Never heard that one should take the compression stockings when trainng. I would say that it is especially useful to wear these when training. The thing is that during exercise, especially when getting hot, I would think that the veins get a bit wider and therefore it would be useful to have the stockings. This is my opinion, but I would say this is a question of trial and error, i.e. try to train with and without stockings and see what happens. If you can train without stockings, then that would be ideal. If the symptoms worsen without the stockings, try training with the stockings see what happens.

It may have something to do with the procedure you had plus the clots, but I'm not sure. Doctors aren't all in agreement about stockings, even whether to wear them at all.

My experience with stockings are sometimes they are helpful and sometimes more an annoyance than helpful. I used to do zumba and stuff like that and honestly, the constant impact hurt for a long time whether I wore stockings or not and the sweating while doing that caused a lot of chafing from the stockings. So part of me is inclined to agree with your doc but I also agree that you kind of have to experiment. The bigger thing with stockings to me is ensuring you have a pair that fits you right.

I have been measured, so I know they are the right fit. But when I take them off it is painful. Probably because then all the blood can flow back through the veins. I think I will try eventually to do Zumba without the stockings. But I'm not sure I'm ready yet. I actually found out I have 2 deep veins in my calf that were clotted because of Scleratherapy, not one. The clots are the entire length of my calf. And the intended target veins (the superficial veins) were untouched. I cannot figure out how this happened since the doctor is supposed to be able to see what they're doing because it is guided with ultrasound. And I keep praying, because I think I need a miracle from God to get these veins to reopen and heal especially since they were sealed by the Scleratherapy agent which is meant to kill and seal the veins. Please pray for me

I have no idea why you got DVT after the sclerotherapy, but I googled this: https://www.realself.com/question/people-experience-blood-clots-sclerotherapy
However, I would like to point out that in contrast to the thigh, there are luckily lots of veins to bring up the blood in the calf and these are generally duplicated. These are anterior and posterial tibial and peronal veins plus some superficial veins. So even though if 2 or more veins get clotted, the blood can be transported up the other veins, and thus the symptoms may not be that large (including svelling). All this blood is then transported through the popliteal vein (located behind the knee), i.e. all the blood from around 6 deep veins is channeleld to a single pipeline. A clot in the Popliteal or the veins above, is thus generally more serious than in the calf.
However, every case is different, and some distal (below knee) DVT´s can cause bad symptoms.
In your case, what are these clotted veins?
Do you still have these clots? When was the last ultrasound?
Generally it takes about 3 months for clot to fully harden. However, they harden more quickly in smaller veins. Eventually, these clots are overgrown by scar tissue and become part of the vein. In some cases these slow down the blood flow but in other cases not, it depends how much they occlude the vein.

Ok, to understand. Are you telling me that during the sclerotherapy they closed/sealed these two deep veins (i.e do not recieve any blood flow) but not the superficial ones, and becuase of lack of blood flow in the deep vessels, they clotted up? Is that correct understanding? If so, how could that happen?

I had my last ultrasound last Friday and they were the ones who told me it is 2 deep veins that are clotted the entire length of my calf. And yes the clots are still there. And yes it is from Scleratherapy. I know one of the clots is the Posterior Tibial vein, but I am not sure of the other one vein that's clotted. Because the doctor that did the Scleratherapy never told me it was two veins involved..just the Posterior Tibial. I will ask the new doctor which other vein is clotted at my appt this Friday. And what I meant is the Scleratherapy went the wrong direction altogether closing 2 deep veins and leaving the two superficial veins that it should have closed open. It doesn't make sense to me..

Considering the extent of your clotting, it is a shame that you weren't on anticoagulants earlier as you might be having fewer issues now. It IS possible that you were originally only clotted in one vein, but that you clotted in the other one due to not being on the medication. Hard to say for sure without comparing your scans from different times.

I agree with the others... stockings can be a case of trial and error. If they help, you wear them; if they don't help (or make things worse), don't wear them. You may find that they're helpful in some situations and not in others. I wore mine for about five weeks and then gave them up because they were more uncomfortable than helpful.

As for six-week-old clots being chronic, IMHO, that's ridiculous. I don't think you can really start to *maybe* consider clots as possibly chronic until after about six months—or the length of your treatment. After my first DVT, I had a chronic clot that was still there when I got my second DVT four years later. I assumed at that point that I'd have the chronic clot forever, However, I had another ultrasound around nine years out, and the chronic clot had completely disappeared. Just a little residual scarring on the vein wall and that is it. So, you have TONS of time for your clot to resolve.

Note that the meds don't dissolve the clot... all they do is stop it from growing and stop new clots from forming. AND, they give your body a chance to start dissolving the clot itself. Since you just started the meds, your body is just now getting a chance to get rid of the clot--so it really is way too soon to see where you might wind up. But, I wouldn't consider your clots anywhere near "chronic" at this point.

