What do blood clots in the leg feel like. How can you recognize the symptoms of deep vein thrombosis. When should you seek medical care for a suspected blood clot. How is DVT diagnosed and treated. Who is at higher risk for developing blood clots in the legs.

What is Deep Vein Thrombosis (DVT)?

Deep vein thrombosis (DVT) is a serious condition that occurs when a blood clot forms in a deep vein, typically in the leg. These clots can obstruct blood flow and potentially lead to life-threatening complications if left untreated. Understanding the symptoms, risk factors, and treatment options for DVT is crucial for early detection and prevention of severe health issues.

Recognizing the Symptoms of DVT

Identifying the signs of a blood clot in the leg is essential for seeking timely medical attention. Common symptoms of DVT include:

• Leg pain or discomfort resembling a pulled muscle
• Swelling in the affected leg
• Redness or discoloration of the sore area
• Warmth in the affected area
• A throbbing sensation in the leg

Is leg pain always a sign of DVT? Not necessarily. While leg pain is a common symptom, it’s important to note that some people may not experience noticeable symptoms, making it challenging to recognize the need for medical care.

Risk Factors for Developing Blood Clots

Certain factors can increase an individual’s likelihood of developing DVT. These risk factors include:

• Prolonged periods of sitting or immobility
• Recent surgery or hospitalization
• Obesity
• Smoking
• Use of birth control pills or hormone replacement therapy
• Personal or family history of blood clots
• Age (60 years and older)

Can younger individuals develop DVT? While less common, it is possible for children and young adults to experience blood clots in the leg, especially if they have certain risk factors or medical conditions.

Diagnosing Deep Vein Thrombosis

When a patient presents with symptoms suggestive of DVT, healthcare providers employ various diagnostic methods to confirm the presence of a blood clot. The primary diagnostic tool used is duplex ultrasound, which combines traditional ultrasound with Doppler flow studies to visualize blood flow in the veins.

The Duplex Ultrasound Procedure

During a duplex ultrasound, a technician uses a handheld device to send sound waves into the leg. These waves bounce off the blood vessels and create images on a monitor, allowing the technician to observe blood flow and identify any blockages or clots. This non-invasive procedure is painless and typically takes about 30 to 60 minutes to complete.

Are there other diagnostic methods for DVT? In some cases, additional tests may be required, such as:

• D-dimer blood test: Measures a substance released when a blood clot breaks down
• Venography: An X-ray procedure using contrast dye to visualize veins
• CT or MRI scans: Provide detailed images of blood vessels and surrounding tissues

Treatment Options for Deep Vein Thrombosis

Once DVT is diagnosed, prompt treatment is crucial to prevent complications and alleviate symptoms. The primary treatment options include:

Anticoagulant Medications

Anticoagulants, commonly known as blood thinners, are the mainstay of DVT treatment. These medications work by inhibiting the blood’s ability to clot, preventing existing clots from growing larger and new clots from forming. Common anticoagulants used for DVT include:

• Heparin (unfractionated or low-molecular-weight)
• Warfarin
• Direct oral anticoagulants (DOACs) such as rivaroxaban, apixaban, and dabigatran

How long does anticoagulant therapy last? The duration of treatment varies depending on the individual case, ranging from three months to indefinite use for those with recurrent DVT or ongoing risk factors.

Thrombolytic Therapy

In severe cases or when anticoagulants are ineffective, thrombolytic drugs may be administered to dissolve the clot rapidly. These medications are typically reserved for life-threatening situations due to their higher risk of bleeding complications.

Mechanical Thrombectomy

This minimally invasive procedure involves using specialized devices to physically remove the blood clot from the affected vein. It may be considered for large clots or when medication-based treatments are contraindicated.

