Deep Vein Thrombosis (DVT) Support Group
Deep-vein thrombosis, also known as deep-venous thrombosis or DVT, is the formation of a blood clot ("thrombus") in a deep vein. It can be caused by something preventing blood from circulating or clotting normally. Join the support group if you are coping with DVT and find others who are going through the same challenges.
7 wks post DVT/late onset PTS?
benglish3108
I am 7 weeks post percutaneous thrombectomy to remove blood clots extending from my groin (with a 100% blockage) all the way to my ankle. The procedure could not get rid of the clot in the groin so I continue to live with the clot. I am taking 5 mg of warfarin which was keeping me with an INR between 2-3 although the readings varied a good bit each time, but remained in the range up until the last couple of weeks where I've unexpectedly fallen just below 2 (1.8 on 9/11 and 1.7 on 9/19). Despite the remaining clot, I've done exceedingly well after the first 3 miserable and terrifying weeks and have only had problems with mild swelling and fatigue which has been completely tolerable and manageable. I had never been through this or known anyone to go through this, so I really didn't know what to expect. I found as I've now heard many stories that I'm quite lucky to have experienced little to no pain over the last 3-4 weeks and have been incredibly thankful for that. Unfortunately, today I began to suddenly experience some additional swelling, headaches and throbbing pain in my thigh which is bringing back a lot of the fear I had finally started to let go off over the past few weeks. With the clot still there and low INR, it's really beginning to get inside my head and bring back some anxiety. Although I'm fairly confident it's just some late onset PTS going on plus having a vena cava filter, the sudden return of pain is troubling. Has anyone else experienced something similar with delayed PTS?
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I'm curious when you were actually diagnosed. Was it seven weeks ago or was the diagnosis some time before the thrombectomy? I'm not sure, since you're talking about PTS, which is usually not diagnosed until quite a while (1-2 years usually, or longer) after the initial clot diagnosis.
A few things... first, recovery is never a straight line. You'll have some days that are worse than others in terms of symptoms and anxiety. It doesn't mean you've reclotted ... it can mean that you've just pushed yourself a little too hard. Have you been getting more active? That can cause the pain and swelling, too, as you get back to "real" life. It's also possible that the weather is changing and the changing pressures in the atmostphere are affecting your leg.
Me personally, with my first (and worst) DVT, I had aches and pains that came and went up until about two years out from diagnosis and I also had a chronic clot in that leg.
Also, in terms of chronic clotting (such as you have in your groin), I'll also say that there's no reason to assume that it'll never get any better. With my first clot, it was still there four years later when I got my second DVT.... so, I pretty much assumed that I would have it forever. However, I had an ultrasound earlier this year and my first DVT was almost completely gone. Some light scarring, they said, but otherwise it was gone. That was about nine years after my initial diagnosis. I was quite shocked, to say the least!
Hopefully, these new aches and pains will start to fade. I'd baby the leg for a couple of days (elevation and whatnot) and see if that helps. However, if you feel really concerned to the point where you're not sleeping at night, it might be worth it to check with your doc. It's very unlikely that you've clotted, but sometimes it is just reassuring to hear it from the experts.
Keep us posted on how you are doing!
I can't speak to the procedure you had, but I can say that what your describing, outside of the headache, seems very normal for a while after diagnosis. Sometimes pain and swelling restarts after initial diagnosis as you become more active.
I would check in with the doctor who did the procedure if it's concerning though, just to ease your mind.
I think your doctor mentioned PTS as something that *could* happen down the road, not something that is going on now. And, not everyone winds up dealing with PTS. I don't have PTS, despite waiting to go to the doctor until I could barely walk and years of having a chronic clot in my leg.
The swelling and pain you mention are pretty standard for recovery. It comes and goes for a while for most of us. When I say I had aches and pains for two years, I should clarify to say that beyond the first six months or so, it was intermittent and was not constant by any means. They'd show up if I was just pushing myself too hard. Or, if I exercised. Or sometimes, if I was just tired, I'd find myself limping just by default. (I still do this, actually, when I'm really tired. Although, I have no pain at all.)
It sounds like you're doing all the right stuff in caring for your leg. Compression stockings (my clot was right behind my knee... no way I'd do knee highs!), elevation, resting when you're able. To me, it sounds like you're just going through regular recovery. Definitely a jolt to to feel like you're going backward in recovery, but that's pretty standard too. Hope you start to see a return to where you were soon.
http://www.ncbi.nlm.nih.gov/pubmed/23546607