What is the first treatment tried for bow legs?

Bow legs, also called genu varum, describe an outward curve of the legs. In young children, alignment can change as the legs grow, so a clinician may monitor walking, leg shape, growth, and symmetry before choosing treatment. Physiotherapy does not straighten a bone directly, but can help assess movement, strength, balance, and functional habits.

Arrange an assessment if the curve is marked, uneven, painful, or continuing beyond the expected growth pattern. Bring information about when you first noticed it and whether walking or activity is affected. Use only exercises recommended for the child; braces, supplements, or shoe changes should not be started without a clinician's advice. Read about Paediatric Physiotherapy or Osteotomy to understand these options.

Seek prompt medical advice for pain, swelling, a sudden change in leg shape, limping, weakness, or difficulty bearing weight. An urgent assessment is appropriate after an injury or when one leg looks substantially different from the other.

Ask whether the alignment fits the child's age, whether both legs are affected equally, and whether imaging or follow-up measurements are needed. Ask what activities are suitable and which signs should bring the review forward.