What are the main causes of deep vein thrombosis. How can DVT be diagnosed and treated. Which factors increase the risk of developing DVT. What are the potential complications of untreated deep vein thrombosis.

Understanding Deep Vein Thrombosis: A Silent but Serious Condition

Deep vein thrombosis (DVT) is a potentially life-threatening cardiovascular condition that often develops without obvious symptoms. It occurs when a blood clot forms in a deep vein, typically in the legs. Despite its prevalence, DVT remains underdiagnosed and underappreciated by the general public.

In the United States alone, DVT affects approximately 300,000 people annually. These blood clots can lead to severe complications, including pulmonary embolisms, which are a leading cause of death among hospitalized patients. Given its serious nature, understanding DVT, its risk factors, and prevention strategies is crucial for maintaining vascular health.

The Mechanics of Deep Vein Thrombosis: How Does It Develop?

DVT occurs when blood coagulates and forms a solid mass within a deep vein. While it can affect any vein in the body, DVT most commonly develops in the large veins of the thighs or lower legs. The formation of these clots can be attributed to various factors that affect blood flow or the composition of the blood itself.

Why does DVT often go unnoticed? The condition frequently develops without apparent symptoms, making it a “silent” threat. When symptoms do manifest, they typically include swelling, redness, and pain along the affected vein. However, these signs can be subtle and easily overlooked, highlighting the importance of awareness and regular check-ups for those at risk.

The Dangers of Undetected DVT

• Chronic vein inflammation
• Development of varicose veins
• Painful venous claudication
• Chronic venous insufficiency
• Persistent skin ulcers near the affected vein
• Potential for pulmonary embolism or heart blockage if clots break off and travel

Identifying DVT Risk Factors: Are You at Risk?

Recognizing personal risk factors is crucial in preventing DVT. While anyone can develop this condition, certain factors significantly increase the likelihood. Here are the five primary risk factors to be aware of:

1. Prolonged Inactivity

Extended periods of immobility can slow down blood flow, increasing the risk of clot formation. This includes situations such as:

• Extended bed rest
• Sitting for prolonged periods daily
• Long-distance travel (car or airplane)

How does inactivity contribute to DVT? When muscles are inactive, they don’t contract to help pump blood back to the heart, allowing blood to pool in the veins and potentially form clots.

2. Vein Injury

Any damage to a vein can increase the risk of DVT. Common causes of vein injury include:

• Bone fractures or severe muscle injuries in the pelvis or leg
• Certain surgical procedures (hip, knee, bariatric, or female pelvic surgery)
• Damage from dialysis catheters or PICC lines

Why do vein injuries increase DVT risk? Damage to a vein’s inner lining can trigger the blood clotting process as part of the body’s natural healing response.

3. Hypercoagulable States

Certain medical conditions can make blood more prone to clotting, known as hypercoagulable states. These include:

• Cancer
• Heart disease
• Lung disease
• Autoimmune disorders (e.g., lupus, inflammatory bowel disease)

How do these conditions increase DVT risk? They can alter the balance of clotting factors in the blood, making it more likely for clots to form even without other risk factors present.

4. Increased Estrogen Levels

Elevated estrogen levels in the body can contribute to an increased risk of DVT. Sources of increased estrogen include:

• Hormonal birth control methods
• Hormone replacement therapy (HRT) after menopause
• Pregnancy and up to three months postpartum

Why does estrogen increase DVT risk? Estrogen can increase the levels of certain clotting factors in the blood and decrease the levels of anticoagulants, creating a more thrombogenic environment.

5. Health History and Lifestyle Factors

Several personal health factors and lifestyle choices can influence DVT risk:

• Age (over 60, though DVT can occur at any age)
• Overweight or obesity
• Family history of DVT, pulmonary embolisms, or clotting disorders
• Smoking

How do these factors contribute to DVT risk? They can affect blood flow, vein health, and overall cardiovascular function, creating conditions more favorable for clot formation.

