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21 Nov2013

21 November 2013.

Written by Sander van Bergen
Posted in Knee

Written by Sander van Bergen21-11-2013 12:25:38. Posted in Knee

Calfs
Calfs (Image by: Sander van Bergen)

Test your knowledge: the calf muscle.

Question:

Can you recognize what is wrong with the left leg? And what can we do about this as physiotherapists and/ or other therapies?   

The answer can be found below the picture. 

original-2

Answer:

Probably there is an atrophy of the medial gastrocnemius muscle; we do not know the exact cause. This woman has walked a lot in the past 10 years, but in the last 2 years she has been from pain in the left gastrocnemius muscle. Ultrasonography was conducted to possibly identify the exact cause of the pain and atrophy – massive tissue fibrosis was present in her left medial gastrocnemius! There was a clear loss of dynamics of this particular muscle: stretch testing of this muscle provoked typical, recognizable pain, and there was a 20 degree loss of dorsiflexion in the ankle.

Tags: Knee, Test your knowledge, Ankle, muscle, achilles tendon, gastrocnemius, atrophy

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About the Author
Sander van Bergen

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