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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Main Authors: José Maria Pereira de Godoy, Maria de Fátima Guerreiro Godoy
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2018/2679358
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author José Maria Pereira de Godoy
Maria de Fátima Guerreiro Godoy
author_facet José Maria Pereira de Godoy
Maria de Fátima Guerreiro Godoy
author_sort José Maria Pereira de Godoy
collection DOAJ
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 doaj-art-f2db5d4e48b3409796e7f95f1d87b2d72025-02-03T01:26:15ZengWileyCase Reports in Vascular Medicine2090-69862090-69942018-01-01201810.1155/2018/26793582679358Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower LimbsJosé Maria Pereira de Godoy0Maria de Fátima Guerreiro Godoy1Cardiology and Cardiovascular Surgery Department, Medical School in São José do Rio Preto (FAMERP), São José do Rio Preto, SP, BrazilMedical School in São José do Rio Preto (FAMERP), São José do Rio Preto, SP, BrazilThe 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.http://dx.doi.org/10.1155/2018/2679358
spellingShingle José Maria Pereira de Godoy
Maria de Fátima Guerreiro Godoy
Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs
Case Reports in Vascular Medicine
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
url http://dx.doi.org/10.1155/2018/2679358
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