How can adults fix bow legs?

Bow legs, also called genu varum, describe an outward curve of the legs that can leave the knees farther apart when the ankles are together. In adulthood, the shape may reflect bone alignment rather than a problem that exercises can straighten. A clinician considers whether it is longstanding, worsening, one-sided or associated with knee pain, walking changes or previous injury. The aim is to understand how alignment affects movement and joint loading.

Physiotherapy can improve strength, balance, walking mechanics and comfort, but it does not reshape a mature bone. Supportive measures may include activity adjustment and treatment for associated knee symptoms. If the alignment is painful, progressive or significantly affects function, an orthopaedic assessment may include standing imaging and discussion of Osteotomy, an operation that cuts and realigns bone. Paediatric Physiotherapy is relevant to children, not a method for straightening adult bones.

Book an assessment for new or increasing bowing, a clear difference between legs, persistent knee pain, repeated giving way or a change in walking. Seek urgent care after an injury if you cannot bear weight, the leg looks deformed or the foot becomes numb, cold or discoloured.

Ask whether the alignment is structural, how it affects your knee, whether weight-bearing imaging is needed, and which symptoms can be managed without surgery. If osteotomy is discussed, ask about the target correction, rehabilitation and alternatives.