and Treating Frog Legs: Options Beyond Surgery - Orthopedics

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I want to completely cure frog legs..?


Hello Dr.
Hong,
I would like to ask you some questions regarding my frog legs condition.
I've had this issue since childhood, but I never paid much attention to it.
However, in recent years, as I've been practicing Taekwondo and dance, I often have to perform many stretching exercises.
Especially during seated stretches, my back bends significantly, and after practice, the outer sides of my hips hurt a lot.
Recently, I've also started experiencing pain in my lower back, which I believe is due to poor posture or improper movements.
This has been quite troubling and painful during practice, but I cannot give up on this aspect of my interests.

I have read online that frog legs can only be effectively treated through surgery, but I am concerned about the accuracy of this information.
Therefore, I would like to ask you if there are other rehabilitation methods available.
If surgery is necessary, could you provide information on the related medical costs and the expected rehabilitation period?
I am from Pingtung and currently serving in Chiayi for my alternative military service, and I have weekends off.
Thank you.

A-Ren, 20~29 year old female. Ask Date: 2006/11/17

Dr. Hong Ximing reply Orthopedics


Hello, A-Ren.
The term "frog leg" refers to the fibrosis of the gluteus maximus muscle, which requires abduction to achieve maximum hip flexion.
This condition does not necessarily indicate the need for surgery, but it is essential to have a diagnosis from an orthopedic physician.
Surgery can have an impact on muscle strength.
As for the related medical expenses, health insurance does provide coverage.

Reply Date: 2006/11/17

More Info


Hello! Thank you for reaching out with your concerns about "frog legs," which is often a colloquial term used to describe a condition known as hip dysplasia or excessive external rotation of the hips. This condition can lead to discomfort and pain, especially during activities that require flexibility and strength, such as martial arts and dance.


Understanding Frog Legs
The term "frog legs" typically refers to a posture where the legs are positioned outward, resembling the legs of a frog. This can be due to various factors, including genetic predisposition, muscle imbalances, or structural issues in the hip joint. In your case, it seems that the increased physical activity and stretching associated with taekwondo and dance have exacerbated your symptoms, leading to pain in the outer hips and lower back.


Symptoms and Concerns
The pain you are experiencing in the outer hips and lower back could be attributed to several factors:
1. Muscle Strain: Overstretching or improper technique during your training can lead to muscle strain, particularly in the hip abductors and lower back muscles.

2. Postural Issues: Poor posture during exercises can contribute to discomfort. If your back is excessively rounded during stretches, it may place additional stress on your lower back.

3. Hip Joint Mechanics: If your hip joints are not functioning optimally due to dysplasia or other issues, this can lead to pain during movement.


Non-Surgical Treatment Options
Before considering surgery, there are several non-surgical treatment options you can explore:
1. Physical Therapy: A physical therapist can assess your movement patterns and develop a tailored exercise program to strengthen the hip muscles, improve flexibility, and correct any postural issues. This may include:
- Strengthening exercises for the hip abductors and core muscles.

- Stretching exercises to improve flexibility in the hip flexors and hamstrings.

- Postural training to ensure proper alignment during activities.

2. Activity Modification: It may be beneficial to modify your training regimen to avoid movements that exacerbate your pain. Consider reducing the intensity or frequency of certain exercises until your symptoms improve.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, it's essential to consult with a healthcare professional before starting any medication.

4. Cross-Training: Engaging in low-impact activities, such as swimming or cycling, can help maintain fitness without placing excessive strain on your hips and lower back.


When to Consider Surgery
If non-surgical treatments do not provide relief and your symptoms significantly impact your daily life or activities, surgical options may be considered. Surgical interventions can vary based on the underlying cause of your symptoms and may include:
- Hip Arthroscopy: A minimally invasive procedure to address issues within the hip joint, such as labral tears or impingement.

- Osteotomy: A procedure to realign the bones of the hip joint to improve function and reduce pain.

- Hip Replacement: In severe cases, where there is significant joint damage, a hip replacement may be necessary.


Recovery and Costs
The recovery period and costs associated with surgery can vary widely based on the specific procedure and your overall health. Generally, recovery from hip arthroscopy may take a few weeks to a few months, while more extensive surgeries like osteotomy or hip replacement may require longer rehabilitation.


Conclusion
It's essential to consult with an orthopedic specialist or a sports medicine physician who can provide a thorough evaluation and guide you through the best treatment options for your specific situation. They can help determine whether surgery is necessary or if a comprehensive rehabilitation program can address your symptoms effectively.

In the meantime, focus on maintaining proper form during your activities, and consider seeking guidance from a physical therapist to help manage your symptoms. Remember, you don't have to give up your interests in taekwondo and dance; with the right approach, you can continue to enjoy them while minimizing discomfort.

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