How to Fix Knock Knees in Adults?
Do your knees touch while your ankles remain apart? If so, you may be dealing with genu valgum—commonly known as knock knees.
Though often considered a childhood condition, it can affect adults too, sometimes causing discomfort, poor posture, and joint pain.
The question is: how to fix knock knees in adults? From physiotherapy to surgical options, this blog explores all the available solutions to help you stand tall and move freely again.

What are knock knees?
Knock knees or genu valgum are conditions in which the knees angle inward and come into contact or “knock” against each other while the ankles remain apart when standing. This places excessive pressure on the outer knee, which can cause pain and joint damage over time.
While knock knees typically affect both legs (bilateral), in some instances, only one knee may be involved.
Are knock knees normal in adults?
Knock knees are generally considered a normal part of early childhood development and often self-correct by the age of 7 or 8.
However, in adults, knock knees are not typically considered normal and may indicate an underlying issue. In adults, genu valgum can result from:
- Untreated childhood knock knees
- Injury or trauma to the knee or the leg
- Knee arthritis, especially osteoarthritis
- Obesity, which exerts extra strain on the knees
- Bone diseases, such as rickets or osteomalacia
Persistent knock knees in adults can lead to complications such as joint pain, abnormal gait, and increased risk of knee degeneration. If left untreated, it can affect mobility and quality of life.
What are the symptoms of knock knees in adults?
In adults, knock knees can cause a range of physical and functional symptoms that may impact daily life.
Common symptoms include:
- When standing with feet apart, the knees touch or angle inward
- Pain in the outer side of the knee
- Hip, ankle, or foot pain
- Knees may become stiff, swollen, or tender to touch
- Reduced range of motion in hips
- Difficulty walking or running
- Progressive arthritis or other degenerative joint diseases

How are knock knees diagnosed in adults?
An orthopedic specialist will assess the patient’s medical and family history, evaluate for any underlying conditions, and consider overall health status. A thorough physical examination of the legs, posture, and walking pattern (gait) will be performed.
To confirm the diagnosis, a standing alignment X-ray may be ordered. These full-length leg images—from hip to ankle—help identify the precise site of misalignment and determine the mechanical axis of the deformity.
How to fix knock knees in adults?
If left untreated, knock knees in adults can lead to discomfort, joint pain, and mobility issues.
Fortunately, several knock-knee correction methods are available, depending on the severity of the condition and its underlying cause.
Here’s how to fix knock knees in adults:
Physical therapy
Customized exercise programs focus on strengthening the muscles around the knees, hips, and thighs. These exercises aim to improve leg alignment, balance, and stability.
Physical therapy is often the first line of treatment in mild to moderate cases.
Orthotic supports
Using orthotic shoe inserts or custom braces can help redistribute weight and relieve knee pressure.
These supports aid in improving posture and walking mechanics, especially for those with mild deformities.
Weight management
Excess body weight increases stress on the knees, which can worsen misalignment. Adopting a healthy diet and regular exercise helps reduce this strain and supports overall joint health.
Medications and injections
For individuals experiencing pain or inflammation due to arthritis or overuse, medications like NSAIDs or corticosteroid injections may be prescribed to provide relief.
Surgical knock-knee correction
In more severe cases or when non-surgical treatments fail, surgery may be necessary. Surgical options include:
- Osteotomy: Realigns the bones by cutting and reshaping the femur or tibia to restore normal alignment.
- Knee replacement (in advanced cases): Recommended when knock knees are due to severe arthritis or joint damage.
Contact Dr. Hesham Al-Khateeb for knock-knee correction in Dubai
If you’re struggling with knock knees and seeking effective treatment, Dr. Hesham Al-Khateeb offers expert evaluation and personalized knock knee correction solutions in Dubai. Whether you need non-surgical care or advanced surgical solutions, Dr. Hesham offers personalized treatment plans tailored to your needs.
Don’t let knock knees affect your mobility or quality of life—schedule a consultation today and take the first step toward better leg alignment and improved comfort.
FAQs
Yes, if left untreated, knock knees can worsen over time, leading to increased joint stress, pain, and risk of arthritis. Early intervention helps prevent progression and maintain mobility.
Mild cases may cause little to no issues, but severe knock knees can lead to pain, difficulty walking, and reduced physical activity. Treatment can improve function and comfort.
Yes, misalignment can cause strain on hips, ankles, and lower back, potentially leading to pain or injury in these areas.
Non-surgical options include physical therapy to strengthen leg muscles, using orthotic braces or shoe inserts, weight management, and pain relief measures. These methods help improve alignment and reduce discomfort, especially in mild to moderate cases.
Non-surgical treatment may take 3 to 12 months for improvement, while surgical correction requires 3 to 6 months for full recovery. The timeline depends on the severity and chosen treatment method.
Yes, knock knee surgery is possible and commonly performed in adults, including those in their late twenties. Surgery can effectively correct alignment and relieve pain, especially if conservative treatments haven’t helped.