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Suggest treatment for multiple DVT and blocked veins

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Posted on Fri, 18 Jul 2014
Question: This is for friend w Factor V Leiden disorder. Multiply DVT in legs. 1 pulmonary embolism. 2 mild strokes on INR goes weekly monitor. She went for SSA hearing and judge couldn't understand why she on pain management due to swelling and nerve pain in legs because each time clots were dissolved. I gave heard this alot. Perm nerve pain

She gave SSA letter from her treating PA about DVT PVD PAD and nerve pain a swelling. Isn't this common when leg is huge waiting for clot dissolve can get perm nerve damage?
doctor
Answered by Dr. Chakravarthy Mazumdar (11 hours later)
Brief Answer:
Electroneurogram is required

Detailed Answer:
Hi,

If there are multiple DVT and the clots have blocked the veins, there is intense oozing of the plasma into the neighboring tissue. The lymphs have to drain this fluid. The fluid is so largely accumulated that the lymphatics would not be able to carry it. There is inflammation, swelling and pain that sets. There is less space for the muscles to swelling leading to compression of the constituents in the compartment.

The nerves are part of this compartment and would be damaged as well. However it is imperative to test if they were already permanent damage with ENG test.

The treatment is a step wise approach without compromsiing the circulation to the legs.

I suggest to meet a vascular surgeon.
Above answer was peer-reviewed by : Dr. Aparna Kohli
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Follow up: Dr. Chakravarthy Mazumdar (11 hours later)
Is this sometimes called Compartment Syndrome"
doctor
Answered by Dr. Chakravarthy Mazumdar (9 hours later)
Brief Answer:
Sounds similar

Detailed Answer:
Your description sounds similar. In compartment syndrome the nerve slowly loses the blood supply and suffers irreversible damage.
Above answer was peer-reviewed by : Dr. Aparna Kohli
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Answered by
Dr.
Dr. Chakravarthy Mazumdar

General & Family Physician

Practicing since :2004

Answered : 1779 Questions

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Suggest treatment for multiple DVT and blocked veins

Brief Answer: Electroneurogram is required Detailed Answer: Hi, If there are multiple DVT and the clots have blocked the veins, there is intense oozing of the plasma into the neighboring tissue. The lymphs have to drain this fluid. The fluid is so largely accumulated that the lymphatics would not be able to carry it. There is inflammation, swelling and pain that sets. There is less space for the muscles to swelling leading to compression of the constituents in the compartment. The nerves are part of this compartment and would be damaged as well. However it is imperative to test if they were already permanent damage with ENG test. The treatment is a step wise approach without compromsiing the circulation to the legs. I suggest to meet a vascular surgeon.