Achilles\' tendon

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About 5 years ago I noticed a dramatic reduction of the muscle mass (Muscle atrophy) in my right calf muscle, like 75% to 80% reduction compared to my Left calf Muscle (possible the gastrocnemius), I also noticed that my Achilles is also very loose, when in a relaxed state, compared to the left leg. What could be the possible problems? There is no pain (other than uneasiness like restless leg syndrome) associated with this problem. I do have a lower back problem (damage) that was done 30 years ago to the L4/L5 herniated disk. Now I have noticed that other muscles are starting to harden and reduce like the one did 5 years ago. I went on a 15 mile hike in the mountains this past summer and I am very active during the day. However I do not regularly exercise as I should. Thoughts?

Hello Sir, You are suffering from myopathy for which a thorough examination needs to be done. Blood tests like Creatine kinase and Electrodiagnostic tests like Electromyography [ E.M.G.] should be done. Nerve conduction studies for the affected limb should be done. Many endocrine disorders can also cause myopathy such as thyroid , parathyroid , adrenal disorders , Diabetes , Vitamin - D deficiency etc. You need to go to your nearest doctor for clinical assessment . Moreover other blood ...

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complete tear of ACL near femoral attachment.High grade tear of LCL near femoral attachment with contusion of the popliteal tendon.MCL grade -2 tear,the meniscpo-femoral/menisco tibial ligaments are likely torn.impacted,mildly depressed fractures of the anterior aspect of the lateral femoral condyle and posterial aspect of the lateral tibial condyle.Moderate joint effusion, fluid extends into baker's cyst and supra-patellar recess.plz help to understand the seriousness of this case...

Hello Sir , The results of surgery are good if you get it done as early as possible.There are no other choice other than surgery. It is a routine surgery so no special preparation is required. About 30 to 45 days will be required for recovery. ...

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Hi I'm 26 year old female. I well on my left hand a week and two days ago. I went to my regular doctor and he said it wasn't broken but I am still having a lot of pain in it. It seems to be hurting more when I have a brace on it. Then last night I saw a lump in my wrist when I bend it back and I'm having more trouble moving my fingers. Could I of torn a tendon in my hand went I fell

well, you need an urgent consultaton with an orthopaedic surgeon as most probably you have a frature in your wrist and needs an X ray evaluation and proper treatment by an expert. these fractures need a POP cast and needs proper care to avoid complications. ...

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In looking at the anatomy of the hand it appears to me that the flexor digit minimi brevis muscle or tendon (not sure) stands above the surface of my right palm. No pain just a hard long grizzle like. what is going on, is it serious and do I need to be concern. Thanks

Hi Thanks for the query. From the complaints you had described it should be tendon of the muscle in and around the palm. It could be also Trigger finger or tenosynovitis (inflammation of the tendon). Nothing to worry much, a local ointment and consultation from local orthopaedician could be useful. ...

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1)near complete proximal anterior cruciate ligament tear is seen. 2)grade 2 medial collateral ligament sprain is noted 3)undisplaced longitudinal tear of the posterior horn of the medial meniscus is noted 4)contusion of the posterolateral tibial plateau is noted 5)contusion changes are noted around the popliteus tendon and posterolateral join capsule 6)moderate to large joint effusion is noted 7)the lateral meniscus appears normal in configuration and signal intensities 8)posterior cruciate ligament appears normal in course, calibre,signal intensities and bony attachments. This is my husband's MRI scan reports. We are not able to understand the severeness of the injury. Pls suggest a suitable remedy

From the report I can understand that the scan was done immediately after injury. It appears that the ligament is torn which might need surgery. But the patient needs to be seen first. Anyways this is an elective surgery that can be done at a later date also. The information provided is solely on the mri report. Patient needs to be examined first for proper plan of treatment ...

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My son is 4.5 Y old and suffreing from Mild cerebral Palcy,he is not able to touch his right limb hill to ground as he is having contraction in acfiilles tendon,so is it possible to cure it by operating and muscle lenthening? Will these surgery limit other leg movement in future to him.

Sorry to hear about your son's CP. This is called gasto-soleus contracture. This is part of a spectrum of locomotive conditions associated with cerebral palsy. Whether he will require gasto-soleus release or tendo-achilles lengthening, is based on clinical assessment when I see the child. The condition is completely curable. Success rate is high. Hope this helps. Thanks ...

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Sir am suffering from shoulder ligament injury,taken MRI reports,result came as full tendon thickness tear,Any one suggest me what to do,is go to surgery or any alternative

A full thickness ligament tear of the shoulder usually means that it will be difficult to lift your arm. This can lead to muscle wasting and stiffness of the joint. If you are an active person you need repair of the ligament by arthroscopy (key-hole surgery) where, by minute incisions are used to repair the ligaments without much complications. Hope that helps. For more, look at this link in our clinic website http://**url**/treatment/rotator-cuff-tears/ Regards, Dr Saseendar, Consultant Arthro ...

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Sir am suffering from shoulder ligament injury,taken MRI reports,result came as full tendon thickness tear,Any one suggest me what to do,is go to surgery or any alternative

Dear, The best treatment for the above problem in an young adult with active demands in life is to undergo Arthroscopic surgery (key hole surgery) of shoulder to repair the ligament. After Arthroscopic repair and physiotherapy rehabilitation, you will be back to normal life. ...

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Hi, I used to feel pain from past one year in right leg , in between ankle n knee, when I sit on legs putting weight completely on one leg. I witness some muscle or Achilles tendon tear that can be felt through hand examination. However, I used to do regular physical workouts including running, now my same leg knee joint has pain. Can't walk properly, there s light swelling on right top corner of the knee cap of my right leg , viewing from my perspective. Do u think it's a ligament tear or anything that damages siverily? Kindly suggest , also I feel a sound in my ankle n knee joint , knuckle sound!

I strongly advise you to meet an Orthopaedician or Sports Medicine Consultant to assess your problem. There is high chance that you have ligament tear that could need really treatment. Regards, Dr Saseendar, Consultant Orthopaedics and Sports Medicine ...

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Hi this is jayeeta.i HV torn flexed tendon in left hand ring finger and right hand upper palm which is effecting my right hand little finger.i HV got surgery for both,a month ago.i h already did 10 days physical therapy now i HV swelling numbness and both fingers are very stiff i can't bend or make a fist or lift the finger.is is possible to get back movement and mk a fist.if yes..then how?and should i HV to continue physiotherapy?

Hello madam, you are not able to make afist or move your fingers because of gradual stiffness that has developed over time due to less movement at that joints. I suggest that since it's been a month of your operation, you should continue physiotherapy to regain motion or else your joints will become more stiff allowing limited motion. You can start with PWB(Parrafin Wax Bath ) Therapy for loosening the stiffness or immerse your hand and wrist in hot water (normal bearable temperature) for 10-15 ...

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