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Kinesio Rehab Physiotherapy Centre
Glossary · Ipoh

What is muscle atrophy?

Muscles that thin and weaken when they are not used, and how they can be rebuilt.

What is muscle atrophy?

Muscle atrophy is the thinning and weakening of muscle. It follows weeks of not using the muscle: a leg in a cast, a long time in bed, pain that stops you moving, or an illness that keeps you in hospital.

It can also come with age or with nerve problems. The muscle may look smaller, but the first sign is that everyday tasks feel heavy.

Why does it matter?

Weak muscles make the next step of recovery harder. Standing up from a chair, climbing stairs and carrying shopping all depend on them.

The good news is that muscle responds to the right amount of work. Most of the rebuild comes from regular, graded exercise, not a single big effort.

An everyday example in Ipoh

Mr Chong broke his ankle and spent weeks in a cast. At home in his terrace house in Taman Cempaka, he notices his left calf is much thinner than the right, and the ankle feels stiff.

When the surgeon says it is safe, we start gentle movement and then calf and thigh strengthening, measured by something he can see, like rising on his toes at the kitchen counter. Each week we make it a little harder.

Weakness after a long illness is covered in deconditioning and recovery after an ICU stay. Age-related loss is described under sarcopenia, and a stiff joint after a cast under ankle stiffness after cast.

For general guidance, read muscle weakness and hip fracture recovery.

Questions people ask

Is muscle wasting permanent?

Muscle lost through disuse can usually be rebuilt with regular, graded exercise, although how fast depends on age, health and how long the muscle was unused. If weakness has another cause, such as a nerve problem, your doctor checks that too.

Why is one leg thinner after a cast?

The muscles under the cast were not working, so they shrank. Once the cast is off, the leg needs movement and loading to bring the muscles back. Your doctor or surgeon sets the limits on what you can do first.

Does protein or a supplement fix it?

Good nutrition supports muscle, but it works together with exercise. Eating well without using the muscle rarely rebuilds it. Ask your doctor or a dietitian about your diet if you have other conditions.

Talk to a physiotherapist about your next step

If a limb has become thin or weak after surgery, a cast or a hospital stay, tell us what happened and when, and we will explain how rebuilding could start at home.

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