Deep vein thrombosis
Deep vein thrombosis (DVT) is a condition in which blood clot (thrombus) is formed within deep veins in your body. The blood clot occurs when the blood thickens or clumps together. It commonly affects the large veins in the lower leg and thigh although it can affect any part of the body.
Several factors such as sitting for a long time while travelling, inherited blood disorders, prolonged hospital stay or bed rest, injury to the veins from surgery, certain cancers, pregnancy, smoking, obesity, heart failure and hormone replacement therapy may increase the chance of developing DVT.
Deep vein thrombosis can lead to pulmonary embolism, a condition where the blood clot breaks off from the vein and travel through the bloodstream to the lungs and blocks the blood flow. The loose clots are termed as embolus. Pulmonary embolism is a very serious condition and can be fatal if left untreated.
Another condition called as post-phlebitic syndrome may develop which is characterised by long term swelling of the leg (edema), skin discoloration and pain in the leg. These symptoms may be observed immediately or may develop after some years.
Blood clots in the thigh can easily break off resulting in pulmonary embolism, where as the blood clots in the legs and other parts of the body do not break off easily.
In many cases, DVT condition do not cause noticeable symptoms but when they occur you may observe pain and swelling in the affected leg including ankle and foot, increased warmth over the affected area and changes in your skin color. And if you develop sudden difficulty in breathing, chest pain or discomfort, dizziness, sweating, coughing blood and nervousness it may indicate pulmonary embolism.
Your doctor will perform a physical examination to check for the areas of swelling, tenderness or skin discoloration. Other tests such as a D-dimer blood test, ultrasound of the legs, and CT or MRI scan that provides pictures of your veins may be ordered. Other test which is less commonly done is venography, where a contrast dye is injected into the large vein of the foot or ankle and X-rays are taken to see the vein in the affected area.
There are several treatment options available to treat DVT condition and they include:
- Medications: Anti-coagulants also called blood thinners that decrease blood’s ability to clot may be prescribed. These medications do not dissolve the existing clots, but helps in preventing the clot from becoming bigger. Clot busters or thrombolytics are used to break the clots and are prescribed only in life threatening situations.
- Compression stocking – Compression stockings are usually worn on the legs to reduce swelling that may occur after a blood clot has developed in your leg. The stocking creates pressure and improves the blood flow in your legs and reduces the risk of developing blood clots. These stockings should be worn regularly for at least a year.
Surgery may be rarely needed if the prescribed medications do not work.
Placement of Filter – During the surgery a filter is placed in the large vein to prevent the blood clots that break loose from traveling to the lungs.
If you are at a risk of developing DVT, you can help prevent the condition by
- Regular checkups
- Taking the prescribed medications
- Wearing compression stockings
- Exercising: Stretching or moving your leg when you are travelling or when sitting for a longer time.
- Modifying life style habits such as losing weight, quitting smoking, and controlling your blood pressure.
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Houston Knee Specialists
Advanced Orthopedics and sports medicine has numerous Board Certified/Eligible physicians who are thoroughly educated in the latest treatment techniques both surgical and conservative. They are well versed in advances in knee treatments including meniscal transplants, total knee replacements, minimally invasive unicompartmental and total knee replacements
Drs Elbaz and Brooks now perform Platelet-Rich Plasma (PRP) injections for the treatment of patellar tendonitis, quadriceps muscle injury, bursitis, ligament sprain/tear, hamstring tendonitis or tears. PRP stimulates a more rapid healing of tendon, ligament, muscle and bone.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Knee Treatment options.
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What Our Patients Are Saying
I had been in so much pain with my back for years. It got so bad that I knew I had to do something. I went to Dr Mohr for help. I was so afraid to have spine surgery as I had heard so many horror stories. He and his staff were very informative. I was amazed at the new technology in spinal surgery. December 8, 2016 I had rods and pins put in my back. I am so happy I did now. I am healing really fast and the pain is going away as my body heals. Thank you Dr Mohr for you expertise and sensitive nature. You were understanding about my fear and helped assure me so I could receive the help I needed. You are an excellent Doctor.
