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Ask An Expert

Deep Vein Thrombosis Treatment and Recovery

Modern Weng

Modern Weng, DO

Palo Alto Medical Foundation

Question:

I was recently diagnosed with deep vein thrombosis (DVT). I am being treated with Xarelto. What else can I do to promote healing during next six months of treatment? I'm physically active and I wear a compression stocking on the leg with DVT.

Answer:

I'm sorry to hear that you recently suffered from a deep venous thrombosis (DVT), but I'm glad to you have been treated with anti-coagulation medications and are recovering nicely.

There is a condition called post-thrombotic syndrome (PTS) which can be a long-term complication of DVTs, but with proper management, this syndrome can be avoided. PTS can affect anywhere between 20-60 percent of patients two years following a DVT.

The symptoms of PTS consist of leg aching, cramping, or pain; leg itchiness, tingling, or heaviness; swelling of the leg; varicose veins or a brownish discoloration of the skin; and even a skin ulcer. PTS symptoms typically are worse with prolonged walking.

You are already doing many of the things that prevent long-term complications of DVTs: anti-coagulation medication, compression stockings - 30 mmHg of pressure or "tightness" - and early ambulation. If you are overweight, weight loss is also beneficial.

Another suggestion is to elevate your leg above heart level three or more times a day for 5-10 minutes.

Lastly, if you're a smoker, I strongly recommend you quit.

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