Frog legs
I had surgery at a veterans hospital during middle school, which left me with a palm-sized scar on my buttocks that is quite deep and indented.
Although I can squat with my heels on the ground, I still cannot perform normal stretches, such as those for the inner thigh muscles.
Additionally, my arm extension is very poor; I can clap my hands in front of me, but I cannot clap behind my back, and scratching my back is particularly difficult.
I understand that this is a result of an injection I received when I was younger.
A classmate of mine mentioned that he only has a small circular scar in his groin area, while my scar is long and deeply indented, which has troubled me throughout my life.
Can you help me understand this?
johnny, 30~39 year old female. Ask Date: 2004/02/04
Dr. Shi Guozheng reply Orthopedics
Early frog leg surgeries involved larger incisions to provide better visibility of the surgical field.
Currently, the incisions are smaller, but the thigh may still not be extensible, possibly due to tight musculotendinous structures.
It is advisable to consult a physician to determine if there are solutions for addressing the shoulder joint contracture, which is similar to the situation with the thigh.
Reply Date: 2004/02/04
More Info
Scar tissue formation is a common consequence of surgical procedures, and it can significantly impact mobility and flexibility in the affected areas. In your case, the scar tissue located on your buttocks, which is described as being palm-sized and quite deep, may be contributing to the limitations you are experiencing in your mobility, particularly in your ability to stretch your inner thigh and extend your arms fully.
When the skin is cut during surgery, the body responds by forming scar tissue as part of the healing process. This tissue is made up of collagen fibers, which are different from the original tissue. Scar tissue is generally less flexible and can restrict movement, especially if it forms in a way that adheres to underlying structures like muscles or fascia. This can lead to a sensation of tightness or discomfort, and in some cases, it can limit the range of motion.
In your situation, the deep and extensive nature of the scar may be causing adhesions, which are bands of scar tissue that can form between tissues and organs, leading to restrictions in movement. This could explain why you are able to squat but find it difficult to perform certain stretches or movements, such as reaching behind your back to scratch or extending your arms fully.
Your classmate's experience with a smaller, circular scar may differ due to various factors, including the size and depth of the incision, the location of the surgery, individual healing responses, and even genetic predispositions to scar formation. Some individuals may heal with minimal scarring, while others may develop more pronounced scars due to factors such as skin type, age, and the nature of the injury or surgery.
To address the limitations caused by scar tissue, several approaches can be considered:
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide targeted exercises and stretches to help improve flexibility and strength in the affected areas. They may also use techniques such as massage or myofascial release to help break down scar tissue and improve mobility.
2. Scar Management Techniques: There are various methods for managing scars, including silicone gel sheets, pressure garments, and topical treatments that may help soften and flatten the scar tissue over time. Consulting with a dermatologist or a plastic surgeon specializing in scar management can provide options tailored to your specific situation.
3. Surgical Revision: In some cases, if the scar tissue is significantly impacting your quality of life or mobility, a surgical revision may be considered. This procedure can help remove or reduce the scar tissue, potentially improving function and appearance.
4. Stretching and Strengthening Exercises: Incorporating specific stretching and strengthening exercises into your routine can help improve your overall mobility. Focus on gentle, progressive stretching of the affected areas, and consider incorporating exercises that target the surrounding muscles to support better movement patterns.
5. Mind-Body Techniques: Techniques such as yoga or tai chi can also be beneficial for improving flexibility and overall body awareness. These practices can help you reconnect with your body and may assist in alleviating some of the discomfort associated with scar tissue.
In conclusion, while scar tissue can pose challenges to mobility, there are various strategies to help manage its effects. It is essential to consult with healthcare professionals who can provide personalized recommendations based on your specific circumstances. With the right approach, there is potential for improvement in your mobility and overall quality of life.
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