Intracranial dural arteriovenous fistula
Hello Dr.
Chang: My husband (37 years old) previously had an intracranial dural arteriovenous fistula and underwent surgery (with coils and stents placed in the cerebral vasculature).
Recently, he has been experiencing pain in his shoulders, neck, and back.
I would like to ask if it is safe for him to receive general massage therapy for his head, neck, and back.
Will regular massage or acupressure have any impact on the coils and stents in his intracranial area? Thank you for your response, Dr.
Chang.
xiao yan, 30~39 year old female. Ask Date: 2023/09/25
Dr. Zhang Junwei reply Neurosurgery
Due to the uncertainty regarding the exact location and size of the intracranial vascular stent, it is recommended to consult with Dr.
Yuan Qiu for further evaluation.
Reply Date: 2023/09/25
More Info
Massage therapy can be a beneficial treatment for various musculoskeletal issues, including neck and back pain. However, when it comes to individuals who have undergone procedures involving intracranial aneurysm coils and stents, there are several important considerations to keep in mind.
Firstly, it is essential to understand the nature of the devices implanted in the brain. Intracranial aneurysm coils are designed to fill the aneurysm sac, promoting thrombosis and preventing blood flow into the aneurysm. Stents, on the other hand, are used to support the blood vessel and maintain its patency. Both devices are typically made from biocompatible materials that are intended to remain in the body permanently. They are designed to withstand normal physiological forces, including blood flow and pressure.
Regarding the safety of massage therapy for someone with these implants, there are a few factors to consider:
1. Location of the Implants: The primary concern with massage therapy is the potential for increased intracranial pressure or disruption of the vascular system. However, since the coils and stents are located within the cranial cavity, external massage of the neck and back is unlikely to directly affect them. The risk of affecting the coils or stents through massage is minimal, especially if the massage is performed gently and by a trained professional.
2. Type of Massage: It is advisable to avoid deep tissue massage or any techniques that apply significant pressure to the neck area, as this could potentially lead to discomfort or exacerbate any existing conditions. Gentle techniques, such as Swedish massage or myofascial release, may be more appropriate. Always inform the massage therapist about your husband's medical history and the presence of the coils and stents.
3. Consultation with Healthcare Providers: Before proceeding with massage therapy, it is crucial to consult with your husband’s healthcare provider, particularly the neurologist or neurosurgeon who managed his case. They can provide personalized advice based on his specific medical history, the location of the aneurysm, and the type of coils or stents used.
4. Monitoring Symptoms: After any massage therapy session, it is important to monitor for any unusual symptoms, such as headaches, dizziness, or changes in neurological status. If any concerning symptoms arise, seek medical attention promptly.
5. Overall Health Considerations: Your husband’s overall health and any other underlying conditions should also be taken into account. If he has other risk factors for complications, such as hypertension or a history of stroke, these should be discussed with his healthcare provider before engaging in massage therapy.
In conclusion, while massage therapy can be beneficial for alleviating muscle tension and pain, it is essential to approach it with caution in individuals with intracranial aneurysm coils and stents. Gentle techniques are generally safe, but consultation with healthcare professionals is key to ensuring that it is appropriate for your husband’s specific situation. Always prioritize safety and communication with healthcare providers when considering complementary therapies like massage.
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