DVT (Deep Vein Thrombosis)
Deep venous thrombosis (DVT) occurs when blood clots in the deep veins of
the legs. These clot, or thrombus, impedes blood flow and may completely block
the vein causing swelling, aching, warmth and redness. In addition to
the pain and discomfort is the possibility that the clot can break loose and
travel to your heart and lungs. When this happens, it is called a
pulmonary embolism. Pulmonary embolism is a serious and potentially life
threatening event. If we suspect you are at risk for a having DVT we
perform a duplex ultrasound test which is a very sensitive and specific
for this problem. If you have a blood clot we will prescribe the appropriate
medicine or procedure to treat it and will take steps to minimize you risk of
future DVTs.
There are four common symptoms of DVT, but it is important to note that many people don’t have any symptoms.
1. Pain or tenderness
2. Swelling
3. Warmth
4. Redness
Some of the risk factors for DVT are:
- Conditions that make your blood thicker or more likely to clot than normal due to medications.
- Injury from surgery, a broken bone, or other trauma.
- Stagnant blood flow in a deep vein due to lack of movement which may occur during a illness or sitting in one place for a long time.
- Pregnancy and the first 6 weeks after giving birth
- Cancer
- A central venous catheter, a tube placed in a vein to allow easy access, for IV treatment
- Being older than 60 is a risk factor, although DVT can occur at any age
- Overweight or obesity
- Smoking
There are a variety of medical and minimally invasive surgical treatments for DVT. Frequently, oral medication that thins the blood for 3-6 months and clinical follow with ultrasound is all that's needed. In more severe cases, venography with clot removal or IVC filter placement may be needed. During your initial office visit you will receive a complete explanation and treatment plan with recommendations specifically suited for your condition.