Bow legs can be the result of rickets. The shape of the head may become box-like due to thickening of the skull bones. Eruption of the baby teeth may be delayed and there may be defects of the enamel and extensive decay of the teeth. Permanent teeth may also inevitably be affected. Muscles are poorly developed and decreased tone is common in rickets.
Vitamin D is essential for the absorption of calcium and calcium is necessary for muscle function.
These are all reversible conditions with mild or moderate rickets. The treatment of rickets is vitamin D containing foods such as milk, soy products fortified with calcium and vitamin D, or formula which is fortified with vitamin D . Exposure to natural and artificial light is necessary. Some infants and children may require vitamin D supplements for weeks, months, or years. Moderate to severe rickets may require higher doses of vitamin D for longer periods of time and this must be supervised by a pediatrician who has experience in treating rickets.