IPHREHAB : DEEP VEIN THROMBOSIS

IPHREHAB

DEEP VEIN THROMBOSIS

DEFINITION

It is characterized by formation of clots in deep veins of body

It is more common in lower limbs and thighs

It is dangerous condition- clot can detach and lead to pulmonary embolism

Early detection is must to prevent this complication 

PREVELANCE : 

• IT IS VERY COMMON CONDITION
• SECOND MOST COMMON CAUSE  OF VASCULAR PROBLEM
• IN USA  600,000 CASES ARE DIAGNOSED EVERY YEAR
• ONE IN 100 DIES OF PULMONARY EMBOLISM
• IT IS COMMON AFTER 60 YEARS

PERSONS AT RISK

• THE ELDERLY
• DIABETICS
• HAVING BLOOD DISEASES
• WOMEN ON ORAL CONTRACEPTIVES-Oesterogens
• HISTORY OF PREVIOUS THROMBOSIS
• MAJOR SURGERY

• HOSPITALIZED PATIENTS
• PERSONS ON PROLONGED BED REST (Persons confined to bed)
• IMMOBILISED PERSONS –Fracture Neck femur
• PASSENGERS ON LONG INTERNATIONAL FLIGHTS-(Economy Class Syndrome

PERSONS AT RISK

• PARALYSED CASES
• CANCER PATIENTS
• PREGNANCY & CHILD BIRTH
• CONGESTIVE FAILURE
• CIRCULATORY PROBLEMS

DEEP VEIN THROMBOSIS

CLINICAL PICTURE

Symptoms

1. Discoloration of the legs 
2. Calf or leg pain or tenderness 
3. Swelling or Oedema of the legs or both feet lo 
4. Warm skin 
5. Surface veins become more visible 
6. Leg fatigue
7. Pain worst on standing 

SIGNS

• PALPABLE THROMBOSED VEINS
• CALF TENDERNESS
• ECCHYMOSIS
• LIMBS ARE WARM
• CONSTITUTINAL SYMPTOMS
• PULMONARY EMBOLISM

Flight-related Deep Vein Thrombosis (DVT) 

• AN IMPORTANT ENTITY
• KNOWN AS “ECONOMY CLASS SUNDROME”
• SEEN IN PERSONS ON LONG DISTANCE TRAVEL
• OBESE,, OEDEMATOUS
• DEHYDRATED
• COAGULATION DISORDERS

MANAGEMENT  :

Preventive

• PHYSIOTHERAPY VERY EFFECTIVE
• STAND UP & WALK
• CALF MUSCLE EXERCISES
• LOT OF FLUIDS
• NO ALCOHOL
• NO SMOKING
• AVOID CROSS LEGS IN POSTURE
• WEAR LOOSE CLOTHING

MANAGEMENT

• REDUCE WEIGHT
• ELEVATE YOUR LEGS
• STOCKINGS
• ROLE OF ASPIRIN
• LOW DOSE HEPARIN
• WARFARIN