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Renal artery embolization after back massage in a patient with aortic occlusion

PainSci » bibliography » Mikhail et al 1997
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Tags: harms, case, massage, pain problems, manual therapy, treatment

Two articles on PainSci cite Mikhail 1997: 1. Massage Therapy Side Effects2. Does Massage Increase Circulation?

PainSci commentary on Mikhail 1997: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.

A case report: “massage” in the form of walking on the back (which is not as rare or necessarily as reckless as it sounds) dislodged a clot in the aorta at the site of a graft (aortobifemoral bypass graft). This is an unusual case (but not because of the massage), which is why they wrote it up: “It is controversial whether aortic occlusion can lead to retrograde thrombosis of the renal arteries.“ But it appeared to in this case, and that’s what the report is focused on. But the graft “occluded over a year before admission but the loin symptoms only appeared after the massage. We presume that in this case in the presence of normal renal arteries the physical trauma led to dislodgement of thrombus…”

~ Paul Ingraham

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