© 2005 BMJ Publishing Group Ltd
LETTER
Internal jugular vein thrombosis associated with shiatsu massage of the neck
Department of Neurology, Nishi-Kobe Medical Center, Hyogo, Japan
Correspondence to:
Correspondence to:
Dr Yuko Wada
Department of Neurology, Nishi-Kobe Medical Center, 5-7-1 Kouji-Dai, Nishi-Ku, Kobe, 651-2273, Japan; wada@nmc-kobe.org
Keywords: internal jugular vein thrombosis; shiatsu massage
| The first 150 words of the full text of this article appear below. |
Thrombosis of the internal jugular vein is a relatively rare condition that can be induced by a variety of mechanical injuries.1,2 Acupressure, or "shiatsu", is an oriental massage technique and many acupoints on the body surface, known as "tsubos", are used for shiatsu. Shiatsu of tsubos in the nape of the neck is known to improve tension headache due to neck and shoulder aches. However, we recently came across a case of internal jugular vein (IJV) and cerebral sinus thrombosis after shiatsu massage of the neck.
A 35 year old man, a non-smoker, was suffering from a stiff neck. He consulted a shiatsu masseur, who performed shiatsu massage on the right side of his neck and right shoulder for 30 minutes. Immediately after the shiatsu massage, the patient noticed pain and swelling of the right side of the neck, both of which subsided within seven days. Two days after the
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