Recognizing DVT Symptoms: When to Seek Medical Attention

While DVT often develops silently, being aware of potential symptoms can lead to earlier detection and treatment. Common signs of DVT include:

• Swelling in the affected leg
• Pain or tenderness in the leg, often described as a cramping sensation
• Redness or discoloration of the skin
• Warmth in the affected area

Is it possible to have DVT without these symptoms? Yes, some people with DVT may not experience any noticeable symptoms, which is why understanding risk factors is crucial.

Warning Signs of Pulmonary Embolism

If a DVT clot breaks free and travels to the lungs, it can cause a pulmonary embolism, which is a medical emergency. Symptoms to watch for include:

• Sudden shortness of breath
• Chest pain, particularly when breathing deeply
• Rapid heartbeat
• Coughing, potentially with blood

What should you do if you suspect a pulmonary embolism? Seek immediate medical attention, as prompt treatment can be life-saving.

Diagnosing Deep Vein Thrombosis: The Importance of Early Detection

Early diagnosis of DVT is crucial for effective treatment and prevention of complications. Healthcare providers use various methods to confirm the presence of a deep vein thrombosis:

Physical Examination

A doctor will examine the affected area for signs of swelling, tenderness, and discoloration. They will also review your medical history and assess your risk factors.

D-dimer Blood Test

This blood test measures a substance released when a blood clot breaks down. Elevated levels may indicate the presence of a clot, though further testing is usually required for confirmation.

Ultrasound

This non-invasive imaging test uses sound waves to visualize blood flow in the veins and can detect blockages caused by clots.

Venography

In some cases, a contrast dye may be injected into the vein, and X-rays are taken to visualize the blood flow and identify any blockages.

How accurate are these diagnostic methods? While each test has its strengths, a combination of clinical assessment, D-dimer testing, and ultrasound is often the most effective approach for diagnosing DVT.

Treatment Options for Deep Vein Thrombosis: Managing the Condition

Once diagnosed, prompt treatment of DVT is essential to prevent complications and reduce symptoms. The primary goals of treatment are to stop the clot from growing, prevent it from breaking loose, and reduce the risk of future clots.

Anticoagulant Medications

Blood thinners are the most common treatment for DVT. These medications don’t actually thin the blood but rather interfere with the clotting process. Common anticoagulants include:

• Heparin (typically used in hospital settings)
• Low molecular weight heparin (often used for initial treatment)
• Warfarin (for long-term management)
• Direct oral anticoagulants (DOACs) like rivaroxaban or apixaban

How long does anticoagulant therapy last? The duration of treatment varies depending on the individual case but typically ranges from 3 to 6 months or longer.

Thrombolytic Therapy

In severe cases or when anticoagulants aren’t effective, drugs that dissolve blood clots (thrombolytics) may be administered. This treatment is usually reserved for life-threatening situations due to its higher risk of complications.

Compression Stockings

These special socks apply pressure to the legs, helping to reduce swelling and prevent blood from pooling. They can be particularly helpful in managing symptoms and preventing post-thrombotic syndrome.

Inferior Vena Cava (IVC) Filters

For patients who can’t take blood thinners, a filter may be placed in the large vein in the abdomen to prevent clots from traveling to the lungs.

Are there any lifestyle changes that can help manage DVT? Yes, in addition to medical treatments, patients are often advised to:

• Stay active and avoid prolonged periods of immobility
• Elevate the affected leg when resting
• Maintain a healthy weight
• Quit smoking

Preventing Deep Vein Thrombosis: Strategies for Reducing Risk

While not all cases of DVT can be prevented, there are several strategies that can significantly reduce your risk:

Stay Active

Regular physical activity promotes healthy blood circulation. If you must sit for extended periods, try to:

• Take breaks to walk or stretch every 1-2 hours
• Flex and extend your ankles and knees while seated
• Avoid crossing your legs for long periods

Manage Underlying Health Conditions

If you have conditions that increase your DVT risk, work with your healthcare provider to keep them under control. This may include managing:

• Diabetes
• High blood pressure
• High cholesterol

Maintain a Healthy Lifestyle

Adopting healthy habits can reduce your overall risk of DVT:

• Maintain a healthy weight
• Quit smoking
• Stay hydrated, especially during long trips

Use Compression Stockings

If you’re at high risk for DVT, your doctor may recommend wearing compression stockings, especially during long periods of inactivity or travel.

