length inequality, where my right leg is longer than my left. Now it isn’t that noticeable unless I lose focus while standing & I’ll drop my right leg showing the length difference. Another thing I wanted to bring to light was the fact that my legs stands on my feet weird. If you can provide any info as to what I have going on & what may be some options for me that will be a great help.

HSS on the Move says:

Hi Anthony, thank you for reaching out. It is best for you to seek an in-person consultation with a physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Jocelyne Charles says:

Dear Dr. Austin I have a very bad knock knees and right leg deformity I have pain on my side hip and knee down. I was reading in your website how effective you are in helping people with problem walking, sitting and even laying down are a nightmare for me I pray God one day I will feel better. I am 59

HSS on the Move says:

Hi Jocelyne, thank you for reaching out. For more information on knock knees, please visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Chi-Chi says:

Hi I live in Austin Texas. I have really bad knocked knees, I have had them since I was a kid. I really want to correct them I am 21. How expensive is it to get surgery done? At what age would it be to late to get surgery? Can I slowly correct it without surgery?

HSS on the Move says:

Hi Chi-chi, thanks for reaching out. For more information on knock knees, click here: http://www.hss.edu/conditions_pediatric-knock-knees.asp. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Dwight says:

Hi doc my name is Dwight I don”t have that bad knock knees but I really have bad back problem an hips an above the buttocks an a lil knee too but I really need the surgery for my knock knee an I want to know the cost of operation or if it can be done without operation…?

HSS on the Move says:

Hi Dwight, thanks for reaching out. It is best for you to consult with a physician for an in-person evaluation. For more information on knock knees, click here: http://www.hss.edu/conditions_pediatric-knock-knees.asp If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

monica says:

Respected Sir,
I have a son who is 2.10 yrs old and suffering with the problem of knock knees.we knew this before 3 months and treatment started as shoes and mermaint sprint (night belt).
Is this treatment enough or we should think about surgery?
Plz give me ur best suggestion as i can make my son healthy and fit.
thankyou so much.

HSS on the Move says:

Hi Monica, thank you for reaching out. It is best for you to seek an in-person consultation for your son with a treating physician so they can better advise. For more information on knock knees, visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Curt says:

Why am I knock-kneed after knee replacement?> I was not knock-kneed prior to surgery.

HSS on the Move says:

Hi Curt, thank you for reaching out. It is best for you to consult with your treating physician so they can better advise. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Rudolf Mathew says:

I am 28 years of age. I am from India.
My dream to join the Regular Indian Army didn”t come true because I was considered medically unfit due to my slight knock knees.
Still I have some hope to join the Reserved indian Army which also require same physical standards.

If I undergo surgery, will I be able to carry out military physical training?
Or my dream to be a part of Indian Armed Forces will never come true in this life?

Please give me some information in general that after undergoing surgery will my legs remain as strong as I am? Right now I can run upto 5 km in 25 minutes. I never had pain or any other problem related to ankles or hips due to my knock knees.

HSS on the Move says:

Hi Rudolf, thank you for reaching out. Dr. Austin Fragomen, Orthopedic Surgeon, says: “I am not familiar with the requirements of the Indian military, but it is curious that you can run 5x 5 minute km and still be unfit for duty because of slight valgus at the knees. I am hesitant to recommend surgery due to your already excellent athletic abilities. You should seek consult with a physician so that they can better understand the magnitude of the deformity you perceive.” If you wish to receive care at HSS, please contact our International Center at 212-606-1186 or by email at international@hss.edu for further assistance.

Yasmin says:

I am 21 turning 22.. I used to have severe knee problems about 4 years ago and thats when I first realised I was knock-kneed. I am still knock-kneed but it is not severe, its very mild but I don”t like the look of my legs. Now I only occasionally get knee pains. Can I have a corrective surgery? What are the implications? How long is the recovery? Thank youuu!

HSS on the Move says:

Hi Yasmin, thank you for reaching out. Dr. Austin Fragomen, Orthopedic Surgeon, says: “Thanks for your questions. At your young age, it is common to have no symptoms from knee mal-alignment. However, over time, the knees will start to cause pain. The fact that you are having mild knee symptoms already is concerning. Often valgus alignment (knock knees) will put extra stresses on the patella (knee cap) as well as the main knee joint. Re-alignment surgery will correct these abnormal stresses and protect the cartilage in the knee. It will also make the legs look great. Many people come to me because they do not like the appearance of their legs. I perform the surgery to protect the knee, improve the mechanics of the entire lower extremity, and enhance peoples functional ability. A side effect is that the appearance of the legs improves dramatically. It is similar to brushing your teeth to make them look better when you are actually preventing tooth decay and improving the longevity of your dentition. So, it is doing the right thing for the wrong reason. I cannot comment on the surgery itself because there are three different surgeries I perform for this problem. The surgery indicated depends on the source of the deformity: femur v. tibia v. knee joint; presence of other deformities or leg length inequality, size of the thigh, metabolic problems, etc. However, in general, there is a period of crutch use for at least 6 weeks. The weight bearing ranges from 30lbs to full weight bearing. Typically, the hospital stay is 3 days and total time to healing a bone is 3 months. Ability to work varies depending on job requirements. The success rate is excellent (no major complications to date and we always achieve our goals).” It is best for you to consult with your treating physician so that they can determine the best course of treatment. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

rOHIT says:

HOW MUCH TIME REQUIRED FOR CORRECT KNOKED KNEE.