Preventing Deep Vein Thrombosis

Taking proactive measures to reduce the risk of DVT is essential, especially for individuals with known risk factors. Some effective prevention strategies include:

• Regular physical activity and exercise
• Maintaining a healthy weight
• Quitting smoking
• Staying hydrated during long trips
• Using compression stockings when recommended by a healthcare provider
• Taking prescribed anticoagulants as directed

Can lifestyle changes significantly reduce DVT risk? Absolutely. Adopting a healthy lifestyle can play a crucial role in lowering the risk of developing blood clots and improving overall cardiovascular health.

Complications of Untreated DVT

Left untreated, deep vein thrombosis can lead to serious and potentially life-threatening complications. The most severe complication is pulmonary embolism (PE), which occurs when a blood clot breaks free and travels to the lungs, blocking blood flow. Symptoms of PE include:

• Sudden shortness of breath
• Chest pain that worsens with deep breathing
• Rapid heartbeat
• Coughing up blood
• Dizziness or fainting

Is pulmonary embolism always fatal? While PE can be life-threatening, prompt medical intervention can significantly improve outcomes. It’s crucial to seek immediate medical attention if you experience symptoms of PE.

DVT in Special Populations

While deep vein thrombosis is more common in older adults, certain groups may face unique risks and considerations when it comes to blood clots.

DVT in Children

Although rare in healthy children, DVT can occur in pediatric populations, particularly among hospitalized children or those with underlying medical conditions. Risk factors for DVT in children include:

• Recent surgery
• Presence of central venous catheters
• Prolonged immobilization
• Certain inherited blood disorders
• Use of oral contraceptives in adolescent girls

How is DVT treated in children? Treatment approaches for pediatric DVT are similar to those used in adults, with careful consideration of age-appropriate dosing and potential long-term effects.

DVT During Pregnancy

Pregnant women have an increased risk of developing DVT due to hormonal changes and physical factors that affect blood flow. The risk is particularly high during the third trimester and immediately after delivery. Additional precautions and monitoring may be necessary for pregnant women with a history of blood clots or other risk factors.

Long-Term Management of DVT

After the initial treatment phase, long-term management of DVT is crucial to prevent recurrence and manage potential complications. This may involve:

• Continued use of anticoagulant medications
• Regular follow-up appointments with healthcare providers
• Monitoring for signs of post-thrombotic syndrome
• Lifestyle modifications to reduce risk factors
• Use of compression stockings to improve circulation

Can DVT recur after treatment? Yes, there is a risk of recurrence, especially in individuals with ongoing risk factors. Adhering to prescribed treatments and follow-up care is essential for minimizing this risk.

Emerging Research and Future Directions

The field of DVT research continues to evolve, with ongoing studies exploring new treatment options and prevention strategies. Some areas of current interest include:

• Development of novel anticoagulants with improved safety profiles
• Personalized medicine approaches to tailor treatments based on genetic factors
• Advanced imaging techniques for more accurate diagnosis
• Exploration of the role of inflammation in DVT formation
• Investigation of potential biomarkers for early DVT detection

How might future advancements impact DVT management? As research progresses, we can expect more targeted and effective treatments, improved diagnostic tools, and potentially new preventive strategies that could significantly reduce the burden of DVT and its complications.

Understanding deep vein thrombosis is crucial for early detection, prompt treatment, and effective prevention. By recognizing the symptoms, risk factors, and available treatment options, individuals can take proactive steps to protect their health and seek timely medical care when needed. As research continues to advance our knowledge of DVT, we can look forward to improved outcomes and potentially new approaches to managing this serious condition.

What Do Blood Clots in the Leg Feel Like?

Have you ever sat on a long flight, then stood up to leave the plane and noticed that your leg hurt in a way that it hadn’t at the start of your journey? Prolonged sitting may increase the risk of developing a blood clot in the leg, which is also called deep vein thrombosis (DVT).

DVT typically forms deep within a vein in the leg. When a blood clot forms, it can obstruct blood flow, leading to uncomfortable symptoms. If a clot breaks free from the spot where it formed, it may cause a potentially life-threatening condition known as pulmonary embolism, when the clot travels through blood vessels and enters the lung.

