Knock Knee (Genu Valgum) Therapy in Singapore

Genu Valgum, commonly known as knock-knees, is a knee misalignment condition where the knees angle inward, touching or "knocking" against each other when a person stands straight. Medically referred to as knee valgus, this alignment causes the lower legs to extend outwards, creating a distinct gap between the ankles, often three inches or more.

This condition is a very common and normal part of early childhood development. For the vast majority, the knock-knee alignment self-corrects by age 7 or 8 without any intervention. However, knock-knees that persist beyond this age, appear severe, or develop later in life can be a sign of an underlying issue related to injury, infection, or a nutritional deficiency.

Knock knees can present with a range of symptoms that vary in severity depending on the individual’s age, posture, and underlying causes. Common signs include:

Knees Bend Inwards

The most visible symptom is the inward angle of the knees when standing or walking. The knees touch or come close together while the ankles remain apart, creating a noticeable gap between the feet.

Unusual Gait Pattern

Individuals with knock knees may walk with an altered gait. This can include swinging the legs outward or taking shorter steps. The imbalance in leg alignment often makes walking less efficient and may lead to fatigue or discomfort during activity.

Outward Rotation of Feet

To compensate for the inward position of the knees, the feet may turn outward (external rotation) during standing or walking. This altered foot position can further affect overall lower limb alignment and place additional strain on joints and muscles.

Stiff Joints & Knee Pain

Over time, knee joint pain and stiffness may develop due to uneven loading of the joint surfaces. This can cause discomfort during physical activity, after prolonged standing, or first thing in the morning. In some cases, the stiffness may also affect mobility.

Injury or trauma to the knee joint

Trauma to the knee, especially near the growth plate in children, can alter normal bone development and joint alignment. Fractures, dislocations, or ligament damage may lead to uneven growth or structural changes that contribute to genu valgum, particularly if not managed early.

Genetics factors & Hereditary

A family history of knock knees or other lower limb abnormalities may increase the likelihood of developing genu valgum. Genetic predisposition can affect bone shape, growth patterns, and joint alignment, making some individuals more prone to valgus positioning.

Weak or Imbalanced Muscles

The alignment of the lower limbs relies heavily on muscle support around the hips, thighs, and knees. Weakness or imbalance in these muscle groups, especially the glutes, quadriceps, and hamstrings, can cause the knees to shift inward over time, increasing the risk of valgus knee development.

Joint Laxity

Excess flexibility or looseness in the ligaments surrounding the knees, also known as joint laxity, can reduce joint stability. When the ligaments don’t provide adequate support, the knees may naturally collapse inward, particularly during movement or weight-bearing activities.

Obesity

Carrying extra body weight puts more daily pressure on the knee joints. In children, this constant strain can affect how their leg bones develop and can make a slight knock-knee tendency more severe.

Our Approach to Knock Knee Therapy

Step 1: Thorough Assessment

Our podiatry specialists conduct a detailed evaluation to assess the severity of the knock knees and identify any contributing factors.

Step 2: Custom Management Plans

Based on the assessment, we develop a tailored management plan that may include custom 3D printed insoles and SMO (Supramalleolar Orthotics) to provide optimal support and alignment for the feet.

Step 3: Expert Care

Our experienced podiatrists specialise in prescribing and fitting orthotic devices, ensuring proper alignment and comfort for patients.

Step 5: Supramalleolar Orthotics

For severe cases, supramalleolar orthotics for children provide the maximum external support and allow full functionality.

UFIT Podiatry 3D printing custom insoles

Step 4: Custom Orthotics

Custom orthotic devices are designed and fitted to provide optimal support, correct foot mechanics, and reduce strain on the arches. These foot orthotics are created based on precise measurements and tailored to the patient’s specific needs.

Step 6: Family Education

We provide education and guidance to parents and caregivers on proper foot care, footwear choices, and preventive measures to support healthy foot development in both children and adults.

Our Approach to Knock Knee Therapy

Step 1: Thorough Assessment

Our podiatry specialists conduct a detailed evaluation to assess the severity of the knock knees and identify any contributing factors.

Step 2: Custom Management Plans

Based on the assessment, we develop a tailored management plan that may include custom 3D printed insoles and SMO (Supramalleolar Orthotics) to provide optimal support and alignment for the feet.

Step 3: Expert Care

Our experienced podiatrists specialise in prescribing and fitting orthotic devices, ensuring proper alignment and comfort for patients.

Step 4: Custom Orthotics

Step 5: Supramalleolar Orthotics

For severe cases, supramalleolar orthotics for children provide the maximum external support and allow full functionality.

Step 6: Family Education

We provide education and guidance to parents and caregivers on proper foot care, footwear choices, and preventive measures to support healthy foot development in both children and adults.

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SINGAPORE'S MOST ADVANCED TECHNOLOGY

SINGAPORE'S MOST ADVANCED TECHNOLOGY We're the only clinic in Singapore to offer advanced gait analysis and in-house 3D-printed insoles with a comprehensive report.

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ELITE LEVEL OF CARE FOR
ALL INDIVIDUALS

We offer personalized, evidence-based lower limb care for athletes, active individuals, and parents seeking specialized treatment for their children.

