#femor

[joyful-soul-collector]

Writing Femoral Anteversion

From someone who has it! I figured people who're writing Viktor (or anyone else you'd like to bestow this condition onto) might find this helpful.

For anyone who doesn't know, Viktor is theorized to have severe Femoral Anteversion in his right leg. Mine is not quite as severe as his is, but it's enough to cause problems. Currently my condition has me considering buying a cane at the ripe old age of 22, which is a few years younger than Viktor was in Season 1 Act 1.

Femoral Anteversion looks like this:

This can happen in one or both legs. I have it in both, but it's far worse in my left leg. Viktor's seems to be mainly in his right leg. To be clear, this is NOT the same thing as his lung disease, though it likely exacerbates that disease a bit. The anteversion very likely worsens the problems with his back, but isn't necessarily the cause. Now, lets get into it!

What is Femoral Anteversion?

A wonderful post by @ihavea-natural-curiosity explained that all here, so I'll leave it to that person to explain what it is.

What is it like to have Femoral Anteversion?

Depending on the severity/treatments done for it, it can range from barely noticeable to a constant pain. If we put that on a scale, I'd say my right leg is at a 2-3, and my left is at around a 7-8. Viktor is likely at a 9-10 on his right leg. 8 on a good day.

General Pain Sites: mainly are in the knee, the hip, and lower back. Pain is worsened by long periods of standing, or long periods of sitting. Basically if its in one position for too long, it hurts. For me, it's difficult in school when I have to sit for a long time, and at work, where I stand a long time. Viktor may have more flexibility as he can stand or sit at his job whenever he wants, though if he's low energy that day, sitting for a long time may be his only option.

If standing for too long: (for me that's more than half and hour to an hour, for Viktor it may be more like 15 minutes), pain will start in the lower back, typically on the side of the bad leg, and with each step that spot on the lower back will pop. It's rather uncomfortable, doesn't relieve much pain the way popping a joint normally does. Pain from standing too long tends to be in the lower back, below the kneecap, and on the side of the hip, in the center between the front and back half of the body

If sitting for too long: typically the pain sites change slightly depending on the position, but often it's in the back of the hip, the lower back, and above the kneecap. Sometimes there may also be awkward positions sitting when trying to keep weight off that leg, which ends up hurting your upper back or shoulders too.

Painless: The only position I've found to be completely painless when in it for a long time is laying down on my back, with a pillow under the knees. Takes ALL the strain and weight off of those joints so it doesn't hurt. Only annoying bit is sometimes the REST of my body gets tired of being in that position anyways. I really only do this if it's hurting pretty bad that day because I can't really do anything while laying down like this. Even being on your phone is annoying cuz your arms get tired eventually.

Treating Femoral Anteversion

There's a bunch of treatments for it, the main ones are physical therapy, a brace, and a surgery. Typically none of these are needed because this usually happens in children, most of whom grow out of it. In the people who don't, physical therapy, a brace, and/or surgery may be needed.

The Brace

They usually hug the thigh as the problem is in the femur, the thigh bone. The reason Viktor likely doesn't have one of the top two may be either:

1. Pain, the braces can be rather painful, and with anteversion as severe as his it may have been too much

and/or

2. It may have interfered with his back brace. The bottom brace doesn't work as well, but it is certainly far better than nothing.

To be clear, the most comfortable position for someone with femoral anteversion to be in is with their toes pointed inward. So the brace is not necessarily actually for comfort, it is for overall health. They're rather painful as it forces you're muscles, tendons, and literally bones, to be in a different position than they are naturally. Braces for adults would also have to be worn most hours of the day, and likely forever. In children the brace is taken off after they have grown enough that the anteversion is corrected, but in adults they are done growing, so it must be worn as much as possible.

Generally a brace is not actually the go-to form of treatment for adults, as physical therapy works better and is less uncomfortable for the patient.

Physical Therapy

Physical therapy for femoral anteversion will look like a lot of leg exercises to strengthen the outer leg muscles that will help correct the direction of the femur. It's very possible Viktor does these, or did them when he had the strength. When his disease got worse he may not have had the energy, but if he ever saw a PT in Piltover to help with his leg then they likely had him do exercises every day, possibly in the morning and at night with how severe his case was.

Stopping the exercises would likely mean the leg returns to its previous condition, as the muscles would no longer be maintained and would grow weaker again with time. In which case, the brace would help, and is possibly why Viktor has a brace in act 2 of season 1, but not in act 1.