HSS on the Move says:

Hi Rohit, thank you for reaching out. Recovery time can vary. It would be best for you to seek an in person consultation. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Tamberly donato says:

PLEASE HELP! My knees pointed in and feet pointed out in 2007 I got a tib fib rotation then in 2011 I got hardware removal, and now I am in the most pain ive ever been in on my right knee and it is also back pointed to the left. The left knee is straight since the alignment surgery but my right knee isn’t and now I am in the most pain ice ever Been in. I can’t walk for long, stairs are horrible, I can’t drive longer than 10 minuets it’s pushing the breaks that is bad. I don’t know what to do or what it could be, besides horrible pain some specific symptoms are it will hurt and then it will pop, sitting in the movies when I stand up I almost fall from how painful and stiff it is, a lot of sharp stabbing pain and now new symptom is some stinging. I am 23 and don’t know what it could be, please help email or reply, tdonato4@yahoo.com

HSS on the Move says:

Hi Tamberly, thank you for reaching out. Dr. Austin Fragomen, Orthopedic Surgeon, says: “This sounds like a torsional deformity, either from the tibia or femur. This type of malalignment places many abnormal stresses on the knee joint. The best solution is to be evaluated by a limb deformity expert where a proper diagnosis can be made and treatment reviewed. The good news is that there is a solution for this problem. We are in an era where deformity treatment is safe, routine, and reliable.” If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Akindele Bamidele says:

my son is having problem in is left leg and i want to know the information to be treated

HSS on the Move says:

Hi Akindele, thank you for reaching out. For more information on knock knees, please visit http://www.hss.edu/limb-lengthening-realignment-knee-deformities.asp. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Molly Schleede says:

My son has extream knock Knee. We have seen a pediatric orthopedics surgeon at Coloradod Children”s hospital. They are not treating him, and are not worried about his constant pain. They say it will correct itself by age 7. I have also been told that this is a very common thing in children. His legs are as bad as those pictured above. I have exray”s showing how bad his left hip is. When weather is extreamly cold out, he can barley move his left leg.
What can I do? My son is 3 years old, and he just seems to be getting worse. My son can not run, he can barley jump. He can not get in our SUV without help, since he can not lift his left leg up. How do I get doctors to pay attention?

HSS on the Move says:

Hi Molly, thank you for reaching out. Dr. Austin Fragomen, Orthopedic Surgeon, says: “Knock knees are at their worst at age 3 and will correct themselves until age 7. After that, guided growth with little plates will get the knees straight if needed as bracing does not help. There are certain conditions that can cause abnormal knock knees and may require early intervention. The child should be followed annually. When your son turns 4, his knock knees should be better.” It is important to consult with your treating physician who is familiar with your son’s medical history and treatment plan. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance

Lynn says:

How does an open wound with stitches heal underneath a cast for 3-6 weeks?

HSS on the Move says:

Hi Lynn, thank you for reaching out. Dr. Austin Fragomen, Orthopedic Surgeon, says: “It would be reasonable to leave the sutures in place under a cast for several weeks depending on the surgeon’s protocol.” It is best that you consult with your treating physician so they can determine the best course of treatment during your recovery process.

Rahul says:

When I’m standing by touching my ankle my both the knees get touched( it is just touching each other) how can I correct it??

HSS on the Move says:

Hi Rahul, thank you for reaching out. Dr. Austin Fragomen, Orthopedic Surgeon, says: “Any perceived deformity should be evaluated by an expert in limb deformity.” It is best for you to seek consultation with a treating physician so that they can determine the best course of treatment. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Nikey says:

Hi,
I am 16 years old and I am severely knock kneed. My self esteem is drastically affected it by it because I feel so stupid when I walk. I am also severely overweight. I noticed that the knock knees got worse as I gained weight. I plan to diet and lose weight. I dream of being able to one day walk straight without being self conscious. Will this weight loss, help correct my knock knees?

HSS on the Move says:

Hi Nikey, thank you for reaching out. Unfortunately, we are not able to answer your question because you are under the age of 18. It is best for you to consult with your treating physician with a parent.

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