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.

Anterior Cruciate Ligament (ACL) Reconstruction: Causes, Symptoms, and Recovery

Anterior Cruciate Ligament (ACL) Reconstruction: Causes, Symptoms, and Recovery

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• announcement
• to treatment
• How it is produced
• Restoration
• Cost Comparison
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• Frequently Asked Questions

Anterior cruciate ligament (ACL) reconstruction refers to the replacement of a damaged ACL with tissue to facilitate normal knee function. The ACL is the main stabilizing ligament of the knee that connects the femur and tibia. ACL helps ensure proper movement of the lower leg. ACL also makes it easier to pivot or change direction quickly, preventing knee injury.

Operation corruption on ACL

An ACL can be corrupted in various ways, requiring the ACL to be repaired. The following scenarios can damage the ACL:

• Collision with a soccer ball
• Slowing down while running
• Poor landing after a jump
• Knee and foot twisting in the opposite direction

901 40

Initial treatment of anterior cruciate ligament tear

ACL may not require surgery if the knee is stable, when the ligament is not completely torn, or even when you do not need to strain your knees during active sports. Alternative treatment in this situation: “RIS” – Rest, ice, compression and elevation.

Physiotherapy, exercises and leg stretches can help support the knee. Activities such as swimming, straight running and golf may be preferred by active people if they do not want to return to an active sports life.

Prior to 2 weeks of ACL repair

General or local anesthesia will be given prior to ACL repair. The tissue to replace a damaged ACL is taken from the tendons of the patella or hamstring of your body or from a donor. The operation is usually performed using knee arthroscopy.

ACL recovery involves using a camera inserted into a slot made in the knee. A computer connected to the camera makes it easier to see the internal ligament with which the doctor can perform the operation. Other incisions are made to install the necessary equipment, and then surgery is performed to repair the ACL.

• The torn ligament is removed with a razor.
• If patient tissue is used, the surgeon will make a larger incision and remove the tissue.
• The knee bone is drilled and the tendon is now implanted in the same position as the old ACL.
• Screws and other instruments are used to attach the new tendon to the bone.
• The bony tunnels will gradually fill in as the bone grows to hold the ligament in place.
• Small incisions in the surgical area are closed with sutures and a sterile dressing.

You will be sent home on the day of the operation. You will be asked to use knee braces or crutches one to four weeks after your surgery. If necessary, the doctor prescribes painkillers. Physiotherapy can help preserve the integrity of the knee faster.

• Any person may need at least 6 months to recover from surgery, depending on their rate of recovery.
• If pain and swelling are observed, an ice pack may be applied to the affected area. But there should be no direct contact of ice with the skin, as this can cause damage to the skin.
• You should follow your doctor’s instructions to get well quickly and without any complications.
• People who have an office job can return to their duties after a week, and people involved in vigorous exercise or athletes should avoid returning to their work for at least six months.
• Sports such as basketball may not be possible after surgery, so it is recommended to consult a doctor.

Pros

• Fast Recovery
• Pain Relief
• Normal Knee Function
• Returns Stability to the Knees

90 135 Cons

• Blood clot in legs
• Knee weakness
• No pain relief
• Knee stiffness
• Limited motion of the knee
• Rupture of a recently transplanted tendon

ACL repair cost

ACL surgery cost in India is very affordable, especially compared to Western countries. Overseas medical tourist can pay the minimum cost of ACL surgery in India and get treated successfully without any complications.

The cost of ACL reconstruction in other countries is much higher than in India. This is one of the main reasons why people with an ACL injury choose to come to India for their recovery. However, the overall cost of ACL reconstruction depends on several factors. These factors determine the overall cost of an ACL repair operation, regardless of the country in which you choose to have the repair performed. These include, among others, the choice of hospital, the choice of city complications, the cost of medicines, surgeon’s fees, and hospital expenses.

Below is the cost of ACL surgery in India and some other countries:

902 64

Kigen Zulu

Zambia

Patient reference: Keegan from Zambia for ACL reconstruction Read more

Billy Wynn Wilson

UK

Billy Wynn Wilson from the UK underwent ACL reconstruction in Hungary Read more

Sumaya Matsushima

9001 8 Japan

Patient history: 17-year-old patient from Japan underwent ACL reconstruction in India. Read more

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FAQ

Q. When do I should I apply for an ACL repair?

A. Recommended for people who want to return to an active sports life and prevent knee deformity while playing these sports. Recommended for patients with strained knees.

Q. When should I have surgery?

A. The operation is not an emergency. Effective results are observed if the operation is performed after a short period of knee rehabilitation. For best results and protection of the knee meniscus, six months of rehabilitation after an ACL tear is required.

Q. How can I tell if my ACL is corrupted?

A. A pop will be heard during injury. A swollen and painful knee may indicate damage to the ACL.

Q. Will my pain improve after ACL pain?

A.