Not all blood clots in the leg lead to pulmonary embolism; some resolve on their own. But if you notice signs that you may have DVT, seeing a doctor quickly may help you avoid dangerous complications.

“There are effective treatments for a blood clot in the leg, most notably blood thinners, which hinder clotting ability while they’re being used,” says Vikalp Jain, M. D., vascular surgeon at Jersey Shore University Medical Center. “Seeking medical help early when you think that you may have a blood clot is always the right decision, even if it turns out to be nothing. It’s better to be safe than sorry when pulmonary embolism could be a possibility.”

Signs that you may have a blood clot

Many people who have a blood clot notice discomfort in the affected leg and can’t attribute the problem to a recent injury, overuse or another factor. They’re more common after surgery and among people on bed rest or those who sit for long periods without stretching.

Symptoms include:

• leg pain or discomfort that may feel like a pulled muscle, tightness, cramping or soreness
• swelling in the affected leg
• redness or discoloration of the sore spot
• the affected area feeling warm to the touch
• a throbbing sensation in the affected leg

Some people don’t experience noticeable symptoms, which makes it difficult for them to recognize that they should seek care.

Blood clots are more common among people who:

• smoke
• are obese
• take birth control pills or hormone replacement therapy
• have a personal or family history of blood clots

Can kids get blood clots in the leg?

“Blood clots are more common among people age 60 and older, but it’s possible for kids to experience DVT. They’re rare in healthy children, but they’re more common among kids who are hospitalized,” says Katherine Armstrong, M.D., MS, pediatric hematologist-oncologist of Joseph M. Sanzari Children’s Hospital at Hackensack University Medical Center.

Factors that may increase the risk of blood clots in children include:

• having had surgery
• having a catheter or PICC line placed in a vein
• being confined to bed
• having a family history of blood clots
• taking birth control pills (teenage girls)

When to seek care for a possible blood clot

If you think that you or your child may have a blood clot in the leg, seeing a doctor that day may help you avoid complications. If you can’t get a same-day appointment with your regular doctor, visit an urgent care center or emergency room. Quick care may help you ward off a pulmonary embolism, which may be deadly.

Whether or not you’ve noticed symptoms of DVT, seek emergency care if you have symptoms of a pulmonary embolism, including:

• sudden difficulty breathing or shortness of breath
• chest pain that worsens when you try breathing deeply
• a sudden cough, especially if you produce bloody mucus
• a fast heartbeat
• dizziness or losing consciousness

Healthy habits may lower your risk of blood clots

If you have a family history of blood clots or you’re about to have surgery, talk to your doctor about ways to lower your risk of DVT.

To lower your risk of blood clots in everyday situations, make lifestyle changes, including:

• breaking up long periods of sitting (whether at home, at work or while traveling)
• being more physically active
• maintaining a healthy weight
• quitting smoking

Next Steps & Resources:

• Meet our sources: Vikalp Jain, M. D., Katherine Armstrong, M.D., MS
• To make an appointment, call 800-822-8905 or visit our website.
• Find an urgent care center near you.

The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.

How is DVT diagnosed? – Blood Clots

In the diagnosis of DVT, the physician considers the patient’s specific risk factors, the patient’s symptoms, the physical examination, other possible explanations for the symptoms, and the results of objective tests, such as some method of imaging or seeing the clot.

Duplex Ultrasound

The first diagnostic method that is usually performed to image or see the clot is ultrasound—specifically, duplex ultrasound. “Duplex” refers to the two parts of the process:

Part One of the Duplex Ultrasound Process:  In the first part of the process, brightness modulation ultrasound (also known as B-mode ultrasound) is used to obtain an image or picture. The ultrasound machine creates high-energy sound waves (ultrasound) that are bounced off internal tissues and make echoes. The patterns of these echoes form an image, which is then shown on the screen of the machine. While imaging the deep veins of the leg, the sonographer (the person who operates the ultrasound machine) tries to collapse or compress the veins. If a vein cannot be compressed because a clot prevents the vein from collapsing, a DVT diagnosis is made. The ability to completely flatten a vein with compression is the most useful way to be certain that a clot is not present.

