Can pain in both legs due to abdominal aortic occlusion be treated without surgery?

(Mr. Huu Hoa, residing in Phuoc Thien commune, Nhon Trach district)

Doctor replied:

Hello Mr. Hoa!

Thank you for sharing your father's health condition. In the current case of abdominal aortic occlusion causing pain and weakness in both legs, this is a condition that needs to be evaluated and treated promptly to avoid more serious complications such as limb necrosis, leg ulcers or loss of mobility.

Currently, medicine has many methods to treat aortic occlusion, including:

- Open surgery to create a blood vessel bypass - this method can be effective in the long term but comes with higher risks, especially in the elderly.

- Endovascular intervention (stent placement) - is a less invasive, lower-risk method, often more suitable for older people or those with multiple comorbidities.

However, to decide whether or not to intervene, you need to take your father to see a vascular surgeon. The doctor will assess the level of blockage, the general condition, the risk of surgery, and if necessary, consult with internal specialists (cardiology, respiratory, anesthesia...) to come up with the most appropriate and safest treatment plan for your father.

While waiting for intervention, measures to help relieve pain and improve circulation may include:

- Use vasodilators and pain relievers as prescribed.

- Do gentle physical therapy if possible.

- Keep your feet warm, avoid standing or sitting in one place for too long

- Good control of underlying diseases such as high blood pressure and diabetes if any

I wish your father a speedy recovery and good health to your family. You should take your father to a vascular specialist soon for more detailed advice.

Master - Doctor Quan Minh Tri,

Department of Thoracic and Vascular Medicine, Shing Mark University Hospital