The leg pain worsened after massage, and it was actually a hemangioma

Mondo Health Updated on 2024-02-29

Hunan **Quan**Reporter Zhang Chunxiang Correspondent Xiao Bowen Wang Lijuan.

30-year-old Ms. Wang Ai (pseudonym) often suffers from leg pain, thinking that it is caused by sitting for a long time, during the Spring Festival, after she did a leg massage, the pain intensified, unable to stand and walk, went to the hospital for examination, and found that the culprit of her leg pain was actually a ruptured hemangioma in the calf area.

Ms. Wang is a clerk at an enterprise in Changsha, and she often sits at work for more than 10 hours. "I usually have a lot of pressure at work, and one of the ways for me to relax is to relieve fatigue with massage. In the past two or three years, Ms. Wang often feels that her legs are sore, because it has not affected her life, she thinks it is caused by sitting for a long time, so she does not pay much attention to it. On February 11 (the second day of the Lunar New Year), she went out for a massage with her family, and after pressing it, the soreness in her legs did not improve, but the pain worsened and her movement was restricted. On February 20, the pain intensified significantly, and on the 23rd, the left calf began to swell, and there was no improvement after applying the ointment to promote blood circulation and eliminate blood stasis, and on February 25, she went to Changsha Central Hospital (Changsha Central Hospital affiliated to the University of South China) ** Medical Department and Peripheral Vascular Interventional Department for treatment, and after a perfect examination, it was found that the culprit that caused her inability to stand and walk was the ruptured hemangioma of the left calf.

According to Chen Wenxiang, the attending physician of the Department of Peripheral Vascular Intervention, Ms. Wang's hemangioma is located in the deep layer of the calf, and although there is no bruising on the surface after rupture, it is accompanied by obvious induration and painful symptoms. Considering the urgency of her condition, after a comprehensive consultation, it was decided to perform interventional surgery for her**. Doctors use advanced interventional imaging equipment, C-arm machine and color ultrasound to accurately guide and accurately inject sclerotherapy into the ruptured hemangioma.

The effect of the sclerosing agent is to do this by destroying the endothelial cells of the hemangioma, causing them to gradually shrink and eventually disappear. Chen Wenxiang said that the whole operation process was very smooth, after the sclerosing agent injection, Ms. Wang's pain and bleeding symptoms in the left calf were effectively controlled, and the hemangioma gradually shrank, and it took only 2 days to reach the indication for discharge.

Hemangiomas are more common in adolescents and are mainly characterized by body surface masses or purplish-red and bright red plaques. A ruptured hemangioma is an emergency, but most patients can be effectively controlled as long as they seek medical attention in a timely manner and receive professional treatment**. Chen Wenxiang reminded patients with hemangioma not to knead excessively in their daily life, and avoid external forces such as massage that may lead to rupture. You should go to the hospital as soon as possible after rupture. According to the size, location and degree of rupture of the hemangioma, the doctor will choose the appropriate method such as surgery, laser, and freezing. **During this period, the patient is advised to gently press the ruptured hemangioma with a clean cloth or gauze to reduce bleeding; Elevate the affected limb to reduce blood flow to the ruptured hemangioma; Keep the wound clean and dry and avoid contact with water and other contaminants. In addition, the ruptured hemangioma may bring certain psychological pressure to the patient, and family members and friends should give care and support to help the patient maintain a positive and optimistic attitude and cooperate**.

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