Post-Surgery Complications: Leg Pain After Hemangioma Removal

Hemangioma

Hello Dr.
Wang, I am one of your patients from Yunyi.
I had surgery to remove a vascular tumor from my thigh last year, and I would like to ask you a question regarding my post-operative condition.
Since the surgery, I have been unable to fully extend my thigh; I cannot completely straighten or bend it, and I struggle to perform squatting movements.
Whenever I attempt these actions, I experience severe pain inside my thigh, which feels like it is coming from my tendons or ligaments.
I would like to know what might be causing this.
Is this a post-surgical complication? Did the surgery injure my nerves or ligaments? Am I at risk of being permanently disabled in my leg? I am still young...
Please help me resolve my concerns.

Tòngkǔ de rén, 20~29 year old female. Ask Date: 2004/01/27

Dr. Wang Mingyang reply Surgery

The patient has already returned for a follow-up visit.

Reply Date: 2004/01/27

More Info

Post-surgery complications can be a significant concern for patients recovering from procedures such as hemangioma removal. In your case, the persistent pain and inability to fully extend or bend your leg after the surgery raise several important considerations.

Firstly, it is essential to understand that surgical procedures, especially those involving the removal of tumors or lesions like hemangiomas, can lead to various complications. These may include pain, swelling, and limited range of motion due to scar tissue formation, nerve damage, or injury to surrounding muscles and ligaments. The pain you are experiencing, particularly when attempting to stretch or bend your leg, could be attributed to several factors:
1. Scar Tissue Formation: After surgery, scar tissue can develop around the surgical site. This tissue may restrict movement and cause discomfort, especially if it adheres to muscles or tendons. Scar tissue can also lead to a condition known as "frozen joint," where the range of motion is significantly reduced.

2. Nerve Damage: Surgical procedures can sometimes inadvertently damage nearby nerves. If a nerve was affected during the removal of the hemangioma, it could lead to pain, weakness, or altered sensations in the affected area. This could explain the severe pain you feel when attempting to move your leg.

3. Muscle and Ligament Strain: The surgery may have involved manipulation of the muscles and ligaments around the hemangioma. Post-operative pain can arise from strain or injury to these structures, particularly if they were stretched or cut during the procedure.

4. Infection or Inflammation: Although less common, post-surgical infections can lead to increased pain and swelling. If you notice any signs of infection, such as redness, warmth, or discharge from the surgical site, it is crucial to seek medical attention promptly.

5. Rehabilitation Needs: After surgery, physical therapy is often recommended to help restore function and mobility. If you have not yet engaged in a structured rehabilitation program, it may be beneficial to consult with a physical therapist. They can provide exercises tailored to your condition, focusing on improving flexibility, strength, and range of motion.

Regarding your concern about potentially being left with a permanent disability, it is essential to remain optimistic. Many patients experience significant improvement over time, especially with appropriate rehabilitation. However, it is crucial to communicate openly with your healthcare provider about your symptoms. They may recommend imaging studies, such as an MRI or ultrasound, to assess for any underlying issues that could be contributing to your pain and limited mobility.

In conclusion, while it is understandable to be worried about the long-term implications of your surgery, many factors can influence recovery. Engaging in physical therapy, monitoring your symptoms, and maintaining open communication with your healthcare team will be vital in addressing your concerns and improving your condition. Remember, recovery can take time, and patience is essential as you work towards regaining full function of your leg.

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