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Venous thromboembolism following vigorous deep tissue massage
1Division of Family and Community Medicine, Department of Medicine, Stanford University, Palo Alto, CA, USA. kccrump@stanford.edu
The Physician and Sportsmedicine
|December 15, 2010
Summary
Vigorous leg massage may trigger venous thromboembolism (VTE) in older adults. This under-recognized risk highlights the need for increased awareness and research into nonpenetrating trauma as a VTE cause.
Area of Science:
- Medical research
- Public health
- Vascular medicine
Background:
- Venous thromboembolism (VTE) is a growing public health issue.
- Lack of awareness among patients and physicians contributes to VTE incidence.
- Nonpenetrating leg trauma is an under-recognized potential VTE risk factor.
Observation:
- A case of VTE following vigorous deep tissue massage in a healthy 67-year-old man is presented.
- The patient had no other identifiable risk factors for VTE.
- Published reports of VTE associated with massage are few, suggesting potential under-reporting.
Findings:
- Vigorous massage can be a potential trigger for VTE.
- Under-reporting of massage-associated VTE is likely.
- Nonpenetrating leg trauma warrants consideration as a VTE risk factor, particularly in older adults.
Implications:
- Vigorous massage and equivalent leg trauma should be evaluated as potential VTE risk factors.
- Further research is needed on risks of nonpenetrating leg trauma in older adults and susceptible groups.
- Enhanced awareness of VTE risk factors and symptoms is crucial for prevention and early detection.
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