By the way. What are your symptoms? Do you get swelling, redness, pain or any other symptoms when you are not in the compression stockings?

Yeah, I agree! The 2 posterior tibial veins clotted during Scleratherapy, which was discovered at the 1 week post op visit. And now the Peroneal veins are leaking. Yes, some of the superficial veins are bulging. And it has not quite been 2 months. The original doctor that did the Scleratherapy and gave me the clots only put me on an aspirin regimen for the first 6 weeks. He was confident that the clots wouldn't spread. He was also pretty confident that they would be chronic and not dissolve. Of course now after seeing a different Vascular Surgeon, I am on Xarelto. So do you think these clots can still resolve?

Yeah, I am very upset with the doctor!! He acted like it was no big deal. The 2 posterior Tibial veins are clotted from the Scleratherapy. This was discovered at the 1 week post op ultrasound. The original doctor who gave me the clots treated me with 6 weeks of aspirin therapy. He was confident that the clots wouldn't spread and he was also pretty confident they wouldn't dissolve. Now the new doctor says the 2 Peoneal veins are leaking. I really hope that these clots can resolve and I have minimal damage. Still praying!

Yeah, I have pain with and without the stockings. And I have swelling even with the stockings especially if I'm on my feet a lot or after exercise. I rarely go without them. So it's hard to say exactly what would happen. But I sleep without the stockings and I don't have swelling in the morning.

Your pain and swelling sounds pretty normal at this point, chronic clot or not. It just takes a while to heal.

Hi LissaB Apologies for delayed reply. Few issues here.
1) There is no strong evidence that Aspirin is helpful to stop further clotting after DVT. There are some studies that sugegst that it may be effective while other studies do not. Overall, it has much weaker anticoagulant effect comapred to xarelto
2) There is weak or no evidence that aspirin can avoid prevention of clotting. it may offer some protection, but it is minor.
3) I think the clots could dissolve more. However, as I said previously, the longer time elapses, the rate of clot lysis (rate of breakdown of clots) will gradually get slower. It will be impossible to say whether all the clots will break down or not. Naturally, if you would have been treated with xarelto rather than Aspirin, it is likely that the clots would have been smaller now.

4) The main thing is wehther these clots are causing symptoms or not. In your case, you get symptoms even though you are using the compression stockings. With time, these symptoms should hopefully decrease . Unfortunately, no one can say how the situation will be in 6 months. However, if these residual clots are causing the symptoms, then it is possible in many cases to remove them, even though they are hardened.

Just to rephrase bullet point four above, if you still have symptoms after few months and if this can be related to the presence of the residual clots , then it is possible in many cases to remove them, even though they have fully hardened.

How can they remove them? They told me no one would touch them. Too risky, etc.

I am still holding onto my faith in God for healing.

5) Final point. When you have finished the anticoagualtion treeatment you may to want to undergo a analysis of the blood for the clotting factors. The thing is that many patients, for which their calf veins clot during e.g. operation, resolve when the patient becomes mobile with any anticoagulaiton. Basically, when the patients start to walk about, the contraction of the calf is constantly pushing the blood up the veins and any clots that are there are broken down naturally. Clotting in the calf is common, but only small proportion do actually cause DVT's, i.e. these are not discovered as these do not cause any trouble. In some cases they cause symptoms, and in some cases they reach to the thigh.
Some people have a genetic mutation that makes the lysis/breakdown of clots slower. It is just that after 2 months for a fully mobile person, one would expect that the rate of clot breakdown in the calf veins to be faster. In the bigger veins in the thigh, the recanalisation rate is slower. Whether to undergo such analysis of the blood is something to think about in the future. Alternatively, it is possible that the sclerotherapy went so wrong, and did such damage, that it is causing this slow recanalisation rate. Again, these are just specualtions. I think you need to discuss these issues with your doctors. (Please note that Im not a doctor, but I have been reading extensively on this matter after my DVT which was caused due to doctor´s error during treatment).

Mark Garcia at Chrisianacare has lots of experience of removing such clots, although, but if my memory does not fail me, then I heard that he is not there anymore. However, this is a last resort emasure. The best option now is to wait and see if your body can break down these clots naturally. However, if this becomes an option, you could asked them at Chrisiana care. http://news.christianacare.org/2012/03/christiana-care-health-systems-mark-garcia-m-d-identifies-successful-treatments-for-chronic-deep-vein-thrombosis/

There are several ways to remove clots. The conventional thrombolysis methods that are used are very risky and only in emergency situations. It involves pumping large amount of fluid (enzymes) into the body to break down the clots. however, this is only effective in the first few weeks, before the cltos have hardened. However, there ar eother methods that can be done, including using some safer thromolysis methods that can be used, even on harder clots, e.g catheter and ultrasound. Anyway, this is something to think about if the residual clots cause problems. bes to let the body do its job for few months and evaluate the situation e.g. after 6 months.

Ok, thanks for the information. I am not sure what he used for the Scleratherapy solution because their office still hasn't sent my records to my new doctor's office after multiple requests.

Ok, perhaps they are reluctant to provide information regarding the dosage of the sclerotherapy solution in case they have done some mistake with to large dosage. If the dosage is too large and incorrectly administered, it is possible it can go to other veins than it was supposed to go, e.g. to deeper veins which then clot and vein innings will stick together. For some reason, the superficial veins in your case did not close as intended with this therapy, and thus it is difficult to know what really happened. If you receive the info on the dosage, I think it would be useful to ask a specialist to make an independent assessment of the sclerotherapy treatment you underwent.