Consider Prophylactic Anticoagulation

In certain high-risk situations, such as after surgery or during prolonged hospitalization, your doctor may prescribe preventive doses of blood thinners.

Can lifestyle changes completely eliminate the risk of DVT? While these strategies can significantly reduce risk, it’s important to remember that some risk factors, such as age or family history, can’t be changed. Regular check-ups and open communication with your healthcare provider are crucial for managing your personal DVT risk.

The Future of DVT Research and Treatment

As medical science advances, new approaches to preventing, diagnosing, and treating DVT are emerging. Some areas of ongoing research include:

Improved Risk Assessment Tools

Researchers are working on developing more accurate models to predict an individual’s risk of developing DVT. These tools may incorporate genetic factors, biomarkers, and advanced imaging techniques.

Novel Anticoagulants

While current anticoagulants are effective, scientists are exploring new drugs that may offer better safety profiles or more convenient dosing regimens.

Personalized Medicine Approaches

Future treatments may be tailored to an individual’s genetic makeup and specific risk factors, potentially improving efficacy and reducing side effects.

Advanced Imaging Techniques

New imaging methods may allow for earlier detection of DVT or better monitoring of treatment effectiveness.

How might these advancements change DVT management in the future? As our understanding of DVT improves and new technologies emerge, we may see more targeted prevention strategies, earlier interventions, and more effective treatments with fewer side effects.

Deep vein thrombosis remains a significant health concern, but with increased awareness, early detection, and proper management, its impact can be substantially reduced. By understanding the risk factors, recognizing symptoms, and adopting preventive measures, individuals can take an active role in protecting their vascular health. As research continues to advance our understanding of DVT, we can look forward to even more effective strategies for preventing and treating this serious condition.

Board Certified Vascular and Endovascular Surgeons

These 5 Factors Put You More at Risk for Deep Vein Thrombosis: Vascular Institute of New York: Board Certified Vascular and Endovascular Surgeons

Deep vein thrombosis (DVT) might be the most dangerous medical condition you’ve never heard. Unlike heart attacks and strokes, this exceptionally common cardiovascular problem doesn’t seem to draw a lot of public interest or attention. 

But here’s why it should: Every year in the United States, DVT causes about 300,000 people to develop a blood clot in a vein deep below the skin, usually in one of their legs. DVT blood clots are a major cause of pulmonary embolisms, and pulmonary embolisms are the leading cause of death among hospital patients.   

Because DVT is both underdiagnosed and serious, our team at Vascular Institute of New York strives to help our patients understand their personal risk factors as well as the importance of early diagnosis and treatment. Here’s what you should know. 

DVT explained

DVT occurs when your blood thickens into a solid clump, forming a clot in a vein deep below the surface of your skin. Although DVT can affect any vein in your body, the condition affects large leg veins (in the thigh or lower leg) most often. 

DVT is usually a silent problem, meaning it develops without any obvious symptoms or warning signs. When symptoms do occur, they’re often in the form of swelling, redness, and pain along the affected vein. 

When DVT goes undetected and untreated, it can lead to chronic vein inflammation, varicose veins, painful venous claudication, chronic venous insufficiency, and persistent skin ulcers near the site of the affected vein.  

Even more worrisome, DVT clots can break off, travel to your lungs, and cause a dangerous (or deadly) pulmonary embolism or blockage in your heart.