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GET ACCESS TO A MULTIDISCIPLINARY TEAM OF PROFESSIONALS

We go beyond addressing your injury or pain. Through our Circle of Care, you can access our team of experts with a vast range of specialised experience and knowledge.

What to expect on your first visit

FULL BODY ASSESSMENT

We recognise the interconnectedness of musculoskeletal health, so we assess your entire body, not just your feet. We also focus on vital health indicators impacting your lower limbs, like circulation, nerve function and alignment.

ADVANCED TECHNOLOGY

We use cutting-edge diagnostic tools to get real-time insights into your soft tissue, joints and structures to provide a fast and accurate diagnosis.

DETAILED REPORT

Post-assessment, you will receive clear and comprehensive reports detailing our findings. This will allow you to make informed decisions on your treatment plan.

TREATMENT PLAN

Together with you, we formulate a comprehensive and personalised treatment plan that suit your goals and preferences.

Lewis Nurney

Lewis is a highly experienced podiatrist with over 5 years of practice in Singapore, bringing his expertise to UFIT's comprehensive Circle of Care. As Head of Podiatry at UFIT Club Street, he specialises in sports podiatry, innovative orthotics for adults and children (including 3D-printed custom insoles, Paediatric AFOs and SMOs for pediatric flat feet), and minimally invasive procedures.

A first-class honours graduate from the University of Huddersfield (UK), Lewis holds dual certifications in Extracorporeal Shockwave Therapy (ESWT), Diagnostic Ultrasound and Running Gait analysis. Previously with East Coast Podiatry, he now provides patient-centred care at UFIT, specialising in non-surgical management of conditions like Foot Pain, Plantar Fasciitis and Achilles Tendinopathy in both children and adults, ultimately focused on alleviating discomfort and restoring optimal foot function.

Elliot Yeldham

Elliott is a dedicated podiatrist with over 7 years of healthcare experience, gained in both the UK's National Health Service (NHS) and private practice. He holds an Honours degree in Podiatry from Cardiff Metropolitan University (Wales), and brings a wealth of expertise to Singapore.

Specialising in Musculoskeletal (MSK) podiatry, Elliott's interests include sport podiatry and the management of gait abnormalities in both adults and children. He is also recognised for his skill and patient-focused approach in minimally invasive procedures for ingrown toenails and wart removal. Committed to a patient-centred and multidisciplinary model, Elliott actively stays informed of the latest healthcare advancements through clinical research and international conferences.

Frequently Asked Questions about Knock Knee (Genu Valgum)

What are the risks of leaving knock knees unmanaged?

If left unmanaged, genu valgum may lead to altered walking patterns, joint strain, and uneven loading on the knees and ankles. Over time, this can increase the risk of pain, reduced mobility, and early joint degeneration, particularly in the knees, hips, or lower back.

Do knock knees only happen to children?

While knock knees are common in children and often resolve naturally by age 7 or 8, the condition can also occur or persist into adulthood. In adults, it may result from underlying conditions such as arthritis, past injury, or structural imbalances.

How can therapy help with knock knees (genu valgum)?

Therapy can help correct muscle imbalances, improve joint alignment, and enhance overall movement efficiency. At UFIT Podiatry, therapy for knock knees may include targeted exercises, manual therapy, gait retraining, and orthotics to reduce symptoms and support functional alignment.

Can knock knees be treated without surgery?

Yes, many cases of genu valgum - especially in children or those with mild to moderate misalignment - respond well to conservative, non-surgical treatment. A structured therapy plan for valgus knees can often reduce discomfort and improve alignment over time without the need for surgery. However, it’s important to consult a healthcare professional for a personalised assessment and the most appropriate care plan.

How long does it take to see improvement with therapy for knock knees?

Improvement timelines for knock knees vary based on age, severity, and adherence to treatment. Some individuals may notice changes within a few weeks, while others may require several months of consistent therapy to achieve noticeable alignment and movement improvements.

Can knock knees recur after therapy?

In some cases, especially if underlying muscle imbalances or biomechanical issues persist, knock knees can recur. Ongoing management - through exercise, orthotic support, and regular check-ins - can help maintain alignment and reduce the risk of recurrence.

Are there any exercises that can help prevent or manage knock knees?

Yes, strengthening the glutes, quadriceps, and core muscles, along with improving hip and ankle stability, can support better lower limb alignment. A physiotherapist or podiatrist can recommend safe and effective exercises tailored to your condition.

Can custom orthotics help with knock knees?

Custom orthotics can help manage the effects of knock knees by correcting foot mechanics, improving posture, and distributing pressure more evenly through the lower limbs. They are often used alongside therapy to support long-term alignment and comfort.

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Knock Knee (Genu Valgum) Therapy

What is Genu Valgum (Knock Knee)?

Symptoms of Knock Knee (Genu Valgum)

Knees Bend Inwards

Unusual Gait Pattern

Outward Rotation of Feet

Stiff Joints & Knee Pain

Causes of Genu Valgum

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Our Approach to Knock Knee Therapy

Our Approach to Knock Knee Therapy

What to expect on your first visit

Meet Our Podiatry Team

Meet Our Podiatry Team

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Frequently Asked Questions about Knock Knee (Genu Valgum)

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