Physical Development

Normal Bowed Legs in Newborns

Medically reviewed by Dr. Sarah Chen, MD, FAAP · Board-Certified Pediatrician

Content reviewed against published AAP, NIH guidelines

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Your baby's physical development is unique, and concerns about normal bowed legs in newborns, here is what you need to know.

The short answer

Bowed legs in newborns and infants are completely normal and expected. This is called physiologic bowing and results from the curled-up position your baby was in inside the womb. The legs gradually straighten on their own as your child grows and begins to walk, typically by age 2-3. No treatment is needed for normal physiologic bowing.

Key takeaways

  • Bowed legs in newborns and infants are completely normal and expected. This is called physiologic bowing and results from the curled-up position your baby was in inside the womb. The legs gradually straighten on their own as your child grows and begins to walk, typically by age 2-3. No treatment is needed for normal physiologic bowing.
  • Usually normal when: Both legs appear symmetrically bowed in a newborn or young infant
  • Call your doctor if: Sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight
  • Varies by age — see the age-by-age breakdown below
Supervised tummy time is recommended daily from the time the baby comes home from the hospital to help prevent flat head syndrome and to strengthen neck and shoulder muscles.
Back to Sleep, Tummy to Play, American Academy of Pediatrics (AAP)

Parents everywhere have the same worry. You are doing the right thing by looking into it.

What Parents Should Know

According to AAP, NIH guidelines, bowed legs in newborns and infants are completely normal and expected. This is called physiologic bowing and results from the curled-up position your baby was in inside the womb. The legs gradually straighten on their own as your child grows and begins to walk, typically by age 2-3. No treatment is needed for normal physiologic bowing. At 0-1 month, it is completely normal for your newborn's legs to appear bowed or curved. After spending months curled up in the womb, the legs maintain this position after birth. You may also notice that the feet turn inward or outward, which is also related to positioning in the womb. These positional deformities gradually self-correct without any intervention. It is generally considered normal when both legs appear symmetrically bowed in a newborn or young infant. However, you should contact your pediatrician promptly if sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight.

Sources: [1], [2]

Normal vs. Concerning

Usually Normal
Worth Discussing
Both legs appear symmetrically bowed in a newborn or young infant
Sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight
The bowing gradually improves as baby grows and becomes more active
Severe bowing with a limp or difficulty walking, which could indicate Blount disease or metabolic bone disease
Baby moves both legs equally and does not appear to be in pain
Bowing seems to be worsening after age 18 months rather than improving
No swelling, redness, or tenderness of the legs or knees
The bowing is asymmetric (one leg more affected than the other)

By Age

What to expect by age

0-1 month

It is completely normal for your newborn's legs to appear bowed or curved. After spending months curled up in the womb, the legs maintain this position after birth. You may also notice that the feet turn inward or outward, which is also related to positioning in the womb. These positional deformities gradually self-correct without any intervention.

1-3 months

The bowed appearance of the legs continues and is still perfectly normal. As your baby kicks and stretches, the legs will gradually begin to straighten. The feet may also still appear turned in or out. No braces, special shoes, or treatment is needed for physiologic bowing.

3-6 months

You may notice the legs becoming gradually straighter as your baby becomes more active and starts bearing weight during tummy time and supported standing. The bowing remains a normal finding at this age.

6-12 months

As your baby begins to pull to stand and cruise, some bowing is still normal. The legs typically straighten by age 18-24 months. If the bowing appears to be getting worse rather than better, is asymmetric (one leg more bowed than the other), or your child is limping, consult your pediatrician to rule out other conditions like Blount disease or rickets.

What to Tell Your Pediatrician

  • Describe when you first noticed normal bowed legs in newborns and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if bowing seems to be worsening after age 18 months rather than improving.
  • Mention if the bowing is asymmetric (one leg more affected than the other).
  • Let your doctor know if you have noticed any related concerns, such as changes in feeding, sleep, or movement patterns.
  • Bring a list of any questions or observations you want to discuss at the appointment.

What Should You Do?

When to take action

Probably normal when...
  • Both legs appear symmetrically bowed in a newborn or young infant
  • The bowing gradually improves as baby grows and becomes more active
  • Baby moves both legs equally and does not appear to be in pain
  • No swelling, redness, or tenderness of the legs or knees
Mention at your next visit when...
  • Bowing seems to be worsening after age 18 months rather than improving
  • The bowing is asymmetric (one leg more affected than the other)
  • Your child has started walking but the bowing seems excessive
Act now when...
  • Sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight
  • Severe bowing with a limp or difficulty walking, which could indicate Blount disease or metabolic bone disease

What You Can Do at Home

  • Keep track of when you notice normal bowed legs in newborns — noting the time of day, duration, and any triggers can help your pediatrician.
  • Remember that both legs appear symmetrically bowed in a newborn or young infant — this is generally within the range of normal.
  • At 0-1 month, focus on observation rather than intervention unless your pediatrician advises otherwise.
  • Provide plenty of supervised floor time and tummy time to support your baby's physical development.
  • While monitoring at home, seek immediate care if sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight.

