Issues with the lateral aspect of the tibia in individuals with bowlegs (genu varum)?
Dear Doctor, I have bow legs with a significant angle, so I was exempted from military service after my health check.
I have been working for four years, and recently, I have been visiting clients frequently, which involves a lot of walking.
I noticed that the outer part of my right calf often feels sore.
Later, while showering, I discovered a small lump near the bone of my right calf close to the knee, which is painful when pressed.
I did not find a similar issue on the left leg in the same area.
Should I get an X-ray for this, or could it just be due to the increased walking? Would resting help? Additionally, could you recommend an orthopedic doctor in Taipei City or County for consultation? Thank you very much.
Mr. Li, 20~29 year old female. Ask Date: 2010/02/06
Dr. Shi Guozheng reply Orthopedics
Bow legs can cause excessive strain on the lateral ligaments, and walking too much may lead to inflammation.
The pain on the outside could be due to overactivity; resting may help, but if it doesn't improve, you should consult a physician.
You might consider visiting Dr.
Chen at the Taipei City Hospital Orthopedic Department.
Reply Date: 2010/02/06
More Info
O-shaped legs, also known as genu varum, can lead to various complications, including pain and discomfort in the legs, particularly in the knees and surrounding areas. The condition is characterized by an outward bowing of the legs, which can place additional stress on the knee joints and surrounding structures. In your case, the pain you are experiencing in the outer part of your right calf, along with the discovery of a small, painful bump near the knee, could be indicative of several underlying issues.
Firstly, the pain in your right leg may be attributed to the mechanical stress caused by your O-shaped legs. When the legs are misaligned, it can lead to uneven weight distribution across the knee joint, resulting in overuse of certain muscles and ligaments. This overuse can cause inflammation, leading to pain and discomfort, particularly after increased activity such as walking or standing for extended periods.
The small bump you mentioned near your knee could potentially be a bony prominence or a condition known as a bone spur, which can develop in response to chronic irritation or inflammation in the area. It is essential to monitor this bump, especially since it is painful when pressed. While it may be tempting to attribute your symptoms solely to increased activity, it is crucial to consider that the underlying structural issues related to your O-shaped legs may be contributing to your discomfort.
Regarding whether you should get an X-ray, it is advisable to consult with a healthcare professional, particularly an orthopedic specialist. An X-ray can provide valuable insights into the alignment of your bones, the condition of your joints, and any potential abnormalities that may be contributing to your pain. It can also help rule out other conditions such as arthritis or fractures that may not be immediately apparent.
Resting may provide temporary relief, but it is essential to address the underlying issues to prevent further complications. If you find that your symptoms persist despite rest, or if they worsen, seeking medical advice is crucial. An orthopedic specialist can evaluate your condition and recommend appropriate treatment options, which may include physical therapy, orthotic devices, or, in some cases, surgical intervention.
In terms of finding a qualified orthopedic doctor in Taipei, you may consider visiting Taipei City Hospital or other reputable medical institutions in the area. It is always beneficial to seek a second opinion if you feel uncertain about the recommendations provided by your healthcare provider.
In summary, while your symptoms may initially seem related to increased activity, the underlying structural issues associated with O-shaped legs likely play a significant role in your discomfort. Consulting with an orthopedic specialist and obtaining an X-ray will provide a clearer understanding of your condition and help guide you toward the most effective treatment options. Remember, early intervention can prevent further complications and improve your overall quality of life.
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