Part Two of the Duplex Ultrasound Process: In the second part of the duplex ultrasound process, Doppler ultrasound is used to detect abnormalities of blood flow. Sound waves are bounced off the blood within a vein. Flowing blood changes the sound waves by the “Doppler effect.” The ultrasound machine can detect these changes and determine whether blood within a vein is flowing normally. Absence of blood flow confirms the diagnosis of DVT.

Duplex ultrasound successfully identifies 95 percent of deep vein thromboses that occur in the large veins above the knee.

The ability of duplex ultrasound to detect DVT in the large veins above the knee is so good that when the test is positive, no further testing is necessary and treatment may be started. Conversely, if the test is negative, the chance that there is a DVT is so small that treatment may safely be withheld.

This technique is not as good at detecting DVT that occurs below the knee or in the calf veins, however. Duplex ultrasound successfully identifies only 60 to 70 percent of calf vein thromboses. Even when such a diagnosis is made, it is correct only 60 to 70 percent of the time. While calf vein thromboses account for 20 percent of all DVT cases, only one in five these thromboses ever grows in the first week or two after it is initially suspected. Also, calf vein thromboses are less likely to break free and travel to the lung or “embolize.” Therefore, if the ultrasound is negative, even though a DVT may be present in a calf vein, treatment may be withheld and the ultrasound repeated in five to seven days if the symptoms persist. Calf vein thrombosis may be treated like superficial thrombophlebitis. Most physicians prescribe anticoagulants in such cases, however, because a DVT in a calf vein can lead to a larger, more proximal DVT that can break off and migrate to the lung.

Duplex Ultrasound in Recurrent DVT

Abnormalities of the veins are common after DVT, making it difficult to diagnose a recurrent clot. For instance, half of the time the results of the duplex ultrasound remain abnormal one year after the first episode of DVT. Consequently, if duplex ultrasound is being performed to determine whether a new clot has developed, lack of compression or absence of blood flow does not prove the existence of a new clot unless a new segment of the vein or a different vein is involved.

Venography and Magnetic Resonance Imaging

If the ultrasound is negative, yet the patient’s symptoms are severe or a DVT is strongly suspected, the next step is either a venogram (venography) or magnetic resonance imaging  (MRI).   Sometimes the ultrasound is negative because there is a clot in a vein in the pelvis, hidden from the ultrasound. Although isolated pelvic vein thrombosis is uncommon, it can occur in women who are pregnant or who have recently delivered a baby, in people who have had pelvic cancer, or in people who have had recent pelvic surgery.

Until recently, venography using x-rays was used to diagnose DVT. During venography, contrast dye (usually an iodine dye), which helps blood vessels show up clearly on x-ray, was injected into a vein in the foot. A series of x-rays of the veins was then taken, looking for blockages. Today, the use of x-ray venography has been almost entirely replaced by the use of ultrasound and magnetic resonance (MR) venography, because x-ray venography is “invasive” and can be painful. The MR machine uses pulses of radio-frequency waves to cause hydrogen atoms to line up within tissues. When the pulse stops, the hydrogen atoms return to their natural state. In the process, they give off a signal that the machine converts into an image. Different tissues give off different signals. Because clots give off different signals than flowing blood, MR can be used to detect a thrombosis.

MR venography does a better job of imaging the veins in the pelvis, abdomen, and chest than ultrasound does. Because it does not require compression, this technology can be used to detect clots in limbs inside of plaster casts. Overall, MR may be superior to ultrasound, but it is a much more involved test and costs much more than ultrasound.

