If the child has physiologic genu varum, in the majority of cases, the bowing will correct by 3–4 years of age on its own without any treatment needed. Your specialist may want to follow-up with the child every 6 months to evaluate how the bowing is correcting on its own.
If the child has infantile Blount’s Disease or Rickets that was not treated, the bowing may worsen over time during childhood. Many of these children will have pain due to abnormal stress placed on their joints.
If the child is diagnosed with Rickets, he/she will be referred to a metabolic specialist for medical management and will continue to be followed by an Orthopedic Specialist.
Surgical treatment is extremely rare for physiologic genu varum. In the rare occasion that the bowing does not correct on its own, it may cause pain and cosmetic concerns. If severe enough, surgery can be performed to correct the remaining deformity.
If a child has infantile Blount’s disease and bowing progresses, the child will need surgery to prevent further bowing and damage to the growth plates. Children with Rickets may also require both surgical and medical intervention.