Muscular complications of hemophilia

: Haemophilia causes principally bleedings in muscles and joints. Therapy is purely palliative, based on injections of antihemophilic factor. Muscular hematomas represent the most precocious complication and generally happen after a trauma. Though they scarcely threaten the life of the patients, they often may generate an important functional disability if not treated quickly, and vigorously. Treatment should associate injections of the defective clotting factor to physiotherapy and contractions of the involved muscle. When hematomas involve lower limbs, standing up and walking should not be authorized before the end of the flessum or recovering of the statu quo ante.