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DVT Care: Medicines, Compression and Procedures

One of the most common circulatory problems is deep vein thrombosis (DVT). It commonly affects the legs but it can be diagnosed on the arms and pelvis as well. The most recent data suggests that…

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Overview

One of the most common circulatory problems is deep vein thrombosis (DVT). It commonly affects the legs but it can be diagnosed on the arms and pelvis as well. The most recent data suggests that about 30% of patients can succumb if DVT is not diagnosed and treated within the first few months. People above the age of 40 years who do much physical exercise are the highest risk of DVT.

How Does DVT Happen

DVT is more likely to occur in people who have had a pulmonary embolism incident in their medical history. That’s just about one in every one thousand adults. But more men are affected than women.

The other factors that are likely to lead to DVT include physical injury to the leg, hip injury, smoking and the impact of birth control medication that interferes with hormones, clotting and circulation.

Presenting Symptoms for Deep Vein Thrombosis

DVT manifests in many ways and what to watch out for depends on the exact location of the clot. If in the lower extremities, the following signs are common:

  • Inflammation and tenderness in the affected leg
  • Localized pain that worsens when you stand or walk
  • Hot red skin spotted over the blocked vein
  • Tingling sensation 
  • Leg cramps 
Illustration of a vascular ultrasound examination
Illustration: vascular evaluation.

Causes of Deep Vein Thrombosis

We have already touched on this. The biggest cause of DVT is believed to be trauma to the vein, leading to injury and the subsequent clotting and clogging. Even so, a few present medical conditions and lifestyle choices can increase your vulnerability to DVT:

  • Prolonged sitting
  • Botched surgery
  • The pressure of pregnancy and childbirth
  • Obesity

DVT Diagnosis

Some of the major diagnostic procedures for DVT include MRI, magnetic resonance, and ultrasound. However the doctor may begin with a simple physical exam and ask questions about symptoms before moving to imaging.

Deep Vein Thrombosis Treatment

Based on your condition, your doctor will recommend any of the below treatments available for DVT:

Anticoagulants 

Basically, anticoagulants help your blood to clot less often. And that’s just how they work, to minimize the extent of clotting and blockage in the deep veins. Recovery may be quick once this medicine is administered after an early diagnosis of DVT.

Compression stockings

What these stockings do is improve pressure on your lower legs so that blood can freely circulate to your legs and back to the upper body. Doctors may prescribe stockings for full-day use over a period of months until the DVT dissipates.

Surgery

Not all cases of deep vein thrombosis are treatable with the above two approaches. If DVT persists after medication or props, the next best course of action is usually surgery. Some of the most common procedures are minimally invasive. These include stenting, where micro devices are inserted to unclog and keep the veins open.  The other is thrombectomy, where the clot is accessed and broken up using microscopic tools in a quick and painless way.

Filters

Doctors may also insert a filter in your affected leg. The purpose for this is to keep clots from traveling up to your vitals, where they are more likely to cause symptom severity and fatality. These filters consist of metal coils that sit inside the vein. If a clot forms, it will be trapped by the filter and never reach your lungs or heart.

Conclusion

New swelling, pain, tenderness, warmth or redness in one leg or arm needs urgent medical assessment for a possible deep vein blood clot. Contact a healthcare professional immediately for urgent assessment; if prompt assessment is unavailable, go to an emergency department. Do not wait for a routine appointment. Call 911 now for sudden unexplained difficulty breathing, new chest pain, coughing up blood, or fainting. These may be signs of a pulmonary embolism or another emergency. Do not drive yourself or wait for an office callback or online appointment response. For non-emergency follow-up after urgent assessment, or to discuss an established diagnosis or risk factors without new symptoms, contact WVS about scheduling. Appointment requests are not a way to obtain emergency care.