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What's Up TopDoc?

Introducing the 1st medical blog
Reliable health information & tips, brought to you by HK doctors.
長短腳的謎思
Posted by Dr. Jennifer Pui Chee Ng on November 26, 2014

香港很多人有長短腳而不自知, 病人因腰痛或膝痛來求診時, 經檢查後都發覺有長短個腳的問題. 長短腳可分為結構性(真長短腳)及功能性(假長短腳)兩種。基本上,9成以上患者都屬後者,亦即功能性長短腳,雙腿的骨骼長度相同,卻由於腰椎、盆骨錯位或臀部肌肉有問題,令身體其中一邊的活動能力變差,以致出現左右腿長度不同的情況。 當人長時間以不良姿態就坐,如長期單邊蹺腳, 攤坐或靠在一邊坐時,就有機會形成功能性長短腳。但翹腳有時是為了改變坐姿, 讓身體的壓力得以舒緩, 那問題究竟...應否翹腳? 答案是可以的, 但必須緊記每次不可翹多於15 分鐘並要左右交換翹和適時維持正確坐姿, 因問題癥結再不該長時間維持同一姿勢, 要定時轉換才好. 如發現自己經常只有一隻腳的褲腳被磨爛,褲頭呈現出高低差距等時,就有機會屬功能性長短腳。如情況輕微,盡可能每坐下半小時起來伸展一下肌肉,便可改善問題。不過,若假長短腳情況嚴重得能被肉眼輕易察覺,就需要盡快向脊醫求診. 至於那些結構性(真長短腳)則需要透過穿著矯形加高鞋墊, 縮短腳與地之間的差距. 但如果發現有長短腳的是兒童記得要找兒科脊醫,因為矯正小孩的力度和準確度要求很高,有蠻多有長短腳的兒童來看我前看過其他成人的脊醫或其他中醫整脊之類,有些把原本的盆骨錯位弄得更錯位,有些是矯正過頭錯位到另外一個方向。 兒科婦科脊醫 Dr Jen
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