大腿與小腿中間那個骨頭發痛的問題

2007-01-21 12:08 am
我的大腿與小腿中間那個骨頭(記了怎寫..sor)
大腿與小腿中間那個骨頭 果到有舊很大的骨..
再下一點 就有一舊比較小的骨..我按下去的時候會發痛..
這是怎樣形成的...我經常打籃球..這是原因嗎!??
有辦法可以令到不痛嗎!?
而且我在步行的時間..雙腿無啦啦就會覺到麻痺或痛
這跟剛才所說的那塊骨痛 有相關的嗎!?

回答 (2)

2007-01-21 3:46 am
✔ 最佳答案
你指的小腿骨, 粗的是脛骨, 幼的是腓骨。
如果你是按下那條小骨頭的頂部發現有痛話, 那通常是因為肌肉太緊或有少量移位才會令到該位置有痛。而下一點的地方, 有一條腓神經在腓骨頂端下的位置經過, 而運動員是會因經常碰撞而引起該神經的問題, 尤以足球、籃球、欖球及排球為主。
另外, 一些病人亦可能因小腿肌肉及軟組織過緊, 引起compartment syndrome。就是因為脛骨及腓骨中間有一塊很硬的鞏膜, 隔開了小腿前方及後方的空間, 如果遇上肌肉及軟組織很緊的話, 那就會影響小腿深處的血液循環, 引起相似問題。
由於兩個問題的表徵相似, 但原因卻是相去千里, 若是錯誤理解問題的話便會變成處理不當。建議你接受物理治療的專業檢查, 以找出真正問題。
請正視。

2007-01-22 13:37:07 補充:
To fishocat,good to meet you again.Yes, from the knowledge of school of physiotherapy, compartment syndrome should requires a trauma-like case to begin, say fracture and crushing problem, and in this case an urgent operation should be offered.

2007-01-22 13:37:53 補充:
It, however, can present with pain & parathesia after vigorous sport or gymnasium training, with a predisposing factor on tight low limb soft tissue problem. In this case, we can usesoft tissue releasing technique to treat this case.

2007-01-22 13:38:11 補充:
, but it can also induce trauma and a dense scar on several layer on the patient.And thanks for your reminding on this case, it should be some sort of problem on tibial tuberosity.I've mess up those vague description on this case.
參考: 本人是物理治療師, 歡迎來信
2007-01-22 7:33 pm
i guess you are talking about the patella and the tibial tuberosity?
pain at tibial tuberosity may be related to running/ jumping activities
but need further examinations to define

but walking with numbness/ pain
may not be related directly to that pain
there can be many other causes

see a professional to solve your problems la
physio/ orthopedic dr

2007-01-22 11:41:23 補充:
P.S. Oscar: compartment syndrome requires urgent operation (as there is vascular compromise), never heard of any types that could be chronic/ low gradeit presents with pain & parathesia yes, but most commonly occur in severe soft tissue damage (eg fractures + edema/ crushing injuries)

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