Curvature of legs is an early indication of Arthritis

Arthritis, a condition characterized by inflammation and degeneration of joints, affects millions worldwide. Early detection is crucial for managing pain and preventing joint damage. While pain and stiffness are common symptoms, a lesser-known indicator might lie in your posture – leg curvature. Curvature of knees puts pressure on one side of the leg (Knock Knees & Bow Knees).
This is an early indication that patients with such knee issues have higher chances of developing arthritis in future. Slight leg curvature is normal, especially in children. However, pronounced bowing or knocking knees in adults can be a cause for concern. This abnormal alignment can put uneven stress on joints, particularly the knees and hips, accelerating wear and tear. This misalignment can be caused by various factors, including:
• Vitamin D Deficiency & Rickets: This childhood condition causes bowing in the lower legs.
• Osteoarthritis: This common form of arthritis can lead to joint deformity over time.
• Previous injuries: Improper healing from fractures or ligament tears can alter leg alignment.

While leg curvature itself doesn't guarantee arthritis development, it can be an early warning sign, especially if accompanied by pain, stiffness, or difficulty walking.

A standing alignment X-ray is a simple yet powerful tool for assessing leg alignment. Unlike traditional X-rays taken lying down, this method captures the weight-bearing position of the body, providing a more accurate picture of joint mechanics.
The X-ray reveals:
• Bone angulation: The degree to which the bones deviate from a straight axis.
• Joint space narrowing: A potential indicator of cartilage loss, a hallmark of osteoarthritis.
• Signs of bone damage: Such as spurs or cysts, which can be associated with arthritis.

Including standing alignment X-rays in regular health checkups, particularly for those above 40, offers several advantages:
• Early detection: Identifying abnormal alignment allows for early intervention to manage pain, prevent further damage, and explore treatment options like physical therapy or orthotics (shoe inserts).
• Personalized treatment plans: The X-ray helps healthcare professionals create targeted treatment plans based on the specific joint mechanics and degree of misalignment.
• Monitoring progression: Regular X-rays can track the progression of arthritis and assess the effectiveness of treatment strategies.
While leg curvature doesn't automatically mean arthritis, it warrants a conversation with your doctor. Discuss the possibility of including a standing alignment X-ray in your next checkup, especially if you're over 40 or experience joint pain. Early detection and appropriate management can significantly improve your quality of life and help you stay active for years to come.
(Dr Jayant Arora, Director and Unit Head, Fortis Bone and Joint Institute, Gurugram)