Was your procedure done at a vein clinic or at a hospital/doctor's office. It just sounds like your first doctor was such a hack. Makes me angry for you. Was he a vascular surgeon or just a regular doc? I know that's sometimes a problem if you see someone at these stand alone clinics where the docs may have taken like a two day course to get certified to do these types of procedures.

It was at a vein clinic, but there are some things I am definitely unhappy about. The doctor that did the procedure is a Vascular Surgeon:/
Thank you for your responses they are definitely helpful and give me some hope.

Incidence of DVT after sclerotherapy is rare. Most likely it happens due to some human error, e.g. wrong concentration of the liquid or the foam that was inserted to the vein...took this from one of the paper: "Most of the time, these reactions are related to an excessive dosage and are therefore closer to inappropriate use" (from one of the papers that I attach below).. It was strange that the superficial veins that should have been targeted are still open. With regard to the two veins, it is possible that tvo of the posterior tibial veins are clotted. http://www.ncbi.nlm.nih.gov/pubmed/26992580 http://onlinelibrary.wiley.com/doi/10.1111/j.1524-4725.2009.01409.x/full

So I went for another ultrasound and doctors visit today and 2 of my deep veins in my calf are clotted, (from Scleratherapy) 2 of the deep veins are leaking (probably from stretching because of the excess blood flow) and 2 are functioning properly. She said that I have to wear compression stockings the rest of my life. She said once the valves are damaged in a vein, they cannot repair themselves. However, I am a firm believer in God and I don't want to believe that! I think also there must be something out there that can help me heal all this. If you have any ideas, any at all, herbs, supplements, medicine, food. Please let me know.

Do you know which veins are clotted? Did you get the ultrasound report? When did you clot? There is n one that can say with such certainty that you need compression stockings rest of your life. It is simply impossible to say, and I find it unlikely as you have distal DVT. It may well be that you will fully recover and while you may never have to use compression stockings in the future. Also, it is very difficult to know if the vein valves are damaged or not based on ultrasound alone. In addition to the large number of veins in the calf, these have high number of valve pairs, often 3-4 valve vein pairs per vein. In contrast there are only 1-2 valve pairs in the Popliteal and the veins above (femoral etc) have fewer valve veins per unit area compared to the calf. Also, even though the vein is clotted,it does not necessarily mean that the valve vein is destroyed. Generally, when the vein is clotted, the clot is not evenly distributed, i.e. in the clotted veins, there are gaps with no clots. If the clot is lying exactly where the valve is, then it may damage it (e.g. making it wider). However, if the clot is laying just above or below the valve, it may not be affected at all. Finally, if the clot is lying exactly on the valve, it needs to be there for reasonably long time to cause damage. if it is there for one week it will be unlikely to cause damage. If it is there for 3 months, it is likely it cases damage. To check out the state of the valves, it is possible to undergo venogram where a coloured dye is inserted and the amount of reflux checked out. It is tus impossible to say, just like that based on a ultrasound, that your valves are damaged. In addition, this is inaccurate, as to provide reliable info, the number of damaged valves need to be known. . I mean, if all the valves were damaged in the calf, you would have to be hospitalised with your legs raised.
In your case, I would wait and see if the body does not manage to break down the clot with time and see if symptoms improve. Use compression stocking if you feel that it improves symptoms. If there is no improvement after 3-6 months, then it could be good idea to have another ultrasound.

Thank you for responding! Both of my Posterior Tibial veins are clotted from just below the knee to the ankle. And it is coming up to 2 months that they have been clotted. And the doctor said based on the ultrasound 2 of the other deep veins are leaking in my calf. I think she said Popiteal vein is leaking due to having to expand because it is taking on more blood flow. I don't have the ultrasound report. I could ask for it. It is just very frustrating because I want to heal! I have only been on Xarelto for a week. So I am praying that it is still going to happen!

Or maybe she said it is the Peroneal veins that are leaking? Not sure, but I know she said 2 veins in my calf are leaking.

Ok, so its Peroneal and Posterior tibial veins are thus most likley clotted. These veins get most frequently clotted during a DVT (whether below knee or when it extends above knee). These veins were clotted in my case (plus the veins up the leg). Anterior tibial veins rarely clots so they should transport most of the blood (plus lots of other smaller vessels) and because they transport more blood may expand a bit. If you look the supierficial veins, do these bulge? They often do after DVT as they are transporting more blood. Now, as two months have passed, the clots can still dissolve further. The rate of clot breakdown (vein recanalisation) slows down after 3 months.
To clarify further. How do you know that you clotted two months ago? Were these discovered with an ultrasound two months ago? If the clots were discovered two months ago and you did not recieve anticoagulation until recently, then that is a very strange treatment. Some doctors do not give any anticoagulaiton to distal DVT, but one does that the risk is that the clots propagates to the upper leg, which can be dangerous. So, to fabulate, it looks to me that incorrectly done sclerotherapy caused clotting of the deeper veins, but also lack of anticoagualtion may have further caued further clotting (provided if I understood you correctly) I. Perhaps some shouting at your doctors would be recommended.