Hello doctor, I am 5'6" and weigh 62 kgs. I have been physically quite active. While standing with my feet joined, I had some gap between my knees. A few years back I was told that I had varus deformity but I had no symptoms except the visible gap between my knees. However, since the last 1.5 years I have developed discomfort in my left knee which seems to be progressing with time. It aggravates while standing/weight bearing & improves at rest. This has led to reduced activity. I was advised an x-ray sonogram in november 2019 and in the report the overall impression was "bilateral genu varus deformity is seen. Bony structures are intact. Articular surfaces are preserved. Joint spaces are normal. The angulation between the long axis of femur and tibia is 4.4� on right side and 2.3� on left side. Other angle measurements (first reading in degree: right leg, second reading in degree: left leg) were as follows: (aldfa: 88.1, 87.2)(afta: 186.7, 184.7)(ampta: 83.9, 84.8)(aldta: 85.2, 84.9)(mldfa: 89.6, 89.7)(mmpta: 93.0, 91.6)(mldta: 92.1, 91.8). Currently I am taking calcirol sachet once every week & tab calcip 500 mg per day since last two months. I would like to know the severity of my varus deformity and the treatment options available such as medicine, exercise or surgery? As per the sonogram report, the curve in my right leg is more than the left leg but surprisingly I have developed pain in my left leg. Can the condition be managed through medicine and exercise alone or is it likely to get worse with time? How can I regain my prior level of physical activity like running, jogging etc. Thank you.
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You should stop running jogging for now can start brisk walking you need to strengthen your quads calf n hamstring muscles deformity will stay but pain can me managed with exercises n medication occasionally keep your weight in control you may have joint problems after few years due to deformity do not go for correction just for cosmetic purpose.
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Asymptomatic varus deformity is best neglected till it is symptomatic. In your case, you have developed symptoms. I would like to see x ray and scannogram images. In addition, it is helpful to get mri with cartilage mapping. That helps in understanding cartilage status, meniscus conditions. In varus deformity, medial side pain correlates with the problem. Generalized pain does not correlate. So clinical examination is helpful in decision making. More pain on less deformed leg can be because of meniscus injury. Get mri done and visit knee specialist who is expert in joint preservation.
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There are a lot of treatment options for genu varum. You have to be clinically examined first.
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