Surgery

This surgery is called Femoral Osteotomy, and is a rather invasive one as it will change the direction of your whole femur, thus the direction of your whole leg. People often need walkers after this surgery, and can definitely come with complications. The reason Viktor didn't get this done is almost certainly because of his disease. A lung disease increases the risk of complications exponentially, especially with something as invasive as this surgery.

Disclaimer: I personally haven't actually had any of these treatments because I cannot afford them at the moment, though I'm hoping to go into physical therapy soon. The treatment order tends to go PT, brace, and surgery as a last resort.

Daily Life with Femoral Anteversion

Honestly, for most people with this, there's not much difference. They may not even feel any pain. My right leg technically also has femoral anteversion, but rarely hurts. But for people with a more intense case, like my left leg, or Viktor's right leg, there's a few things that can be different, so here's a list of some things that I do because of my femoral anteversion, that might be interesting to include in your writing:

Constantly correcting the direction of the foot. It becomes an unconscious correction after months of practicing, but occasionally it will still happen that you have to consciously move and correct it

Some days hurt worse than others! It can be just how you wake up that morning, or it can be due to activities done that day

Constantly cracking the bad knee. Especially when sitting or standing for too long. I crack my knee probably every few minutes or so when I'm standing for more than 5 minutes

Leaning elbows on a table, crossing the legs at the ankle, and leaning the torso side to side to get a stretch in the hip and potentially pop the lower back. Even deeper stretch by letting the elbows go below the table top and balancing by holding onto the table with just the fingertips.

When turning around, forgetting to move the bad leg too so it ends up turning almost completely backwards. This doesn't hurt, but as soon as I do it I often think "Aw fuck I'm not supposed to do that". Sometimes this makes you trip too.

Tripping over the bad foot when it gets in the way

Massaging or gently hitting the bad knee and hip to help the pain

Preemptively taking painkillers when anticipating a lot of walking or standing. May also do this for sitting, like on a plane or long train ride

It's hard to pop the hip but when it does happen it's both rather painful and instant pain relief. Very similar to popping a shoulder that's been annoying all day

Getting something warm to put on the knee and hip to help with pain. My favorite thing is the Warmies stuffed animals, the added weight feels good too

If without a cane/crutch, or somewhere to sit, then leaning heavily on tables, walls, and railings when in pain. Limping when you can't do that

Pushing the bad leg out to the side to get a good stretch in the hip (In the sexual sense, having the knees spread far apart for a long time would end up painful. Shorter sessions will be fine, but the best positions for something lasting a long time would be ones where the bad leg can be resting on something at a 90° angle or wider at both the hip and knee. A pillow under the knee works perfect. If on top, the person would likely end up leaning on the good leg, and leaning on the bed/a pillow/the other person with their arms to take the weight off the bad leg)

Constantly changing sitting position, generally every 5 minutes, give or take depending on how bad the pain is that day

Sleeping on the side with a pillow or blanket between the knees

Would secretly really really love for someone else to massage your leg because it's so difficult to get the right spots by yourself, especially in your hip.

Aaaaand that's about it! Feel free to ask any questions!

[annabelle--cane]

dracula adaptations I am practically begging you for guilty vampire mina. there's so much potential here. stop making her be so into the sexy thrill of it all. we've done that enough already. I need that victorian woman sopping wet on the ground in throes of agony about her newfound monstrous hunger. she'd be so good as an edward cullen type. this is the skin of a killer, jonathan.

[dapurinthos]

i need approximately five of these miniature lightsabers used for making regular lightsabers.

[grand-theft-carbohydrates]

i love how ancient chinese currency is translated as "cash" in english, e.g. 500 strings of cash. like yeah, it's accurate, that's what 钱 means, but it just sounds so hilariously modern to my anglophone brain. i always picture someone saying it in a sleazy lawyer voice. "HAVE YOU OR A LOVED ONE BEEN A VICTIM OF CORRUPT OFFICIALS, UNSCRUPULOUS EUNUCHS, OR HAD YOUR FARMLAND UNJUSTLY CONFISCATED BY LOCAL WARLORD #34? YOU MAY BE ENTITLED TO A LARGE CASH SETTLEMENT! BETTER RING MING!" it's pretty interesting that dynastic china never named the official mint like francs or pounds. might jstor this later.