DVT risk factors

Because DVT often develops without any noticeable symptoms — and because newly formed DVT clots are more likely than older clots to break away, travel through your bloodstream, and endanger your health or your life — DVT requires prompt diagnosis and treatment.  

Knowing your personal risk factors for DVT is one of the best ways to protect yourself against this highly preventable problem. Any one of these factors puts you at risk for DVT:

1. Prolonged inactivity 

DVT occurs when something causes the blood flow in your veins to slow down or change. While this can happen spontaneously, it’s usually the result of an outside factor. Prolonged inactivity of any kind, such as being on bed rest, sitting for hours every day, or even sitting in one position for too long (such as during car or airplane travel) can cause DVT. 

2. Vein injury

Any time a vein sustains damage, it’s at an increased risk of developing DVT. A bone fracture or severe muscle injury in your pelvis or leg can boost your chances of developing DVT if it affects a nearby vein. 

Certain surgical procedures (hip, knee, bariatric, or female pelvic surgery) are also associated with an increased risk of DVT; veins that have been damaged by dialysis catheters and PICC lines are also susceptible.  

3. Hypercoagulable states

The term “hypercoagulable state” refers to any disease or condition that causes your blood to clot more easily. Cancer, heart disease, lung disease, and certain autoimmune disorders (such as lupus or inflammatory bowel disease) qualify as hypercoagulable states that increase the risk of DVT.  

4. Increased estrogen   

Having higher than normal estrogen levels can also increase your risk of developing DVT blood clots. Taking certain forms of hormonal birth control medication can leave you more prone to developing DVT, as can taking hormone replacement therapy (HRT) following menopause. 

Because pregnancy also causes a surge of estrogen, women who are pregnant or up to three months postpartum have a greater risk of DVT. 

5. Health history

Although DVT is more common in adults older than 60, it can happen at any age, particularly if you have any health-related risk factors. You’re at greater risk of developing a deep-vein blood clot if you’re overweight or obese or if you have a family history of DVT, pulmonary embolisms, or clotting disorders. Your risk also goes up if you’re a smoker.  

DVT treatment

DVT is highly treatable and preventable with early detection and care. In most cases, taking anticoagulant medication (blood thinners) is all it takes to reduce the size and threat of deep-vein blood clots. 

Remember, a pulmonary embolism is a medical emergency. If you or a loved one ever experiences shortness of breath, chest pain, and/or a cough that may be accompanied by blood, seek immediate medical attention. 

If you’re worried about your risk factors for DVT, our team at Vascular Institute of New York can help. Call our New York City office in Borough Park, Brooklyn, today, or click online to book an appointment with one of our vein specialists.

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Could you be at risk for a deep vein thrombosis (DVT)? Read on to learn what you need to know about the common causes of DVT, and how you can handle your potential risk factors.

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Preventing a DVT · Virtual Fracture Clinic

What is a deep vein thrombosis? 

Deep Vein Thrombosis DVT is a blood clot within a vein. The most common type of DVT is in the leg. If a DVT forms in the leg it can cause swelling in the leg, which can be distressing for the patient.

A major concern is that someone with a DVT may develop a Pulmonary Embolus PE. This happens when a part of the blood clot (embolus) breaks off and travels up the veins through the heart and into the lungs. The clot can then become lodged in the arteries in the lung and block circulation; this can cause breathing difficulties, chest pains, and in a small number of cases may be life threatening.

What causes a deep vein thrombosis? 

In the UK every year up to one in every thousand people are affected by DVT. Many of the people who develop DVT are in, or have recently been in hospital.

One of the main causes of DVT is immobility. This is because the blood circulating through the leg veins relies on leg muscle contraction to propel it up the leg. If a person isn’t moving their legs and contracting their muscles, their blood flow becomes sluggish and this can result in blood clots forming.

