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Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs

The case of a 54-year-old cardiac patient is reported, who was admitted to hospital with a complaint of sudden pain in the legs associated with edema, paresthesia, and coldness. Arterial embolism of the lower limbs was diagnosed and the patient was submitted to bilateral embolectomy. The patient evo...

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Autores principales: Pereira de Godoy, José Maria, de Fátima Guerreiro Godoy, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954877/
https://www.ncbi.nlm.nih.gov/pubmed/29854555
http://dx.doi.org/10.1155/2018/2679358
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author Pereira de Godoy, José Maria
de Fátima Guerreiro Godoy, Maria
author_facet Pereira de Godoy, José Maria
de Fátima Guerreiro Godoy, Maria
author_sort Pereira de Godoy, José Maria
collection PubMed
description The case of a 54-year-old cardiac patient is reported, who was admitted to hospital with a complaint of sudden pain in the legs associated with edema, paresthesia, and coldness. Arterial embolism of the lower limbs was diagnosed and the patient was submitted to bilateral embolectomy. The patient evolved with a burning sensation, hypersensitivity in the right leg, swelling, and difficulty bending and stretching the sole of the foot and the knee. A physical examination detected edema and increased tension in the anterior, lateral, and posterior compartments. Treatment using intermittent massage of the leg during the evaluation of the patient was chosen in an attempt to stimulate lymphatic and venous drainage. After a few minutes of stimulation, there was significant improvement in the pain and edema. In 40 minutes, there was total reduction of the pain in the posterior and lateral compartments and improvement of over 50% in the anterior compartment. After this, the patient started to bend the knee without pain and bend the sole of the foot with slight pain. On the following day, the patient was walking around the hospital ward without difficulty. It seems that intermittent massage is a therapeutic option in selected cases of compartment syndrome.
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spelling pubmed-59548772018-05-31 Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs Pereira de Godoy, José Maria de Fátima Guerreiro Godoy, Maria Case Rep Vasc Med Case Report The case of a 54-year-old cardiac patient is reported, who was admitted to hospital with a complaint of sudden pain in the legs associated with edema, paresthesia, and coldness. Arterial embolism of the lower limbs was diagnosed and the patient was submitted to bilateral embolectomy. The patient evolved with a burning sensation, hypersensitivity in the right leg, swelling, and difficulty bending and stretching the sole of the foot and the knee. A physical examination detected edema and increased tension in the anterior, lateral, and posterior compartments. Treatment using intermittent massage of the leg during the evaluation of the patient was chosen in an attempt to stimulate lymphatic and venous drainage. After a few minutes of stimulation, there was significant improvement in the pain and edema. In 40 minutes, there was total reduction of the pain in the posterior and lateral compartments and improvement of over 50% in the anterior compartment. After this, the patient started to bend the knee without pain and bend the sole of the foot with slight pain. On the following day, the patient was walking around the hospital ward without difficulty. It seems that intermittent massage is a therapeutic option in selected cases of compartment syndrome. Hindawi 2018-05-02 /pmc/articles/PMC5954877/ /pubmed/29854555 http://dx.doi.org/10.1155/2018/2679358 Text en Copyright © 2018 José Maria Pereira de Godoy and Maria de Fátima Guerreiro Godoy. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Pereira de Godoy, José Maria
de Fátima Guerreiro Godoy, Maria
Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs
title Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs
title_full Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs
title_fullStr Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs
title_full_unstemmed Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs
title_short Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs
title_sort intermittent massage as a therapeutic option for compartment syndrome after embolectomy of the lower limbs
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954877/
https://www.ncbi.nlm.nih.gov/pubmed/29854555
http://dx.doi.org/10.1155/2018/2679358
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