Post-Hemorrhoid Ligation: Leg Pain and Cold Feet Issues - Surgery

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After hemorrhoid ligation surgery, issues such as thigh pain may occur?


Hello, doctor.
Recently, I visited a proctologist due to anal itching (without bleeding).
During the examination, the doctor found a prolapsed internal hemorrhoid and performed a ligation procedure.
However, post-surgery, in addition to pain, I have also experienced weakness in my legs and coldness in my feet.
After researching online, I couldn't find similar experiences shared.
I would like to know if this situation is normal.

Xiao Na, 30~39 year old female. Ask Date: 2020/01/08

Dr. Yu Mingchang reply Surgery


Hello: Leg soreness is not significantly related to internal hemorrhoid ligation.

Reply Date: 2020/01/08

More Info


After undergoing hemorrhoid ligation, experiencing leg pain and cold feet can be concerning, and it's important to understand the potential causes and implications of these symptoms. While hemorrhoid surgery primarily targets issues related to the rectal area, the body’s response to surgery can sometimes manifest in unexpected ways, including sensations in the legs and feet.


Possible Causes of Leg Pain and Cold Feet Post-Surgery
1. Nerve Irritation or Compression: During the surgical procedure, there may have been some manipulation or pressure on nearby nerves. This can lead to sensations of pain, tingling, or coldness in the legs and feet. The pudendal nerve, which innervates the perineal area, may be affected, causing referred pain or discomfort in the lower extremities.

2. Circulatory Changes: Post-surgical recovery can lead to changes in circulation. If you are less mobile due to pain or discomfort from the surgery, this can cause reduced blood flow to the legs and feet, resulting in cold sensations. Additionally, if you are sitting or lying down for extended periods, this can further exacerbate circulation issues.

3. Muscle Tension and Spasms: After surgery, it’s common for muscles to tense up in response to pain or discomfort. This tension can lead to muscle spasms in the legs, which may contribute to feelings of weakness or soreness. The discomfort can also create a perception of coldness in the feet.

4. Postoperative Pain Management: If you are taking pain medications, they can sometimes have side effects that affect circulation or nerve function, leading to sensations of coldness or discomfort in the extremities.

5. Psychological Factors: Anxiety and stress related to surgery and recovery can also manifest physically. It’s not uncommon for individuals to experience heightened sensitivity to pain or unusual sensations during recovery.


Recommendations for Management
1. Monitor Symptoms: Keep track of your symptoms, noting when they occur and their severity. If the leg pain or cold feet persist or worsen, it’s essential to consult your healthcare provider.

2. Gentle Movement: If possible, engage in gentle movements or stretches to promote circulation. Simple leg exercises, such as ankle pumps or gentle walking, can help improve blood flow and reduce discomfort.

3. Warmth and Comfort: Keeping your feet warm can help alleviate the sensation of coldness. Consider using warm socks or a heating pad (on a low setting) to improve comfort.

4. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet to support healing. Proper nutrition can aid in recovery and help maintain good circulation.

5. Follow-Up Care: Don’t hesitate to reach out to your healthcare provider regarding these symptoms. They may want to evaluate your recovery progress and rule out any complications.

6. Physical Therapy: If symptoms persist, consider discussing the possibility of physical therapy with your doctor. A physical therapist can provide exercises and strategies to improve mobility and reduce discomfort.


Conclusion
While leg pain and cold feet after hemorrhoid ligation are not typical, they can occur due to various factors related to surgery and recovery. It’s crucial to communicate openly with your healthcare provider about your symptoms to ensure a comprehensive approach to your recovery. By taking proactive steps and seeking appropriate care, you can work towards alleviating these symptoms and enhancing your overall recovery experience.

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