Doctor insights on:
Exercises To Help Femoral Anteversion
Persistent Femoral -:
Anteversion (pfa) is due to continuation of the position the baby was in the uterus throughout the pregnancy, ie, all curled up, with the hips flexed and internally rotated. After birth, in most kids the legs rotate externally. In some kids with the pfa, they don't and start standing or walking with feet turned-in (toeing-in), hence tripping over their own feet.
Externally rotating hips helps. ...Read more
I was born with femoral anteversion and it still hasn't fully corrected yet I am 18. What are my options? Will it ever correct on it's own?
Wev been told my 3 yrold has femoral anteversion. Have been told to consider boots& bar of a night. Frm my research, it seems its not generally used?
It's normal: You are correct. Femoral anteversion and internal tibial torsion are normal variants that almost always go away without any treatment. I have never treated any of my patients with corrective shoes, bars, pt or other similar treatments. The work of lynn staheli (http://www. Youtube. Com/watch? V=kzyikwwjn8e) has demonstrated that it doesn't help. If you feel uncomfortable, get a second opinion. ...Read more
I doubt that it will: As long as you were accepted into the service, this would have been present from when you went in. It is not something that gets worse over time. After you no longer are growing, there is no change. ...Read more
Yes: There are many causes of femoral anteversion, of which CP is but one. Most causes are far more benign. ...Read more
I have a femoral anteversion and minorly clubbed feet. Could that be the reason why I walk pigeon-toed?
Yes: Most people who are "pigeon toed" (internally rotated), comes from the position/structure of the hip. Some are due to tibial torsion. Rarely it is a problem unless you are tripping over your feet. ...Read more
Was both with femoral anteversion. It hasn't correct on my right leg and causes me embarrassment and discomfort. What can be done about it?
Surgery: Femoral anteversion is a rotational abnormality if the hip that causes the person to walk with the foot pointed in. In an 18 year old the only choices are to live with it or have surgery. That being said, it would have to be pretty severe to have surgery for because the surgery involves breaking the femur, rotating the femur, and then applying a plate and screws, a very painful procedure. ...Read more
Could being born with a femoral anteversion and minor clubbed feet be the reason why I walk pigeon-toed?
YES: Influence from the internal rotation at the hip, turns the leg. Combined with a "club foot", it can result in the pigeon-toe (in-toe) of your foot. If you are having discomfort, I recommend that you be evaluated and have a proper biomechanical/gait examination. See a podiatrist. If additional specialists are needed for referral, a good gait exam by the podiatrist can start the process. ...Read more
Do hip dysplasia and femoral anteversion go hand in hand? I was just diagnosed with both, when you have one, do u automatically have the other?
No: Femoral anteversion is extremely common, so common that it is felt to be more of a variation in development than a disease process. It is the most common cause of children walking with their toes pointing inward. Hip dysphasia is different and involves the hip not developing normally. They are independent of each other, but a person can certainly have both at the same time. ...Read more
I'm 46&had a rthr in december for femoral dysplasia/femoral anteversion. Any idea why my left hip is painful with no rom? Mri arthrogram is negative.
Two fold: 1. From over compensation from your previousl right hip issue. 2. Bow with some pain from walking differently after surgical correction of your right hip. ...Read more
Was diagnosed w/ hip dysplasia and femoral anteversion and dr recommended osteotomy. After seeing CT scan he said osteotomy won't help pain. Why?
I can only guess tha: -on the CT there was a significant degenerative disease, or that the osteotomy will not give U adequate coverage. Or maybe femoral osteotomy along with an acetabular procedure still would not help if there was very poor bone stock on the acetabular side. ...Read more
I broken my left femoral neck and underwent close reduction and pinning. Would love to know the basics of posysurgical rehab/exercise. Thanks.
Strengthening/ROM: Your rehabilitation program should consist of strengthening all of your hip flexor and extensor muscles as well as the quadriceps on the affected side. Once establishing the integrity of your hardware you should also have regular range of motion performed at the hip joint and knee joint in order to prevent shortening of the tendons as you're movement is limited by pain postoperative swelling. ...Read more
Knee bends: With some low weight ankle weights, slowly straighten your leg, and then bend it again, with the foot turned inward. Repeat 2-3 sets of 10. ...Read more
Any and all: Once you've been released to activity by your surgeon, probably one to three weeks, based on technique, you'll have no restrictions. You'll be able to do any sport or activity, tempering your enthusiasm by your level of residual soreness. The purpose of hernia repair is to return you to full and unrestricted activity. Good luck. ...Read more
If you have: An incarcerated femoral hernia, you need to have surgical repair. If it is acutely painful or tender, or if you have any nausea or vomiting, it is a true surgical emergency. I am not aware of any exercise that can correct this type of hernia. You should see a surgeon for definite opinion and plan of care. ...Read more
Hi, thanks for the question.
A stationary bike is a great idea for you. Low impact exercises are good. Also avoid deep knee flexion and stairs (especially going down).
Depending on the exact diagnosis, quad strengthening, usually focusing on the vastus medialis will help.
Ample stretching is also a good idea.
Best regards and good luck...Adrianna, let me know how you do! ...Read more
Had a end-end repair of my left common femoral artery and a vortex-graft bypass of the left common femoral vein.2 yrs ago. Vigorous exercise. Swell, pai?
Vein repair: Vein repair using goretex is prone to occlusion. If you are having swelling would suggest an ultrasound to see if the vein is still open. Exercise should be fine. ...Read more
Femur fracture: Isometric muscle strengthening exercises and weight bearing on the affected extremity with the assistance of crutches will be helpful. The goal is to strengthen the muscles supporting the fractured bone. However, I would refer this patient to contact to an orthopedic surgeon. ...Read more
What kind of exercise should u do after femur rod removal? Should u try to build ur thigh muscle back or wait the six weeks?
Listen to your doctor first: Normally after removal of an orthopedic device, your doctor will suggest physical therapy appropriate to the injury. Walking or swimming are both pretty benign exercises that shouldn't get you into trouble. Do the physical therapy first and then see what they suggest. ...Read more
Just diagnosed with bursitis in my left femur which has a 7 yr old rod&screws in it. What do you recommend for general treatment and exercise regime?
After having 3 screws in a facture between right hip and femur I can't tie my shoes or put my pants on, will this be corrected with therapy/exercise?
Difficult to say: Hip fractures even when successfully repaired often lead to long term disabilities. These changes including increased joint stiffness can occur due to soft tissue stiffness and contracture around the joint, boney changes at the healed fracture site, or the formation of extra bone termed heterotopic ossification. Any of these could permanently limit motion regardless of therapy. Time will tell. ...Read more
Acl failed several times, do Physio and exercise, tibia moves out from femur, surgeon at a lost, how can stabilise knee better when else all failed?
Have torn ligaments in knee. Can femur actually slip off the top of the tibia? Could something fracture? Using exercise bike & walking for strength.
Torn ligaments: It would be unusual for your femur to slide off your tibia unless you tore all the ligaments around your knee like in a knee dislocation. If you just tore your acl then your knee can be unstable with subluxation of the bones. Sometimes the acl can avulse from the tibia with bone. Exercise and knee strengthening is good for a acl tear and consideration of surgery can be discussed with your doctor. ...Read more
Protect kneecaps: Knee cap cartilage wear is the issue. Patella compression force is 8 times body weight w jumping, and 3xbw during squats/stairs. Avoid inclines, declines, squats, lunges, stairmaster, leg presses as all increase pressure and harm worn patella cartilage. Idealized weight decreases patella load. Keep knees straight during all quad exercises. Crosstrain. Hams curls, calves, hips are all ok. ...Read more