D-Dimer Test

After a blood clot starts to form, another series of reactions normally begins to dissolve (that is, lyse) the clot. Fibrin, which forms the mesh that holds the platelets firmly in place within a clot, is a solid that is formed from fibrinogen, a specialized protein (clotting factor) found in blood. (See Question 3.) These fibrinogen molecules are strung together end-to-end and cross-linked within fibrin.

During the lysis process, fibrin is broken down or degraded by an enzyme called plasmin. Plasmin cuts the strands of fibrin on either side of what were the ends of the fibrinogen molecules. The ends are called “D” units. A dimer is a pair, so the D-dimer is a fragment of cross-linked fibrin that consists of two “D” units. D-dimers can be present in a variety of conditions, including the formation of a blood clot. While the presence of D-dimers does not guarantee that a blood clot is present, it is a clue that the clotting process has begun. It D-dimers are absent, however, it is very unlikely that a blood clot has begun to form. For that reason, a blood test for D-dimers is often performed to ensure that a blood clot is absent.

Hamstring stretch.!

content

1. Hamstring strain and its symptoms
2. Hamstring treatment
3. When will I feel better?
4. How to prevent hamstring injuries?

1. Hamstring strain and its symptoms

Unfortunately, hamstring strains are common and cause a lot of pain. Athletes in many sports such as running, football, basketball, and speed skating are susceptible to this injury. Stretching the hamstring can also occur in people who do not play sports.

But what is the hamstring? In fact, it is a group of three muscles that are located along the back of the thigh. They allow you to bend your leg at the knee.

During a stretch, one or more muscles are strongly stretched. Muscles may even tear. This most often occurs during workouts involving running, jumping, sudden stops and starts. The chance of injury increases if:

• You didn’t warm up your muscles before training.
• The muscles of the anterior thigh (quadriceps) are much more developed than the hamstrings.
• You are a teenager and growing fast.

Symptoms of a hamstring strain

Mild hamstring strains may not cause severe pain, but severe injuries are associated with excruciating pain. Sometimes you won’t even be able to walk or stand. Other possible symptoms of a hamstring strain are:

• Sudden and stabbing pain during exercise.
• Pain in the posterior thigh and lower buttocks when walking, straightening or bending the leg.
• Soreness (if muscle is touched or pressed).
• Contusion, swelling.

If any of the above symptoms appear, you should consult a good traumatologist. The doctor conducts a thorough examination, finding out the cause of the sprain and the circumstances of the injury.

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2. Hamstring Treatment

Fortunately, minor sprains usually heal on their own. To speed up the treatment of a sprained tendon, you can:

• Limit pressure on the leg. Distribute body weight so that the main load falls on a healthy leg. You may need crutches.
• Apply ice. Use ice when treating a sprained tendon to reduce pain and swelling (20-30 minutes, every 3-4 hours for 2-3 days).
• Apply bandage. Use an elastic bandage around the leg (this will reduce swelling).
• Place the foot on a platform (e.g. pillow).
• Take an anti-inflammatory pain medicine. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and swelling while treating a sprained tendon. However, these drugs have side effects and are best taken after consulting your doctor.
• Do stretching and strengthening exercises as directed by your physician.

In severe cases where the muscles are torn, surgery may be required to treat the hamstring.

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Traumatology and Orthopedics

3. When will I feel better?

Recovery from a hamstring injury can take several months. It all depends on the severity of the damage. Treating a hamstring does not mean giving up any physical activity. Try a new sport that won’t hit your hamstring hard. Swimming is ideal. Don’t rush things. Do not attempt to return to your previous level of exercise until you can move your leg easily and freely, and feel no pain in your leg while walking, running or jumping. If you start to load the leg too much ahead of time, this can result in increased pain and muscle weakness.

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4. How to prevent hamstring injuries?

To avoid a hamstring strain or tear, here are a few simple tips:

• Always gently stretch and prepare your leg muscles before training.
• Slowly increase the intensity of your exercise (no more than 10% per week).
• Stop exercising if you feel pain or tension in the back of your thigh.
• Strengthen your tendon muscles.

