When we see our children sitting in the classic W-posture, many parents wonder if it is necessary to correct them. This concern is completely normal, but before taking any action, it is essential to understand the reason behind this posture.
Why do they sit in W?
W-posture is due, in many cases, to a condition called femoral anteversion. This means that the head of the femur is rotated inward, which makes children feel more comfortable in this position. In most cases, this condition is physiological, i.e., completely normal, and children usually stop sitting this way with age.
So, does the W-posture need to be corrected?
The answer is not so simple. Instead of asking whether we should correct the W-posture, the real question we should be asking is: Is my child's femoral anteversion normal or pathologic?
How is it determined whether femoral anteversion is normal or pathological?
This is evaluated in a specialized consultation. That is why a first podiatric evaluation is recommended around the age of 3 years. In this consultation, multiple aspects of the child's development are assessed, including femoral anteversion.
What to do if femoral anteversion is physiological?
If the specialist determines that the femoral anteversion is physiologic, it is not necessary to correct the W-posture.
What if it is pathological?
If, on the other hand, it is determined that femoral anteversion is outside normal values and is considered pathological, rather than simply correcting posture, an exercise and physical activity plan that promotes external rotation of the hip will be recommended.
Conclusion
W-posture is not always cause for alarm. In many cases, it is a normal condition that children outgrow over time. However, if you have doubts about whether your child's femoral anteversion is normal or pathological, it is best to seek a podiatric consultation. Remember that an early assessment can make all the difference in your child's healthy development.