This is an important factor when considering why people who come into hospital are at an increased risk of DVT. When you are in hospital and unwell you will often spend long periods in bed or sitting in a chair. Unfortunately, this immobility creates the ideal conditions in which a blood clot can form.

Other important Risk Factors which may cause a DVT:

• A previous history of DVT or PE
• A recent operation especially on the hips or knees
• Cancer and its treatment
• Heart attack or stroke
• Previous DVT or PE within the family
• Increasing age
• Pregnancy
• The use of the combined oral contraception pill and hormone replacement therapy
• Obesity
• Smoking
• Long distance travel
• Dehydration.

When a person develops a DVT it is usually because they have one or more of the above risk factors. The more risk factors you have the more likely you are to develop a DVT.

What causes a deep vein thrombosis? 

The chances of a patient developing a DVT can be significantly reduced if certain measures are taken.

All patients should expect their doctor to assess their individual risk of developing a DVT, and to provide the right level of intervention to reduce the chances of it occurring. These measures include:

• Hydration
• Mobilisation
• Graduated compression stockings 
• Intermittent compression devices
• Heparin injections
• Anticoagulant medication

All of these measures are explained more fully below.

Hydration

It is important to drink plenty of fluids whilst you are in hospital to prevent you becoming dehydrated. If you are not able to drink your doctor may arrange for you to be given fluids via an intravenous drip.

Mobilisation

You should get out of bed and walk as soon as your condition allows. This will improve the blood flow in the veins. If you are unable to walk, it helps if you can exercise your legs as described below.

  NOTE: Please do not do the following exercises on your injured leg, if you have been told not to remove an orthopaedic boot / knee splint. If you are unsure please ask your physiotherapist for guidance.

1. With your legs out straight, point the toes of both feet towards the end of the bed. Relax, then point the toes toward your chin. Repeat this exercise five times.

2. Move each foot at the ankle, making circles. Repeat this exercise five times.

3. Bend one knee at a time, sliding the foot along the bed. Repeat this exercise five times.

This group of leg exercises can be repeated every one to two hours. After you have started walking, the exercises can be stopped.

Graduated compression stockings

Some patients benefit from wearing stockings, particularly after an operation. These should be worn all the time you are immobile but should be removed at least daily to check that the skin underneath particularly on the heel is not becoming sore, and to allow for washing. The stockings work by exerting pressure on the veins which is greater at the ankle than the knee thus squeezing the blood up the leg.

It is important that your leg is measured before the stocking is fitted to ensure that you have been given the right size of stocking. Some patients, for example those who have arterial problems or leg ulcers, should not be fitted with stockings.

You may be sent home with these stockings, if you are not walking properly before you leave hospital. You can stop wearing the stockings once you have returned to your normal level of mobility. Your nurse will have shown you how to fit the stockings correctly.

Intermittent compression devices

Some patients who are not able to wear stockings, may be fitted with a cuff that is wrapped around their foot or lower leg. This is connected to a pump that squeezes the cuff intermittently and helps to push the blood up through the veins thus improving circulation and reducing the chances of a blood clot forming.

Anticoagulants

Anticoagulants are medicines which reduce the ability of your blood to form clots. In doing this they can increase the chances of bleeding occurring, so it is not a suitable treatment for everyone.

Heparin injections

Heparin is an anticoagulant which is usually administered by a small daily injection under the skin on the tummy. The injections are generally not painful but they can sometimes cause small bruises to appear

at the injection site. Heparin is a very effective way to stop clots occurring. If your illness means that you are likely to be in bed for more than three days then you should be considered for this treatment.

Oral anticoagulants

For some conditions particularly hip and knee replacements you may be prescribed a tablet to take, to prevent blood clots from forming.

You should follow the instructions you are given regarding how to take this medication and complete the course, which will usually continue after discharge.