Prevention and treatment of pain in the calf muscles in Moscow

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The lower part of the legs is subjected to enormous stress every day. Normally, this area of ​​\u200b\u200bthe body should not hurt, causing discomfort. However, in some situations, discomfort in the calf muscles is present, which complicates walking, causing pain while running or jumping. This may be due to fatigue, overexertion, traumatic factor or violation of vascular structures.

1

Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI images.

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No side effects

The methods used in our clinic are safe and have no side effects.

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Long-term effect

Treatment minimizes the risk of new hernias in other segments, as well as hernia recurrence.

Usually, pain from overexertion or prolonged exercise resolves within 36 hours, with more serious causes, it remains, which requires the patient to immediately consult a doctor. Do not ignore prolonged discomfort, seek help from an experienced specialist. At Dr. Length’s clinic, you will be provided with first aid, and an individually designed therapy program will allow you to forget about an unpleasant symptom.

Anatomy of pain in the calf muscle

A feeling of discomfort appears on the back of the leg from the ankle up to the knee. The gastrocnemius muscle rises above the soleus muscle, fixing in the heel area with a dense Achilles tendon. It consists of two fleshy heads – lateral and medial. The calf muscle consists of muscle fibers, tendons, ligaments, nerves, and blood vessels.

Any of these structures are susceptible to injury, infection, and other disorders. Many of these conditions are accompanied by pain. Discomfort in the calf can be permanent and temporary, the pain wave can capture the entire calf muscle or be localized in a separate area. It can be monotonous, pulsating and shooting, stabbing and growing.

Pain in the calf muscle can be called tingling, burning, leading to numbness of the limb. Loss of sensation is called paresthesia. Uncomfortable sensations can be annoying, uncomfortable, and sometimes they cause limited mobility when a person loses the ability to bend the leg and even walk.

Causes of pain in the calf muscles

Soreness in the calves occurs for various reasons. The reason for this may be an accidental injury, muscle spasm, neurological disorders. However, there are also serious conditions that indicate a developing pathology of peripheral arteries.

Calf pain can be caused by deep vein thrombosis (blood clot formation). This is a life-threatening condition, as the blood clot can break off and cause a pulmonary embolism, a heart attack. It is impossible to endure the incessant pain in the calf muscle. You need to immediately consult a doctor, undergo diagnosis and treatment of violations.

Severe pain in the calf

Some pain indicates the development of conditions that can cause disability and death. The following conditions can provoke them:

• Varicose veins with a complication in the form of thrombophlebitis – untimely help from a doctor can cost the patient his life. The detached blood clot will block the artery and block the flow of blood.
• Diabetic angiopathy and neuropathy – often becomes a harbinger of diabetes mellitus, which the patient is not yet aware of. Pathology is detected using a blood test for sugar.
• Atherosclerosis of the arteries of the lower extremities – creates a favorable environment for the development of a heart attack due to the closure or total narrowing of the lumen of the arteries by cholesterol formations (plaques).
• Obliterating endarteritis is a serious vascular pathology that often occurs in long-term smokers. A severe consequence of this condition is amputation of the legs.

It is important not to confuse a serious abnormality with an easily correctable pathology. Often there are causes of pain in the calf muscle, such as osteochondrosis of the lumbar zone and compression of the sciatic nerve, damage to the bundle of nerve fibers in the spinal cord, disorders of the articular joints of the pelvis and knee, piriformis syndrome, tunnel syndrome, cicatricial deformity of the tendons and ligaments. Excess weight, uncomfortable shoes, disturbances in the development of the foot, and a lack of useful micro- and macroelements in the body cause pain.

