Deep Vein Thrombosis (DVT)

Deep Vein Thrombosis (DVT) is a medical condition that occurs when a blood clot forms in a deep vein, typically in the legs. The clot can block the flow of blood, causing swelling, pain, and other symptoms.

What is DVT?

DVT is a type of venous thromboembolism (VTE), which refers to the formation of a blood clot in a vein. It usually occurs in the deep veins of the legs, such as the femoral or popliteal veins, but can also occur in the arms or other parts of the body.

Symptoms of DVT

The symptoms of DVT may include:

  • Pain or tenderness in the affected leg, which may feel warm to the touch
  • Swelling of the leg or arm, which may be red or discolored
  • Difficulty walking or moving the affected limb
  • Weakness or fatigue in the affected limb
  • Low-grade fever
  • Redness or discoloration of the skin over the affected area

Risk Factors for DVT

Certain factors can increase a person's risk of developing DVT, including:

  • Age: DVT is more common in people over 40 years old
  • Family history: Having a family history of DVT or blood clots
  • Obesity: Being overweight or obese can increase the risk of DVT
  • Surgery: Recent surgery, especially orthopedic or abdominal surgery
  • Immobility: Prolonged bed rest or immobility, such as during a long flight or car ride
  • Cancer: Having cancer can increase the risk of DVT
  • Pregnancy: Pregnancy can increase the risk of DVT due to increased blood clotting and pressure on the veins
  • Smoking: Smoking can damage the blood vessels and increase the risk of DVT

Treatments for DVT

The goal of treatment for DVT is to prevent the clot from getting bigger, to prevent it from breaking loose and traveling to the lungs (pulmonary embolism), and to reduce the risk of another clot forming. Treatment options may include:

  • Anticoagulant medications: Such as heparin or warfarin, which thin the blood and prevent further clotting
  • Thrombolytic therapy: Medications that dissolve the clot, such as tissue plasminogen activator (tPA)
  • Compression stockings: To help reduce swelling and improve circulation
  • Elevation: Elevating the affected limb above the level of the heart to reduce swelling
  • Surgery: In some cases, surgery may be necessary to remove the clot or repair damaged veins
  • Filter placement: A filter may be placed in the inferior vena cava (the main vein that carries blood from the legs back to the heart) to prevent the clot from breaking loose and traveling to the lungs

Complications of DVT

If left untreated, DVT can lead to serious complications, including:

  • Pulmonary embolism: The clot breaks loose and travels to the lungs, which can be life-threatening
  • Post-thrombotic syndrome (PTS): A condition that occurs when the valves in the veins are damaged, leading to chronic swelling, pain, and skin changes
  • Recurrent DVT: The risk of developing another clot is higher in people who have had a previous DVT

Prevention of DVT

To reduce the risk of developing DVT, it's essential to:

  • Stay active and mobile, especially during long trips or periods of immobility
  • Wear compression stockings if recommended by a doctor
  • Avoid smoking and maintain a healthy weight
  • Get regular exercise and stretch regularly
  • Stay hydrated and avoid dehydration

Article last updated on: 11th April 2025.
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