After your discharge from hospital

The chance of you developing a DVT remains high in the four weeks after your discharge, particularly if you have had major surgery or

a major illness. Your doctor may feel that this risk is so great, that you need to continue to have heparin injections at home. If you need further injections the ward staff will either teach you how to inject yourself

or arrange for a nurse to visit you at home to administer it.

  It is advisable to avoid long distance travel (longer than three hours) for four weeks after surgery, as this can increase your chances of developing a DVT.

The risk of developing a blood clot is increased for up to three months after your hospitalisation. If you should develop any of the following symptoms after your discharge you should seek urgent medical advice.

• Pain,
• Swelling,
• Discolouration in one of your legs or
• If you should become breathless or develop chest pain

If you have any concerns regarding DVT and its prevention, particularly if you feel that you have a risk factor that has been overlooked and/or that you are not receiving adequate protective measures, please mention this to your nurse or doctor as soon as possible.

© Brighton and Sussex University Hospitals NHS Trust

  Disclaimer

The information in this leaflet  is for guidance purposes only and is in no way intended to replace professional clinical advice by a qualified practitioner. Ref number: 183.3

Publication  Date: May 2017          Review Date: May 2019

Deep vein thrombosis of the lower extremities – symptoms, causes, diagnosis and treatment of thrombosis

According to medical data, in the Russian Federation every year more than 240 thousand people experience a disease such as deep vein thrombosis (DVT). In most developed countries, this pathology has become one of the leading causes of death among the population. With DVT, the venous circulation is disturbed due to blockage of the vessel by a blood clot.

Phlebologists with more than 7 years of experience are visiting the “No Varicose Veins” clinic. Thanks to the accumulated practical experience and the use of modern equipment, specialists can detect pathology at an early stage and determine further tactics for managing a patient with lower extremity vein thrombosis.

Causes of the disease and risk factors

Many factors can provoke the occurrence of pathology. The most common are the following:

• varicose veins of the lower extremities;

• congenital or acquired thrombophilia;

• strokes or paralysis of the lower extremities;

• severe lung disease with severe respiratory failure;

• sepsis;

• malignant neoplasms;

• chemotherapy;

• obesity;

• fractures of the lower extremities;

• history of venous thrombosis and/or PE;

• congenital anomalies of the venous wall of vessels or valve;

• compression of a vein by a tumor, hematoma, etc.

Risk factors contributing to hypercoagulability and development of deep vein thrombosis of the lower extremities are:

• heart failure;

• prolonged physical inactivity;

• use of oral contraceptives;

• dehydration;

• surgery;

• autoimmune and oncological pathologies;

• long-term venous catheterization.

Symptoms

The main manifestation of the disease is swelling of the affected limb. The degree of its severity depends on the level of the lesion. The leg becomes soft, puffy and asymmetric compared to a healthy one. If a blood clot has formed in a deep vein at the level of the thigh and pelvic region, the entire lower limb or part of it swells.

With DVT, the skin changes color from purple to bluish. Due to severe swelling and pain, a person’s motor activity is reduced.

Pathology can occur anywhere on the leg.

When both primary and secondary outflow tracts are blocked, the limb acquires a pronounced cyanotic bluish-violet tint. With an increase in signs of thrombosis, the leg seems to become stiff, sensitivity decreases, motor activity decreases or is completely limited. If you do not receive timely medical assistance for this condition, PE (pulmonary embolism) may occur, which leads to death.

With thrombosis of the inferior vena cava in a person, the lower half of the body, both legs and genitals swell and turn blue. The body temperature rises in the affected area.

Please note! There are asymptomatic thromboses. According to medical research, they often occur in older people. The patient does not feel any health problems and, against the background of well-being, a life-threatening condition occurs due to the fact that the thrombus increases and closes the blood supply in the main veins.

Diagnosis of DVT is critical, as pathology may not be apparent. According to medical statistics, only 1 out of 10 patients with vascular pathologies experience discomfort and consult a doctor. Six out of 10 people are diagnosed with pulmonary embolism (PE), while only 10% have clinical symptoms of venous thrombosis.

