What causes back pain after having a heart stent procedure?

Sep 13, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Back pain after undergoing cardiac stent placement may be a normal reaction, but it could also result from emotional factors, blood stasis, arterial blockage, or cervical spine compression of nerves. Patients experiencing back pain following stent placement are advised to seek medical attention at a hospital as early as possible to determine the underlying cause. Coronary angiography should be repeated when necessary, and targeted treatment should be administered under the guidance of a physician.

Generally, back pain after undergoing a cardiac stent procedure may be a normal reaction, or it could result from emotional factors, blood stasis, arterial blockage, cervical nerve compression, and other causes. A detailed analysis is as follows:

1. Normal Reaction

After cardiac stent surgery, patients require an adjustment period during which the body may exhibit mild reactions, possibly causing back pain. This is considered a normal phenomenon.

2. Emotional Factors

Back pain may be caused by excessive mental stress following the stent procedure. Patients are advised to engage in appropriate outdoor exercise, which can help relax the mind and thereby alleviate pain.

3. Blood Stasis

Prolonged bed rest after cardiac stenting may lead to blood stasis. Symptoms include back pain, fever, swelling, and elevated body temperature. Treatment may include medications such as enoxaparin sodium injection, rivaroxaban tablets, or apixaban tablets, as directed by a physician. Patients should also avoid prolonged bed rest and engage in appropriate physical activity.

4. Arterial Blockage

After stent placement, blood clots in the vessels may travel into the arterial system, potentially causing acute ischemia and resulting in back pain. In addition to back pain, symptoms may include back tightness, dizziness, and general fatigue. Treatment options include thrombectomy or interventional procedures. Patients should drink plenty of warm water to maintain adequate hydration.

5. Cervical Nerve Compression

Prolonged lying down after stent surgery may lead to cervical nerve compression, manifesting as back pain. Additional symptoms may include fatigue and numbness in the limbs. Clinically, minimally invasive or open surgical procedures may be used for treatment. A light diet with balanced intake of meat and vegetables is recommended; spicy and irritating foods should be avoided.

Patients experiencing back pain after stent placement are advised to seek timely medical evaluation to determine the underlying cause. Coronary angiography may be repeated when necessary, and targeted treatment should be administered under a physician’s guidance.

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