Patient presents with genu valgum, also known as knock-knees.  The patient reports medial knee pain and difficulty with ambulation, specifically noting instability and a feeling of the knees "rubbing together".  Physical examination reveals bilateral genu valgum deformity, with the medial femoral condyles significantly closer together than the medial malleoli when the patient is standing with feet together.  The intermalleolar distance was measured at [insert measurement] and the Q-angle was measured at [insert measurement].  Gait analysis demonstrates abnormal weight-bearing distribution through the knee joint, contributing to the reported instability.  Assessment includes genu valgum, likely contributing to patellofemoral pain syndrome and gait disturbance.  Differential diagnosis considered pes planus and tibial torsion.  Radiographic imaging of the bilateral knees was ordered to assess the severity of the deformity and rule out other underlying skeletal abnormalities.  Treatment plan includes physical therapy focusing on strengthening exercises for the hip abductors and quadriceps, as well as stretching of the hamstrings and iliotibial band.  Orthotics or bracing may be considered depending on the severity of the deformity and response to physical therapy.  Surgical intervention, such as guided growth surgery or osteotomy, will be discussed if conservative management fails to provide adequate relief and improve functional mobility.  Patient education was provided regarding the condition, treatment options, and the importance of adherence to the prescribed therapy plan.  Follow-up appointment scheduled in [ timeframe] to assess progress and adjust treatment plan as needed.  ICD-10 code M21.06 is considered for knock knees with pain.