To minimize the risks, get a diagnosis at the Laser Surgery Clinic “No Varicose Veins”. Our specialists conduct a hardware study using expert-level European equipment, which allows you to notice the slightest changes and select the right treatment.

Diagnosis of thrombosis

Diagnosis requires an integrated approach. It starts with a doctor’s visit. To make a diagnosis of deep vein thrombosis of the lower limb, he carefully collects complaints, a detailed history of the disease, asking the patient about complaints and symptoms.

The doctor then performs an ultrasound.

Treatment of deep vein thrombosis

Patient management depends on the location and embolism of the thrombus. In cases of non-embolic thrombosis without severe comorbidity, outpatient treatment is possible. Patients with DVT are indicated for anticoagulant therapy and wearing compression stockings.

In some cases, patients are referred for further examination by phlebography. The results of which determine further tactics for the treatment of patients with deep vein thrombosis of the lower limb.

Prevention

It aims to reduce the risk of blood clots. An effective preventive measure is regular moderate physical activity, which improves blood circulation. Control and, if necessary, weight loss is also necessary. A person is advised to monitor blood sugar levels and blood pressure.

Also, patients at risk for vascular pathologies are advised to adjust their lifestyle. You should give up nicotine, alcoholic beverages. It is recommended to diversify the diet, be sure to increase the amount of plant products in the diet, reduce – with the content of cholesterol and high-density fats.

Primary preventive measures for DVT include:

• use of compression stockings, elastic bandages;

• drinking plenty of water;

• regular physical activity, especially during prolonged periods of immobility;

• refusal from alcoholic drinks;

• wearing loose and comfortable shoes and clothing.

More precise recommendations are given by the doctor.

Complications of deep vein thrombosis

Patients with this disease may develop pulmonary embolism. In this case, a thrombus from a deep vein enters the lungs. It is also possible the death of a section of the lung, in which a pulmonary infarction develops. In this condition, severe respiratory failure occurs, the patient needs to be urgently hospitalized in the intensive care unit.

In order not to encounter vein diseases, it is advisable to periodically visit a phlebologist and conduct an ultrasound scan. Patients at risk for vascular pathologies are advised to do this annually. Timely diagnosis and properly selected treatment can reduce the risk of serious complications.

You can make an appointment with a phlebologist at the “No Varicose Varicose” laser surgery clinic by calling the number indicated on the website, ordering a call back or filling out an application online. We work daily.

causes, symptoms and treatment of THB

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• Hundreds of patients have already avoided leg amputations;
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Deep vein thrombosis is the formation of blood clots in the deep veins of the extremities, mainly the legs, so the name thrombosis of the lower extremities will be partly fair. Men are more susceptible to pathology than women.

It is worth saying that the risk of developing pathology increases many times after 60 years.

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Venous thrombosis. Symptoms

Signs of deep vein thrombosis may differ in intensity and manifestations, so we will name the general ones. Thrombosis is characterized by dull aching pain, swelling and redness of the extremities, as well as soreness of the affected veins, as patients say: the veins hurt. The veins may expand so much that they become visible. Sometimes when bending the leg at the knee, soreness in the calves may appear. Puffiness can occur both on the entire leg, and only on the lower leg.

Our doctors

Meet our experts

Work experience 30 years Status Traumatologist-orthopedist Qualification Doctor of the highest category

90 002 Donskoy E.O. Chief Physician of the Medical Center “MEDICUS”. He treats patients with diseases of the joints and spine.

Work experience 45 years Status Traumatologist-orthopedist Qualification Doctor

Khudoleev M.V. Traumatologist-orthopedist, surgeon, sports medicine doctor. Khudoleev B.M. General practice surgeon, vascular surgeon, massage therapist. Proficient in Kaltenborn techniques, visceral massage, myofascial release, etc.

