October 4, 2019

What is deep vein thrombosis?

Diseases and Conditions | Hip | Knee | Total Joint Replacement

When there’s a blood clot in a vein deep in the body, it’s called deep vein thrombosis (DVT). Deep veins are found in muscles. DVT is caused by vein damage or blood flow problems within the vein.

You are more at risk of developing DVT if you experienced a lower body injury or surgery. Typically, surgeries that put you at risk are in the hips or legs, such as total knee or total hip replacement.

Deep vein thrombosis causes

There are other risk factors that put you at an increased risk of blood clots, including:

  • Pregnancy
  • Genetic disorders that cause blood clots
  • Aging
  • Smoking
  • Cancer
  • The use of birth control pills or hormones
  • Vein diseases, including varicose veins
  • Family or personal experience of a pulmonary embolism or DVT

If the clot remains in place, it can hurt the vein’s valves. If the clot does not remain in place, it can enter the bloodstream, which can cause a pulmonary embolism, if it cuts off blood to the lungs.

What are the warning signs of deep vein thrombosis?

Blood clots are the cause of deep vein thrombosis symptoms, which includes:

  • Leg pain, swelling, cramps and sores
  • Bulging veins
  • Skin discoloration and warmth
  • Thickening or tough veins, known as a cord
  • It is common to not have any symptoms

What are the first signs of DVT?

A pulmonary embolism can be the first signs of deep vein thrombosis. Signs of a pulmonary embolism are:

  • Chest pain
  • Coughing and experiencing shortness of breath
  • Coughing up blood

Deep vein thrombosis test

  1. A duplex ultrasound: This is the most common test for DVT. It creates images of the blood vessels and blood flow.
  2. MRI scan: This scan can pinpoint clots and shows veins and blood vessels but is not used frequently.
  3. Venography: Contrast is injected in a vein to show whether or not there are clots. This process is more invasive and less frequently used.

Deep vein thrombosis treatment

Because it is common to not have symptoms of DVT, there are ways to go about deep vein thrombosis prevention. Your doctor will use prevention therapies to prevent DVT if you are having lower body surgery. Prevention includes:

  • Exercise and physical therapy after surgery
  • Compression devices
  • Anticoagulants (blood thinners)

If you have DVT, it usually develops two to 10 days after surgery and the risk remains for three months. Treatment will aim to stop the growth of the clot, stop the clot from escaping into the bloodstream and reduce the risk of another clot forming.

Anticoagulants can help achieve these goals by thinning the blood, which helps to ensure other clots don’t form and while getting rid of preexisting clots.

Surgery is used if the anticoagulants aren’t effective or if you are unable to take anticoagulants. In this case, a vena cava filter is placed in the vein to your heart to stop clots from reaching the lungs.

Learn more about the services offered at OrthoIndy. 

Schedule an appointment 

Your well-being is important to us. Click the button below or call us to schedule an appointment with one of our orthopedic specialists. If your injury or condition is recent, you can walk right into one of our OrthoIndy Urgent Care locations for immediate care. For rehabilitation and physical therapy, no referral is needed to see one of our physical therapists

Schedule an Appointment Call OrthoIndy 317.802.2000
Julia Steele

By Julia Steele

Julia was the 2019 summer marketing intern at OrthoIndy. Julia is working on a bachelor’s degree in public relations, a minor in communication studies, and a concentration in media analytics at Ball State University. Julia will graduate May 2020.

Related Posts

More from OrthoIndy

Runner undergoes knee replacement surgery

Runner undergoes knee replacement surgery

Peggy Kiser started running in the 1960s, before running was common for young women. Now in her 70s, Peggy’s knee began to show symptoms of arthritis.


What are the signs and symptoms of a hip flexor strain?

What are the signs and symptoms of a hip flexor strain?

Your hip flexors connect the top of your thigh bone (femur) to your lower back, hips and groin. Hip flexor strains are caused by overusing the muscles and tendons in your hip flexors too much.


What are bone spurs in the hip?

What are bone spurs in the hip?

Osteoarthritis is caused by long term wear and tear on your joint and usually occurs in older adults. This can cause little bony projections to form on your bones to protect your weak joint called bone spurs.


Get stories and News in your inbox

Subscribe to our weekly articles