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Pain in legs, possibility of DVT - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2572 Questions
User :   Hi,
I would like to know if it is normal for someone to experience severe pain after a balloon operation in his lower extremeties? Non-medical language, in his upper legs (thyes). That is, someone just got into an operation perfectly fine knowing that he has a closed artery in his leg, comes out unable to walk and in severe pain. This has been going on for 5 days now. They doctors said that they put 3 stents for him. I wonder if he is going to go back to normal or the doctors did something that cannot be fixed. And please let me know what is the next step that he should make. Thank you! I hope you will be able to answer my question.
Doctor :   HI,
Doctor :   Dr xxx here
Doctor :   Please give me couple of minutes to read your post
User :   o.k, I will be waiting.
Doctor :   Yes, sure i will help you in this,
Doctor :   when was the surgery done ?
User :   on the 13th
User :   on the 13th
Doctor :   Its 18th yet right ?
User :   Are you asking me if today is the 18th?
Doctor :   SO its 5 days , and yes pain is normally expected to be for more than a week
Doctor :   Yes, I am from India, jus confirmed the date
User :   But he is limping and he has constant pain. He can't walk, sleep, sit, or do anything at all due to the pain.
User :   o.k I understand.
Doctor :   Since the surgery is on the vessels which do react by contracting and relaxing for various factors, which will cause the pain
Doctor :   but it will surely resolve by itself in a week or two
Doctor :   if it does not then there is need for keen examination and an angiogram if necessary
User :   Yet, we heard and it is known that people barely experience pain after surgery. Do you think that the doctor should go in again and check if anything went wrong? and if there is something wrong, what could it be?
Doctor :   yes, pains do go off , but in vascular surgeries pain can be expected for the reason i mentioned
Doctor :   if it is due to the complications it would be due to the local Phlebitis
Doctor :   i mean inflammation of the vessels
User :   and what is that?
User :   due to the surgery?
Doctor :   yes, as a complication
Doctor :   and it may also be due to newly formed thrombus ( clot )
User :   that is something went wrong with the doctors during surgery?
Doctor :   blocking the vessel which is rare
Doctor :   no, not like that
Doctor :   inflammation can follow even surgeries are keen
User :   than what? I know, they went in to put a stent because of the clot. so what clot are you talking about?
Doctor :   clot which might be due intraoperative trauma to the vessel wall
User :   that has developed during surgery. and what is that ?
Doctor :   thats why doctors sometimes advise for check angiogram after any vascular surgery
Doctor :   trauma like a scratch to the inner wall of the vessel
User :   and what is the solution?
Doctor :   leading to rectionary bleeding ( after a day or two of surgery)
User :   I dont understand.
Doctor :   as i said wait for a week more from now and mange the pain by pain killers
Doctor :   and go for a repeat angio
Doctor :   if pain persists
User :   and if not , get an angiogram?
Doctor :   yes i meant repeat angiogram
User :   alright.. thank you so much
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