Work experience 30 years Status Ultrasound doctor Qualification Highest qualification

Raja L.V. Graduated from the North-Western State Medical University. I.I. Mechnikov (ultrasound). Works as an ultrasound doctor at the LDC MEDICUS.

Diagnosis of deep vein thrombosis (lower limb thrombosis)

Ultrasound is excellent for diagnosing venous thrombosis. In special cases (when ultrasound gives a normal picture, but there are still suspicions of pathology), other diagnostic methods are used, for example, phlebography or MRI phlebography.

Treatment of venous thrombosis

Patients with deep vein thrombosis are subject to compulsory hospitalization with bed rest. In addition, constant monitoring of the patient’s blood clotting is necessary.

In order not to miss the onset of such a serious disease, make an appointment with a doctor in our clinic, an appointment is conducted by a vascular surgeon. We can also get a referral for ultrasound of the vessels of the lower extremities, which is so necessary for the diagnosis of deep vein thrombosis.

Methods of treatment

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Ointment applications

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Causes of deep vein thrombosis and complications

The disease is provoked by smoking, excess weight, injuries and surgeries, pregnancy, cancer.

One of the most common complications of deep vein thrombosis is chronic venous insufficiency, which often leads to the formation of trophic ulcers. The most serious complication of thrombosis is pulmonary embolism. The main danger of this pathology is that it can lead to the death of a person.

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Age 64 Diagnosis Arthrosis stage 2 The result of treatment The patient is satisfied

Sergei Igorevich “He was treated at the clinic…the effect did not give much! After the first plasmacytophoresis procedure, I feel fullness in the joint, the mobility has improved!”

Age 70 years old Diagnosis Osteoarthritis Treatment result The patient is satisfied

Galina Fedorovna “Vo during the plasmacytophoresis procedure, a slight bursting was felt, and then everything became fine! The clinic helped me!”

Age 70 years old Diagnosis Osteochondrosis Treatment result The patient is satisfied

Lyudmila Emelyan Aries “At our age, the main thing is to maintain clarity of mind and the ability to move around. I have already recommended the clinic to my friends!”

Age 72 years old Diagnosis Osteochondrosis, arthrosis Result of treatment The patient is satisfied

Boris Khazievich “I had back pain and hip pain. After the treatment, I began to fall asleep without pain, I sleep normally!”

Age 77 years old Diagnosis Osteoarthritis Treatment result Pain gone

Tamara Grigorievna My kneecap hurt so much, I couldn’t walk. Now my joint is being restored and I walk without pain! After the 2nd procedure, there was an improvement. ”

Age 60 years Diagnosis Osteoporosis, arthrosis Treatment result Pain gone

Hans Harwig “I am from Holland, I could not walk or stand without crutches, neither in Germany nor in Holland could they help me. Helped here. Now there is no pain, I am satisfied.”

Age 66 years old Diagnosis Osteoarthritis Treatment result The patient is satisfied ah, when standing up, squatting, there was a high pain sensitivity. The clinic didn’t help me properly. And here everything is on time, calmly and without nerves!”

Age 65 years old Diagnosis Arthritis Treatment result Completely satisfied

Elena Antonovna “I was very strong knee pain, I couldn’t even walk. And after the first procedure, it really helped me a lot. I wanted to run right away, but the doctor did not allow me to run.”

Age 71 years old Diagnosis Trophic ulcer Treatment result Autodermoplasty performed

Lyudmila Viktorovna Lyudmila Viktorovna got rid of her ulcer in a month! And after autodermoplasty there was no trace that there was an ulcer! Now she has a healthy leg, the ulcer has healed!

Age 64 years old Diagnosis Arthrosis of the 3rd degree Result of treatment Pain disappeared

Valentina Alekseevna Already after After the first injection of a liquid prosthesis into the joint capsule, the knee began to unbend, the range of motion of the joint increased, and the patient’s quality of life.