How is vertebral hemangioma treated?

Generally, treatment for vertebral hemangiomas should be targeted according to the underlying cause. Common causes include congenital vascular malformations, age-related degenerative changes in blood vessels, local circulatory abnormalities, abnormal repair following vertebral injury, and chronic inflammatory stimulation. It is recommended to seek timely medical evaluation to identify the specific cause, followed by appropriate management under a doctor's guidance through general measures, medication, or surgical intervention as needed. Detailed analysis is as follows:

1. Congenital vascular malformation: Abnormal differentiation of vertebral blood vessels during embryonic development leads to the formation of anomalous vascular clusters, which is a congenital factor. If the hemangioma is small and asymptomatic, regular follow-up examinations are sufficient. Avoid strenuous exercise and spinal trauma to reduce the risk of vessel rupture.

2. Age-related degenerative vascular changes: With aging, the elasticity and structure of vertebral blood vessels deteriorate, potentially triggering hemangioma formation. Maintain a regular lifestyle, avoid excessive fatigue, and supplement with calcium and vitamin D to enhance spinal stability and slow down vascular degeneration.

3. Local circulatory abnormalities: Blood flow stasis in the local vertebral region can lead to vascular dilation and proliferation, resulting in hemangioma. Medications such as micronized purified flavonoid fraction (MPFF) tablets, diosmin tablets, or calcium dobesilate capsules may be used under medical supervision to improve circulation and relieve venous congestion.

4. Abnormal vertebral injury repair: Following vertebral trauma, abnormal blood vessel proliferation during the healing process may result in hemangioma formation. Prompt and proper treatment after injury is essential to prevent poor healing. Appropriate rehabilitation exercises during recovery can promote normal tissue repair.

5. Chronic inflammatory stimulation: Long-term chronic inflammation around the vertebrae can stimulate pathological blood vessel growth leading to hemangioma. Under medical guidance, anti-inflammatory drugs such as celecoxib capsules, diclofenac sodium sustained-release tablets, or ibuprofen sustained-release capsules can be used to alleviate inflammation and reduce irritation. When necessary, surgical interventions such as vertebroplasty or hemangioma resection may be performed to remove the lesion and stabilize the spinal structure.

In daily life, avoid prolonged sitting or standing. Maintain correct posture to reduce stress on the spine. Avoid intense physical activities; instead, choose gentle exercises such as walking or tai chi. Eat a balanced diet rich in protein and calcium to support spinal health and assist in disease management.