Symptoms of disorders

It is possible to recognize the development of pathology not only by the pain symptom. There are other signs of disturbance:

• Cramps in the calf muscles are extremely painful. They arise as a result of a lack of vitamins and minerals, due to increased muscle fatigue, an unbalanced diet. Cause difficulty walking, last from a few seconds to several days.
• Baker’s cyst (knee hernia) is caused by accumulation of excess fluid in the popliteal bursa. When the shell breaks, the liquid flows out. Accompanied by swelling of the knee joint, deterioration in physical activity, bruising around the ankle.
• Inflammation of the Achilles tendon (tendinitis) causes pain in the legs, stiffness of the ankle joint. It becomes impossible to stand on tiptoe.

Deep vein thrombosis of the lower extremities is a serious cause of pain in the calf muscle. A blood clot can form in the calf or thigh area. In this case, immediate medical attention is needed. Common signs of this condition are redness, shins, a feeling of heat spreading inside, swelling. Pain worsens with dorsiflexion (bending the foot up). Deep vein thrombosis often develops after surgery or periods of inactivity (long flights, car rides, forced sitting in one position).

Treatment of calf pain

The best course of treatment for calf pain depends on correct diagnosis and identification of the cause of the discomfort. With weakness of the calf muscles, it is important to develop strength and endurance. In this part, special stretching exercises will help to cope. In case of muscle injury, a combination of exercises with physiotherapy techniques is recommended. The operation is performed only in difficult cases, if there is a risk of life-threatening complications or there is no effect of other methods of treatment.

The first thing to pay attention to when pain in the calves:

• Cessation of any exercise and physical activity.
• Until the cause of the violations is clarified, it is strictly forbidden to play sports and overexert.
• At home and at work, try to keep your legs elevated for better blood flow.

It is not necessary to bend your knees, it is best to lay them horizontally or raise them to a level above the pelvis. If the pain in the calf muscle does not go away, you need to call a doctor. If it becomes less intense, you should make an appointment with a specialist yourself.

Treatment success is 90% dependent on experience
and physician qualifications.

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• Chiropractor
• Vertebrologist
• Osteopath
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At the consultation, we carry out a thorough diagnosis of the entire spine and each segment. We are exactly
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

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Let’s perform a manipulation that significantly relieves pain

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We will create an individual treatment program

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Diagnosis

At Dr. Length’s clinic, the patient is carefully examined to distinguish between diseases of the spine, articular pathologies, blood flow disorders and endocrine imbalance. The doctor writes directions for the passage of instrumental tests and laboratory diagnostics.

The following procedures are recommended:

• Ultrasound of the painful area and nearby areas to exclude the possibility of developing a tumor that affects the nerve endings and compresses the blood vessels.
• Blood tests (general clinical, biochemistry, glucose).
• X-ray of the joints, which, if necessary, can be replaced by other imaging techniques (CT, MRI).

An experienced physician uses functional tests to determine pathology. As a result of the data obtained, a diagnosis is made and the most appropriate methods of treating disorders are prescribed.

Treatment

Pain in the calf muscles is often a symptom of other diseases. This is a kind of indicator, a clinical symptom. After making a diagnosis, the doctor determines with confidence the line of first aid. Just a few sessions of manual therapy help to cope with discomfort. This practice is used for osteochondrosis, joint disorders, diabetic angiopathy and neuropathy, varicose veins. In this way, it is effective to treat myofascial syndrome and other pathologies.

In case of violations of the vitamin-mineral balance, vitamin therapy is prescribed. The lack of iron and magnesium in the body is replenished. At the same time, it is very important at the first stage of the examination to exclude internal bleeding and oncology. Manual therapy and osteopathy improve the balance between organs and internal structures. These methods favorably affect the condition of blood vessels, muscle tissues. An experienced chiropractor or osteopath for a course of procedures is able to eliminate many negative factors in the spinal column and joints.

Physiotherapy, therapeutic and prophylactic massage, reflexology, kinesio taping are used along with manual therapy at Dr. Length’s clinic. Good results are obtained by the author’s technique Di-Tazin therapy and UVT. You can make an appointment by calling +7(499)116-54-52. Our doctors will relieve you of pain and help restore the lost balance of movements.