[rosiethorns88]

Heyyyy everyone! Dropping the latest Sketch-a-Wish, voted on by my lovely Patreon members for April! Featuring the stabbiest meet-cute between Oraya and Raihn from The Serpent & the Wings of Night by @carissabroadbentbooks (on IG)! (It didn't mention if Raihn's wings were out in this scene, but wings are fun, so liberty taken!)

[wheelie-sick]

while I'm in a rotational difference ramble spree let me share something for people with one:

You are not obligated to get surgery ‼️

doctors, the people around you, and even other people with a rotational difference will try to pressure you into it. you don't have to go through with it

if you're old enough to be on Tumblr that surgery is experimental. they do not fully understand the benefits for people who get the surgery late. it is often cosmetic and aims to make your legs look "normal" instead of functional. that surgery requires breaking your bones in several places and putting them back together. you have to relearn to walk. it takes a year to recover. people often still have chronic pain afterwards. it is a major surgery that they will try to sell you as something simple.

if you want that, if you feel it's worth it to you, then absolutely get the surgery but you don't have to.

make your decision for yourself, not other people. know there are other options like bracing and mobility aids that can give you just as fulfilling of a life.

[tender-traps]

we see a lot of cutting initials or branding symbols into whumpee's chest, stomach, or back and it's great. but how do we feel about the inner thigh

[poedays]

It’s insane sometimes when you realise how much of a comfort something has become.

I had physiotherapy (happy disability pride month) today and we were doing dry needling - and as I was doing deep breathes to try and calm down my brain conjured up some sort of combine Milo and Asher visage holding my hand and smiling at me. It helped just thinking about them.

I go to the Milo panic attack audio when I need help, I go to Asher’s couch sleep aid when I can’t sleep, Sweetheart and Babe are my two most thought out listener designs - Ash and Milo genuinely bring me peace of mind.

It feels a little silly, but it’s really nice to always have a shoulder to lean on - even if they’re fictional characters.

[bougainvillea-and-saltwater]

Sometimes it takes you stab someone to fall in love!

I... I Did A Thing...🥲

Jia’s fingers linger on the scar—a place where her dagger had once sunk deep. Miraak’s bare skin is, in all its wintry nature, smooth and cool like ice, chiseled marble underneath her touch. Yet that spot, marked by the precise, clean cut of the ebony shard, seems almost like someone had tried to carve into a divine sculpture, hoping to draw forth golden ichor from within. He shivers under the gentleness of her touch, and she languidly lifts her eyelids to meet him. His gaze lowers to lock with hers, and, Gods, she feels the drowning urge to crawl over him, to cling to him like ivy, to wrap herself around his ribs like moss until she’ll grow to become a whole forest for him to sleep under. “I did this to you; back then, in Apocrypha,” she murmurs, her voice low as her hand rests on the healed scar at the top of his thigh. Though, there’s no regret or concern in her tone. Only an intensity so pure and so damning, it drives him mad, he’s made a slave of it. “It’s my greatest pride,” he manages, his voice rough and tight. “You almost make me want to bleed again; if only for the privilege of your hands on me.”

[dutifullycolddeer]

its my birthday

first word i said was jayvik

[joyful-soul-collector]

I genuinely love so much when fics/art depict Viktor getting leg massages from Jayce because as someone who also has femoral anteversion, that's ALL I WANT IN THE WORLD AUGHHHHHHHHHH

If someone could just massage my bad leg for like. Even just 15 minutes, that would be so nice :']

[cardiophilecabaret]

Don't sleep on giving your partner's pulses some affection.

Press your lips to their neck and feel their pulse beat against them. Press your thumb against their wrist when you're kissing, feel their pulse race against it. Press your tongue against their throat, bite down and feel their pulse between your teeth.

I promise it will be life changing.

[toonsandtunes]

The vibe I bring to the function.

[clumsypuppy]

couldnt decide on drawing fish or horsies

[spocks-kaathyra]

Pythas is shaped exactly like me actually bc I said so. 5'0 and everything

nakey under the cut

[wheelie-sick]

single handedly increasing the number of people with a rotational difference diagnosis by being incredibly open about mine

[ID: a fictional soldier turned to the camera shouting enthusiastically "I'm doing my part!"]

seriously though if you walk severely duck footed (feet pointed out) or pigeon toed (feet pointed in) and/or your kneecaps turn in or out when you stand with your feet straight and/or you can't walk with your legs and feet straight at the same time.... go to an orthopedist there is a strong chance you have a rotational difference

it's not always a rotational difference. other orthopedic conditions can mimic rotational differences. keep that in mind before self diagnosing.