Coxa valga is a deformation of the hips, in which the angle between the gap and the body of the femur is more than 130-135 degrees. This leads to obstructive pain in the hip, as well as reduced mobility, due to damage to the hip joint.

Coxa Valga is caused, in children, by severe conditions such as cerebral paralysis, spina bifida, polio or juvenile idiopathic arthritis. In the case of adults it can be caused by femoral fractures or osteomyelitis of the hip bone and is associated with a higher risk of joint immobility due to damage to the muscle tissues around the hip .

The femur is the bone that forms the skeleton of the thigh, being the largest bone in the body (in adults it measures 40–50 cm). At its upper extremity, the femoral head is found, which is connected to the body of the femur by means of the femoral gap. The long axis of the cervix forms an angle with the axis of the femoral body, called the angle of inclination or the bending angle, which measures between 120-130 degrees (130 degrees in a man and 120 degrees in a woman). Increasing the angle of inclination results in bringing the lower limb into abduction (to the side) and external rotation. This vicious position of the lower limb is called coxa valga, a position in which the femoral gap almost verticalizes.

✓ loss of the entire mobility, which causes pain and discomfort
✓ loss of the joint tissue of the hip
✓ limp due to the deformation of the muscles around the affected hip joint,
✓ difficulty in standing (feeling that the leg has shortened)

In order to prevent one of the causes that lead to coxa valga, namely spina bifida, it is important to take folic acid during pregnancy.

Hip ultrasound and orthopedic consultation are indicated in the case of babies aged 3-4 months. If coxa valga is identified, medical supervision and physical therapy (postures and medical gymnastics) are required.

IN CHILDREN, coxa valga is not a condition that requires long-term treatment. The angle of inclination between the cervix and the body of the femur constantly changes in childhood. The basis of the treatment is physical therapy, through postures and corrective exercises. The exercises will aim at toning the muscles around the hip, as well as increasing joint mobility.

Surgery is necessary in rare situations, especially in the forms of coxa-valga associated with hip subluxation or coxofemural arthrosis.

IN ADULTS, physical therapy also significantly helps in correcting the deformity by:

➢ postures in adduction
➢ specific exercise programs, aimed especially at toning the adductor muscles (muscles located on the inner side of the thigh) and stretching/relaxing the abductor muscles (muscles located on the side of the hip and thigh)
➢ manual therapy in order to tone and asuplisation (increase mobility) of the structures adjacent to the hip joint
➢ Tapeing procedures
➢ the use of walking aids, such as crutches, can be useful to reduce the pressure on the affected hip, while walking.

Therapies such as local botulinum toxin injections are also useful for reducing spasticity.
Surgical treatment is indicated only in severe cases and on the recommendation of the orthopedic physician.