We are recommended by 94% of patients.
Thank you for your trust and your choice.

Material checked by an expert

Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Work experience – 25 years

Patients’ video reviews

Articular block in the neck

Hernia in the lower back and neck 900 05

I came to Dr. Length’s clinic with problems spine. With two intervertebral lower hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. For 4 months, my lower vertebrae completely disappeared and crunches in my neck disappeared …

Lumbo-sacral hernia

“After the first time, my back stopped hurting. I felt relieved. Now 7 sessions have already passed and the back really does not hurt. I began to forget about it. And at first it hurt a lot.”

Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side. After the first visit, relief came immediately within six hours. After 6 courses, the pain was almost gone.

Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, oncologist-mammologist
I want to express my deep gratitude for the fact that I was put on my feet in the truest sense of the word. I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were long enough and the treatment that I used in the past was ineffective. Fortunately, I ended up in the clinic of Dr. Length and his team of super professionals!

Osteochondrosis of the cervical spine

“I applied 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles were very cramped. It was impossible to work. Before that, I went to other doctors, but this did not solve my problem. For 2 months I have a fairly positive dynamics. Every week it gets better and better.”

Bechterew’s disease

“I have had Bechterew’s disease for 10 years. The vertebrae began to move out, I began to slouch. I turned to other chiropractors, very famous, media ones. In the end, I didn’t get any results. After 2 sessions I felt much better. Now I don’t have any pain.”

Pain in the spine

“I came in with problems in my back, cervical, thoracic and lumbar spine. I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made it much easier for me. I’m already turning my head. I have no pain.”

Shoulder shoulder periarthrosis

I came to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up from pain. After the first treatment session, I felt much better. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

Osteoarthritis of the knee joint, 2nd degree

Came in with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I went through a course of treatment at the Clinic and now I am going 100%.

Herniated disc

“I came to the clinic after I had back pain and it turned out to be a herniated disc. I went to other places, but they only relieved attacks of pain. Hope for a return to normal life was given only by Sergei Vladimirovich, his golden hands!

Scoliosis

“Since I was a teenager, I have suffered from scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a massage therapist, an osteopath, but I did not feel a strong effect. After treatment, Length S.V. I almost have a straight spine. Currently, I do not feel any problems and discomfort.”

Intervertebral hernia

“At the 5th-6th session there was an improvement. I felt much better. The pain is gone. Improvement progressed more and more each time. Lesson 10 today. I feel great.”

Pain in the lumbar and cervical region

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical region. I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back. I have no pain. The condition as a whole has improved.”

Back pain

“At the beginning of the path of treatment, my back hurt very badly. I could no longer walk. I take 5 steps and stop. My entire journey consisted of such stops. In the very first procedure, I left the office with no pain in my spine.”

Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

“I went to Dr. Long because I had a very bad pain in my neck on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t really help. Now everything is fine, there are some consequences left, the muscles were spasmodic. When I came, I had steel muscles, now my neck is very soft.”

Pain in the thoracic region

“I went to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, stay at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

Pain in the lower back and hip joint

“I have been suffering from back pain since I was young. When they became unbearable, I went to Dr. Length’s clinic. Already after the first procedure, the pain in the hip joint was gone. After the third procedure, the shooting pains in the lower back stopped.

Applying today will help

avoid surgery tomorrow!

Relieve pain and inflammation

After 2-3 treatments, exhausting pain goes away, you feel better.

Eliminate the cause of the disease

Comprehensive rehabilitation of the spine improves well-being: you feel a surge of strength and energy.

Let’s start the process of regeneration

The process of restoration of damaged tissues begins, hernias and protrusions decrease.

Let’s strengthen the muscular corset

Strong back muscles support the spinal column, preventing the recurrence of the disease.