Gluteal Fibrosis: Symptoms, Causes, and Treatment Options

Gluteal muscle fibrosis

Hello doctor, during high school, I often ran due to physical education classes.
One time, I ran up the stairs for over 20 minutes, and a few days later, I felt a sensation like my bones were misaligned on the outer side of my thigh, near the hip, whenever I climbed stairs or walked up a steep slope.
I didn't think much of it at the time, so I didn't see a doctor.
After a year, it still hadn't improved, so I finally went to see a doctor.
The doctor diagnosed me with gluteal muscle fibrosis (frog leg syndrome), but I don't feel like I have difficulty squatting.
Now, two years later, it still hasn't improved, and whenever I sit on a bench or the ground for a while, my buttocks start to hurt.
I want to ask if I really have frog leg syndrome?

Bao Bao, 10~19 year old female. Ask Date: 2012/09/03

Dr. Chen Wayda reply Rehabilitation

It doesn't resemble frog limbs very much, but please accept rehabilitation therapy.

Reply Date: 2012/09/03

More Info

Gluteal fibrosis, often referred to as "frog leg syndrome," is a condition characterized by the formation of fibrous tissue in the gluteal muscles, particularly the gluteus maximus. This condition can arise from various factors, including repetitive strain, injury, or prolonged immobilization of the affected area. In your case, it seems that the initial injury occurred during physical activity, which may have led to the development of fibrosis over time.

Symptoms of Gluteal Fibrosis
The symptoms of gluteal fibrosis can vary from person to person but typically include:
1. Pain and Discomfort: Patients often report pain in the gluteal region, especially when sitting for extended periods or engaging in activities that require the use of the gluteal muscles, such as climbing stairs or walking uphill.

2. Stiffness: There may be a sensation of tightness or stiffness in the affected area, which can limit mobility and flexibility.

3. Altered Sensation: Some individuals may experience changes in sensation, such as numbness or tingling in the buttocks or thighs.

4. Muscle Weakness: In some cases, there may be a noticeable weakness in the gluteal muscles, which can affect overall lower body strength and stability.

Causes of Gluteal Fibrosis
The primary causes of gluteal fibrosis include:
- Repetitive Strain: Engaging in activities that put excessive strain on the gluteal muscles, such as running or climbing stairs, can lead to microtrauma and subsequent fibrosis.

- Injury: Acute injuries to the gluteal region can result in inflammation and scarring, contributing to the development of fibrous tissue.

- Prolonged Immobilization: Sitting for long periods or having limited mobility can lead to muscle atrophy and fibrosis.

- Genetic Predisposition: Some individuals may have a genetic tendency to develop fibrotic tissue in response to injury or strain.

Treatment Options
Treatment for gluteal fibrosis typically focuses on alleviating symptoms and restoring function. Here are some common approaches:
1. Physical Therapy: A physical therapist can design a personalized exercise program to improve flexibility, strength, and range of motion in the gluteal region. Techniques such as stretching, strengthening exercises, and manual therapy may be employed.

2. Pain Management: Over-the-counter pain relievers, such as NSAIDs (non-steroidal anti-inflammatory drugs), can help reduce pain and inflammation. In some cases, a doctor may prescribe stronger medications or corticosteroid injections.

3. Massage Therapy: Therapeutic massage can help break down fibrous tissue and improve blood circulation in the affected area.

4. Activity Modification: Avoiding activities that exacerbate symptoms, such as prolonged sitting or high-impact exercises, can help manage discomfort.

5. Surgery: In severe cases where conservative treatments fail, surgical intervention may be considered to remove fibrous tissue and restore normal muscle function.

Conclusion
Based on your description, it is possible that you are experiencing symptoms consistent with gluteal fibrosis. While you may not have difficulty squatting, the pain you experience when sitting or climbing stairs suggests that the condition is affecting your daily activities. It is essential to follow up with your healthcare provider for a thorough evaluation and to discuss appropriate treatment options tailored to your specific situation. Early intervention can significantly improve outcomes and help you regain function and comfort in your daily life.

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