Frequently asked questions

Is normal bowed legs in newborns normal?
Bowed legs in newborns and infants are completely normal and expected. This is called physiologic bowing and results from the curled-up position your baby was in inside the womb. The legs gradually straighten on their own as your child grows and begins to walk, typically by age 2-3. No treatment is needed for normal physiologic bowing.
When should I call the doctor about normal bowed legs in newborns?
Sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight Severe bowing with a limp or difficulty walking, which could indicate Blount disease or metabolic bone disease
When is normal bowed legs in newborns normal?
Both legs appear symmetrically bowed in a newborn or young infant The bowing gradually improves as baby grows and becomes more active Baby moves both legs equally and does not appear to be in pain
What causes normal bowed legs in newborns?
Bowed legs in newborns and infants are completely normal and expected. This is called physiologic bowing and results from the curled-up position your baby was in inside the womb. The legs gradually straighten on their own as your child grows and begins to walk, typically by age 2-3. No treatment is needed for normal physiologic bowing. Common explanations include: Both legs appear symmetrically bowed in a newborn or young infant. The bowing gradually improves as baby grows and becomes more active.
What should I mention to my pediatrician about normal bowed legs in newborns?
You should mention normal bowed legs in newborns at your next visit if: Bowing seems to be worsening after age 18 months rather than improving. The bowing is asymmetric (one leg more affected than the other). Your child has started walking but the bowing seems excessive.
Is normal bowed legs in newborns normal at 0-1 month?
It is completely normal for your newborn's legs to appear bowed or curved. After spending months curled up in the womb, the legs maintain this position after birth. You may also notice that the feet turn inward or outward, which is also related to positioning in the womb. These positional deformities gradually self-correct without any intervention.
Is normal bowed legs in newborns normal at 1-3 months?
The bowed appearance of the legs continues and is still perfectly normal. As your baby kicks and stretches, the legs will gradually begin to straighten. The feet may also still appear turned in or out. No braces, special shoes, or treatment is needed for physiologic bowing.
Should I go to the ER for normal bowed legs in newborns?
Seek emergency care if sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight, or if severe bowing with a limp or difficulty walking, which could indicate Blount disease or metabolic bone disease. When in doubt, call your pediatrician's after-hours line for guidance.
Does normal bowed legs in newborns go away on its own?
In many cases, normal bowed legs in newborns resolves on its own, especially when both legs appear symmetrically bowed in a newborn or young infant. By 6-12 months, as your baby begins to pull to stand and cruise, some bowing is still normal. The legs typically straighten by age 18-24 months. If the bowing appears to be getting worse rather than better, is asymmetric (one leg more bowed than the other), or your child is limping, consult your pediatrician to rule out other conditions like Blount disease or rickets.

References

  1. [1]American Academy of Pediatrics. Bowlegs and Knock-Knees. HealthyChildren.org. AAP
  2. [2]National Library of Medicine. Physiologic Bowing in Children. StatPearls. NIH

Doctor Visit Checklist

Bring this checklist to your next pediatrician visit to discuss Normal Bowed Legs in Newborns.

Things to mention

  • Describe when you first noticed normal bowed legs in newborns and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if bowing seems to be worsening after age 18 months rather than improving.
  • Mention if the bowing is asymmetric (one leg more affected than the other).
  • Let your doctor know if you have noticed any related concerns, such as changes in feeding, sleep, or movement patterns.
  • Bring a list of any questions or observations you want to discuss at the appointment.

Observations to share

  • Bowing seems to be worsening after age 18 months rather than improving
  • The bowing is asymmetric (one leg more affected than the other)
  • Your child has started walking but the bowing seems excessive

Urgent signs to report immediately

  • Sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight
  • Severe bowing with a limp or difficulty walking, which could indicate Blount disease or metabolic bone disease

My notes

From ismybabyalright.com — free, evidence-based baby health guides

All content follows our editorial policy and is reviewed against published clinical guidelines.

2,705 evidence-based guides6 authoritative medical sources5 medical advisory board members

Bottom line

Most cases of normal bowed legs in newborns are normal. Talk to your pediatrician if sudden new bowing of one or both legs with pain, swelling, or refusal to bear weight.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

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