Bow legs can create uneven pressure across the knee and may contribute to pain, arthritis progression, or activity limitation. Alignment correction is considered after examination and imaging.
When bow-leg correction may be considered
- Visible bow-leg alignment
- Knee pain with uneven joint loading
- Need to discuss osteotomy or alternative options
Visit notes
- Standing X-rays and limb alignment review are important
- Not every alignment difference needs surgery
- Treatment is matched to age, activity level, and joint condition
Common patient questions about bow legs and knee alignment
When do bow legs in adults need surgery?
Surgery may be discussed when alignment causes pain, uneven knee loading, activity limitation, or arthritis progression. The decision depends on examination, standing X-rays, age, activity level, and joint condition.

