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Suggest Any Treatment Or Any Physiotherapy For Hyper Acute Left Iliopsoas Hematoma Without Any Trauma While Treating Atrial Fibrillation

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Posted on Fri, 5 Apr 2024
Question: I hve developed hyperacute left iliopsoas hematoma without any trauma as I am taking warfarin for atrial fibrillation. No intervention has been done and managed conservatively. However I am not able to walk inspite of being two weeks. There is no muscle strength to extend or flex knees while walking.. Will I recover on my own or need any intervention. I hve been started again on blood thinner. Please suggest any treatment or any physiotherapy. Does heat help in resolving hematoma. How much time will it take for me to walk again normally.
doctor
Answered by Dr. Dr. Praveen Tayal (51 minutes later)
Brief Answer:
Hot compress will help in conservative treatment.

Detailed Answer:
Hello,
Thanks for posting your query.
The hematoma if not very big then it can heal conservatively. You may take a few weeks before you can regain to full muscle strength and tone. You can do a hot compress as it will help in resolving the hematoma.
You need to start with passive physiotherapy exercises under the guidance of a physiotherapist. This will help in regaining the tone of the muscles. Gradually you will be able to do active exercises also.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (6 minutes later)
Thanks a lot for your reply. Just wanted to ask after how many weeks should I start with physiotherapy and passive excercise. I have been discharged from hospital 8 days ago. Hot compression can be done with hot water bag? I do not have any signs on my skin as the hematoma is in deep muscle left iliopsoas.
doctor
Answered by Dr. Dr. Praveen Tayal (2 hours later)
Brief Answer:
You can start with pjhysiotherapy now.

Detailed Answer:
Hello.
Thanks for writing again.
You can start with physiotherapy 2-3 weeks after the hematoma happened. Hot compression can be done with a hot water bag.
No need to massage the area.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Any Treatment Or Any Physiotherapy For Hyper Acute Left Iliopsoas Hematoma Without Any Trauma While Treating Atrial Fibrillation

Brief Answer: Hot compress will help in conservative treatment. Detailed Answer: Hello, Thanks for posting your query. The hematoma if not very big then it can heal conservatively. You may take a few weeks before you can regain to full muscle strength and tone. You can do a hot compress as it will help in resolving the hematoma. You need to start with passive physiotherapy exercises under the guidance of a physiotherapist. This will help in regaining the tone of the muscles. Gradually you will be able to do active exercises also. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal Wishing you good health. Regards. Dr. Praveen Tayal.