Could My Leg Proportions Indicate Polio or Other Neurological Issues? - Neurology

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I would like to inquire whether I have polio or something else?


I am a 36-year-old male and I have a concern.
When I was in middle school, I was quite overweight, but it was strange because my upper body was very heavy.
My thighs are thick, but my calves are thin, which creates an imbalance in the proportions of my legs.
My appearance and mobility are normal, but the ratio between my thighs and calves is not very balanced.
The area from my thighs to my knee joints is fine, but my calves become significantly thinner.
The joint area between my thighs and calves also tends to feel sore.
I believe this might be due to poor blood circulation, which is why I exercise regularly.
Regardless of whether I am overweight or underweight, my calves remain thin.
Could you please tell me if it is possible that this is related to polio? I have not been able to find any information on why this is happening.

yun, 30~39 year old female. Ask Date: 2009/08/28

Dr. Lin Zijing reply Neurology


Polio is caused by a filtrable virus attacking nerve cells, leading to the destruction of lower motor neurons, resulting in muscle weakness, paralysis, and atrophy.
Your symptoms do not match this description, so it is unlikely to be polio.
Based on your description, it is more probable that you are experiencing central obesity (accumulation of fat in the neck, chest, abdomen, back, buttocks, and breasts, while the arms and calves remain thin).
The causes of central obesity may include hypothalamic-pituitary disorders or pituitary tumors, such as adrenocorticotropic hormone (ACTH) secreting tumors, growth hormone (GH) secreting tumors, or adrenal hyperfunction.
Adrenal cortical tumors can lead to bilateral adrenal hyperplasia (Cushing's syndrome), resulting in central obesity, moon facies, and skin striae, among other symptoms.
Additionally, some individuals may develop central obesity due to the use of corticosteroid medications.
If you have any questions, you may consult the endocrinology department for further evaluation.

Reply Date: 2009/08/28

More Info


Your concern about the proportions of your legs and the possibility of polio or other neurological issues is understandable. It’s important to address these concerns with a comprehensive understanding of both anatomy and potential medical conditions.

Firstly, the observation that your thighs are relatively larger compared to your calves is not uncommon. Many individuals have variations in body proportions, and these can be influenced by genetics, lifestyle, and physical activity levels. In your case, the fact that you have been active and have no issues with mobility suggests that there may not be an underlying neurological condition affecting your leg proportions.

Polio, or poliomyelitis, is a viral disease that can lead to muscle weakness and paralysis, primarily affecting the lower limbs. However, polio is less common in many parts of the world today due to widespread vaccination. If you had polio as a child, you would likely have experienced significant muscle weakness or paralysis at that time, which would have been evident in your mobility and muscle development. Since you mentioned that you have normal movement and function, it is unlikely that polio is the cause of your leg proportions.

Another consideration is the possibility of a condition known as "muscle imbalance." This occurs when certain muscle groups are stronger or more developed than others, which can lead to differences in size and shape. For example, if you engage in activities that predominantly work the thigh muscles (like squats or cycling), but do not equally engage the calf muscles, this could lead to the appearance of disproportionate leg sizes.
Additionally, the sensation of soreness or discomfort around the knee joint could be related to muscle fatigue or overuse rather than a circulatory issue. If you are experiencing consistent discomfort, it may be beneficial to consult a healthcare professional, such as a physical therapist or orthopedic specialist, who can assess your leg strength, flexibility, and overall biomechanics. They can provide tailored exercises to help balance muscle development and alleviate discomfort.

Circulatory issues can also cause symptoms in the legs, but these are typically accompanied by other signs such as swelling, discoloration, or persistent pain. If you are not experiencing these symptoms, it is less likely that circulation is the primary concern.

In summary, while your leg proportions may seem unusual, they are not necessarily indicative of polio or other serious neurological issues, especially given your normal mobility and activity levels. However, if you have ongoing concerns about discomfort or the appearance of your legs, seeking a professional evaluation would be a prudent step. They can provide a thorough assessment and recommend appropriate interventions to address any underlying issues.

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