I have been a patient of Dr. Cubbage for several years. Each time of go there, he always presents a thorough plan of care. From ordering the most appropriate diagnostic tests to making sure you understand each step of his plan of care. He consistently instills confidence that you are the road to recovery.
Plus his assistant Karen is extremely knowledgeable and very caring!
I would highly recommend Dr. Cubbage if you are having any type of spinal issues. I have seen Dr. Cubbage several times over the last 3 years for lumbar pain and numbness in my left leg. Dr. Cubbage explained my diagnostic results in such a way that it was easy for me to understand. He patiently answered all my questions and explained my options. Fortunately, Dr. Cubbage has been able to manage my pain with conservative treatment but know surgery is inevitable. When that time comes, I would choose no other than Dr. Cubbage! And it’s a plus that he has such a kind and caring staff.
For the first time in many years and many knee operations on one leg I am without any knee pain. This is a result of a procedure performed by Dr. Patel.
I made an appointment to see Dr. Patel on the recommendation of Dr. Tanous following knee replacement and several months of continued pain. Dr. Patel explained the procedure to me and explained how we would proceed. The first procedure was to determine if I would be a good candidate for the second procedure. After the first procedure my pain was anywhere from 0 and 5. Dr. Patel explained to me at follow-up that I was not a good candidate for the second procedure due to my pain level being above the 0 to 3 level. After talking for a while I said “any relief would be better than the pain I had been having.” With this it was agreed that I would have the second procedure. It has now been 6 days since the procedure and I am without any pain.
I realize this is only a few days of not being able to sleep, with a pillow between my knee or under my leg at night. I know the pain may come back at anytime but until then it has been well worthwhile. I hope it will last 6 months, if not, I will have the procedure again after 6 months.
Thank you Drs. Patel and Tanous.
Outstanding Physicians. I’ve had two surgeries here, one on my foot with Dr. Bacon, and an extensive back surgery with Dr. Cubbage. I’m new to the area and my wife found me these surgeons. I have to say that each surgery I’ve had with these physicians have had excellent results. I was very pleased with my foot surgery and decided to see Dr. Cubbage for my back. Other surgeons I’ve seen regarding my back only gave me a 50/50 success rate. I have to say, the low back surgery with Dr. Cubbage was like a miracle. Right away, I noticed a difference and I’ve continued to improve rapidly. I’m almost eight weeks out and I haven’t felt this good in years. I’d like to thank Dr. Stacy Bacon for my foot surgery and Dr. Matthew Cubbage for my low back surgery. Without these drastic results, I’d not be walking today. Thank you all very much and I highly recommend your services. God bless you all.
Dr. David R. Mack replaced my right hip in June 2009, and my left in October 2010. I am already able to go places and do things on my own again. His excellent staff are very caring and helpful throughout the entire process, including recovery. The out-patient therapy is the best. I am walking very well now and am very pleased to have my life back. Thank you so much Dr. Mack and your great staff! Sincerely,
Dr. Bacon, I can never thank you enough for what you have done for me and for my daughter, Melia. In 2011, on the first anniversary of my surgery, my wife and I walked for two hours on Copacabana beach in Rio. I also completed a four hour nature walk over rough terrain in The Falklands and hiked to del Fin del Terre at the tip of South America. You are truly a great doctor, and I thank God every day for you and for Dr. Fogarty who recommended you for Melia’s surgery.
When I started, I couldn’t put any weight on my right leg and now I can do virtually anything. While I hope to not need future therapy, this is without a doubt the place I will return to in the future.
It has been eight weeks since my partial knee replacement and now I realized just how much I was missing. Having it done has made such a difference to my life. For a start my leg is now straight and my knees actually touch! I have started walking and even plan to ride my bike. The most thrilling part is that I am playing and dancing with my grandchildren again.