The small pit under the front bone of the calf

The phenomenon of a small depression on the frontal bone of the calf may be caused by physiological reasons, such as being compressed by something. However, this situation will recover quickly and will not be serious. If it is caused by a disease, the most likely cause is muscle atrophy. The symptoms of muscle atrophy may not be very serious at the beginning, so the situation must be clarified as soon as possible. Let’s take a look at the symptoms of muscle atrophy.

Muscular atrophy refers to the reduction in muscle volume caused by nutritional disorders of skeletal muscles, thinning or even disappearance of muscle fibers. It is mostly caused by muscle diseases or nervous system dysfunction. The main causes are: neurogenic muscular atrophy, myogenic muscular atrophy, disuse muscular atrophy and muscular atrophy due to other reasons. In addition to pathological changes in muscle tissue itself, muscle nutritional status is also closely related to the nervous system. Spinal cord disease often leads to muscular dystrophy and muscle atrophy. Patients with muscular atrophy have to stay in bed for a long time due to muscle atrophy and muscle weakness, and are prone to complications such as pneumonia, pressure sores, etc. In addition, most patients experience symptoms of medullary paralysis, which poses a great threat to their lives.

Muscle atrophy strength classification

(1) Level 0: Complete paralysis, unable to do anything freely and powerless.

(2) Grade I: Complete paralysis. When the limbs move, slight muscle atrophy can be seen, but the body cannot move.

(3) Grade II: The limbs can move parallel to the bed but cannot be lifted off the bed.

(4) Level III: The limbs can overcome gravity and be lifted off the table.

(5) Level IV: The limbs can perform movements against external resistance.

(6) Grade V: Normal muscle strength and free movement.

treat

1. Standardize rehabilitation exercise therapy

Patients with limb movement disorders caused by muscle atrophy can significantly reduce or alleviate the sequelae of paralysis through regular exercise therapy.

Some people mistakenly view exercise therapy as something very simple, or even equate it with "exercise". They are eager for quick results, often getting half the result with twice the effort, and causing joint and muscle injuries, fractures, shoulder and hip pain, increased spasms, abnormal spasm patterns and abnormal gait, as well as foot drop and inversion, which is known as "misuse syndrome".

Rehabilitation treatment for the patient's joint range of motion, muscle tone, and coordination between antagonists should not be neglected, lest the patient's muscle strength returns to normal but abnormal movement patterns remain.

2. Emphasize muscle coordination training

Inappropriate muscle strength training can aggravate spasticity, while appropriate rehabilitation training can relieve such spasticity and make limb movements more coordinated. Once the wrong training method is used, such as repeatedly practicing forceful grasping with the affected hand, the flexor coordination of the affected upper limb will be strengthened, aggravating the spasm of the muscles responsible for joint flexion, causing elbow flexion, wrist pronation, and finger flexion deformities, making it more difficult to restore hand function. In fact, muscular atrophy and limb movement disorders are not just a problem of muscle weakness. The incoordination of muscle contraction is also an important cause of movement dysfunction. Therefore, we should not mistake rehabilitation training for strength training.

3. Other treatments

Low-frequency or medium-frequency electrical stimulation, neurotrophic drugs, combined with acupuncture/electroacupuncture and massage.