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What Causes Achy Calves After A Rotator Cuff Surgery?

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Posted on Tue, 17 Mar 2015
Question: My husband is six days post op from rotator cuff surgery. He is having aching calves, and we are wondering what the chances are of post op blood clots in legs following the above surgery? He does not take blood thinners, but does take a B/P drug, losartan daily.
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Doppler Ultrasound, prophylaxis need depends on clinical assessment

Detailed Answer:
Hello and Welcome

I appreciate your concern

Incidence of DVTs in both upper and lower limbs are possibilities following rotator cuff surgery. The incidence is greater in the first three weeks. If there is associated prolonged immobilization, trauma involving compound fracture or invasive surgery involving arthroplasty then VTE (Venous Thromboembolism) prophylaxis via anticoagulation can be advised in the initial recovery period. However, in case of no such risk factors with minimally invasive arthroscopic surgery, anticoagulation may not be necessary as incidence is quite low in routine cases. On clinical exam if there is pain and swelling in calves, Doppler Ultrasound of lower limbs should be done to see for patency of the vessels.

Please consult your doctor before deciding on any further course of action

Let me know if you have any query

wishing you best of health

thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Causes Achy Calves After A Rotator Cuff Surgery?

Brief Answer: Doppler Ultrasound, prophylaxis need depends on clinical assessment Detailed Answer: Hello and Welcome I appreciate your concern Incidence of DVTs in both upper and lower limbs are possibilities following rotator cuff surgery. The incidence is greater in the first three weeks. If there is associated prolonged immobilization, trauma involving compound fracture or invasive surgery involving arthroplasty then VTE (Venous Thromboembolism) prophylaxis via anticoagulation can be advised in the initial recovery period. However, in case of no such risk factors with minimally invasive arthroscopic surgery, anticoagulation may not be necessary as incidence is quite low in routine cases. On clinical exam if there is pain and swelling in calves, Doppler Ultrasound of lower limbs should be done to see for patency of the vessels. Please consult your doctor before deciding on any further course of action Let me know if you have any query wishing you best of health thanks