Frog Leg Syndrome: Treatment Options and Concerns

Q: Frog Leg Syndrome: Treatment Options and Concerns

Hello, Little Frog： Frog legs are generally caused by muscle spasms and fibrosis in the gluteal muscles. <br>Currently, besides injections, intrinsic factors are also important causes. <br>The simplest way to check for frog legs is to stand with your knees together and see if you

Frog leg surgery issues?

Before junior high school, I had many small holes poked in my buttocks by doctors.
When I reached high school and took military training classes, I often embarrassed myself during movements like squatting or lying down.
My classmates called me "Little Frog." During the physical examination at Cheng Kung Ling, the medical officer asked me to take off my pants and told me that my buttock muscles exhibited a phenomenon known as "lumpiness," pointing out the indented areas and discussing it with another officer for a long time! Finally, he asked if I wanted to go to Cheng Kung Ling, and I nodded...
The following weeks were very tough for me, especially during activities like "holding a basin," "squatting," "crawling forward," and "paying taxes" (I used to sit down for these, which was less troublesome).
A few days ago, I accidentally caught a cold and had a fever, so I went to see the doctor.
As a result, a little nurse poked two more holes in my buttocks.
However, this time, one of the needles bent when it was inserted (it hurt a lot), which scared the little nurse into calling the doctor.
The doctor asked if I had received many injections and inquired about my daily life troubles.
He said I had "frog legs," possibly caused by too many injections in my buttocks.
He mentioned that the only treatment would involve making two more incisions on each side of my buttocks! I will be enlisting in the military in a little over two years.
Thinking about the painful experiences at Cheng Kung Ling and the doctor's words from the other day, I would like to ask the doctors on this forum:
1.
Am I really going to have to undergo these two surgeries? After the surgery, will there be any side effects? How much improvement can I expect? Will it help with holding a basin, squatting, crawling, using the toilet, tying shoelaces, or the muscle pain in the upper side of my buttocks when carrying heavy objects up the stairs? Will it even help with injections or prevent the needle from bending?
2.
If I don't have the surgery and go into the military, will there be negative effects? During my time at Cheng Kung Ling, I often took Tylenol for pain and secretly applied Salonpas to the painful muscle areas under my blanket after lights out, removing it before showering the next day.
However, within just a few weeks, the areas where I applied the patches became painful, itchy, and swollen.
I've heard that taking too much Tylenol can harm the stomach and liver?
3.
Are there any other methods, such as injections or medications, that could replace the need for surgery?
Confused Little Frog

I'm sorry, 20~29 year old female. Ask Date: 2004/09/08

Dr. Xu Zhenrong reply Rehabilitation

Hello, Little Frog: Frog legs are generally caused by muscle spasms and fibrosis in the gluteal muscles.
Currently, besides injections, intrinsic factors are also important causes.
The simplest way to check for frog legs is to stand with your knees together and see if you can squat down with your heels touching the ground.
Most people should be able to perform this action; if unable to do so, it may indicate frog leg syndrome, and a physician's diagnosis is necessary.

Patients with mild to moderate frog legs, where muscle shortening is not severe, can benefit from rehabilitation therapy, which includes local heat application to the gluteal and back muscles, as well as stretching exercises to improve muscle extensibility.
For patients with severe frog legs, the effectiveness of heat application and stretching may be limited; therefore, surgical intervention to lengthen the contracted muscles may be required before undergoing rehabilitation therapy for better treatment outcomes.
If frog legs are not corrected, engaging in high-impact activities such as running and jumping is not advisable, as the lack of elasticity in the gluteal muscles forces the back muscles to compensate, which can lead to poor posture and increased risk of sports injuries.
If you have any questions, feel free to inquire online or visit the Rehabilitation Department at Taipei Hospital.
Director of the Rehabilitation Department, Hsu Chen-Jung.

Reply Date: 2004/09/08

More Info

Frog Leg Syndrome, also known as "frog leg deformity," is a condition that can arise from repeated intramuscular injections, particularly in the gluteal region. This syndrome is characterized by the atrophy of the gluteal muscles, leading to a distinctive appearance where the buttocks may appear sunken or uneven. This can result in functional limitations, especially during activities that require squatting, bending, or lifting, as you have experienced.

Understanding Frog Leg Syndrome
1. Causes: The primary cause of Frog Leg Syndrome is the repeated trauma to the gluteal muscles from injections. When needles are inserted multiple times into the same area, it can lead to muscle damage, scarring, and atrophy. This can result in the muscle not functioning optimally, leading to the characteristic appearance and associated discomfort.

2. Symptoms: Individuals with this syndrome may experience pain, weakness, and difficulty performing certain movements, such as squatting, bending, or lifting heavy objects. The pain can also be exacerbated by activities that put strain on the affected muscles, such as carrying a backpack or performing military drills.

3. Diagnosis: Diagnosis is typically made through a physical examination, where a healthcare provider assesses the muscle tone and appearance of the gluteal region. Imaging studies may be used in some cases to evaluate the extent of muscle atrophy or damage.

Treatment Options
1. Surgical Intervention: In your case, the doctor has suggested surgical intervention to address the muscle atrophy. Surgery may involve procedures to repair or augment the affected muscles, which could improve function and alleviate pain. However, surgery carries risks, including infection, scarring, and potential complications related to anesthesia. The expected outcome of surgery is generally positive, with many patients experiencing significant improvements in their symptoms and functionality.

2. Non-Surgical Alternatives: If surgery is not an option or if you prefer to avoid it, there are non-surgical treatments that may help. Physical therapy can be beneficial in strengthening the surrounding muscles and improving overall function. A physical therapist can design a tailored exercise program that focuses on strengthening the gluteal muscles and improving flexibility. Additionally, pain management strategies, such as over-the-counter pain relievers (like acetaminophen) and topical analgesics, can help alleviate discomfort.

3. Lifestyle Modifications: Making adjustments to your daily activities can also help manage symptoms. For instance, using proper techniques when lifting heavy objects, taking breaks during prolonged activities, and avoiding repetitive strain on the affected muscles can reduce discomfort.

Concerns and Considerations
1. Impact of Surgery: If you undergo surgery, it is essential to follow your doctor's post-operative care instructions to ensure proper healing. While surgery can improve muscle function and reduce pain, there may be a recovery period during which you will need to limit certain activities.

2. Potential Side Effects of Medications: As you mentioned, taking pain medications like acetaminophen frequently can have side effects, including potential liver damage if taken in excessive amounts. It is crucial to use these medications as directed and consult with your healthcare provider if you find yourself needing them regularly.

3. Military Service: If you choose not to have surgery, it is essential to communicate your condition to your military superiors. They may be able to accommodate your needs or provide alternative duties that do not exacerbate your symptoms. Ignoring the pain or pushing through it could lead to further complications or chronic pain.

In conclusion, while Frog Leg Syndrome can be a challenging condition, there are treatment options available that can help improve your quality of life. It is essential to work closely with your healthcare provider to determine the best course of action based on your specific situation and needs. Whether through surgery, physical therapy, or lifestyle modifications, addressing the underlying issues can lead to significant improvements in your symptoms and overall well-being.

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