Hi, I am 43 years old. I recently have an ankle arthroscopy to have some loose bodies removed. They ended up scraping an osteochondral defect in there while they were doing the scope. This means that I am 6 weeks non-load bearing. About 3 weeks after my surgery, I took a long car ride (13 hrs each way) to a soccer tournament. After the trip there, I woke up with pain in my calf. It hurt for a couple days. Right when I got back after the weekend, I called my surgeon, had an ultrasound, and they found a 5 in long clot in my peroneal vein in my calf (all below the knee). They sent me to the ER, prescribed Xarelto (15mg twice a day for 21 days and then 20mg a day for up to 3 months). I have been on that for 9 days now. My calf pain was like a moderate charlie horse and just stiff and tender. There was no redness, swelling, or local "heat". Now, the pain is pretty minimal, although I can still feel pressure and tightness at times and a little discomfort. I guess I have a few questions if anyone can help out:
1) . Does the risk of a PE go down the longer I am on the thinner (xarlelto)? After how many days the the risk drop significantly? I am trying to figure out when I can at least feel like the probabilities are "in my favor" a bit more.
2) . They recommended blood thinners for 3 months. Is there value in asking for another ultrasound at say 1 month and then 2 to see where the clot is at -- then ask to go off the thinner if the clot is gone or almost gone?
3) . What is the realistic danger of a clot in the calf below the knee in the peroneal vein? you see alot of doom and gloom online and the ER gave alot of doom and gloom too about the horrible tings that CAN happen -- guess I am just trying to figure out just how risky it really is for a healthy, fit, 43 year old guy?
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