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What Causes Painful And Swollen Legs At Work Post Treatment For Bone Fracture?
My brother was in a motorcycle accident June 11th 2016. He broke a couple ribs, had stitches in great toe and chipped a bone in his neck. He was sent home after 2 days in the hospital but was readmitted the next day with a punctured lung. He was discharged July 25th I believe. His primary dr said he could return to work. He worked today and came home in severe pain, arms and legs swollen and barely able to walk. His follow up appointment is August 4th. Do you have any recommendations? He works doing asphalt and is on his feet all day raking or shoveling.
Tue, 30 Jul 2019
Hi,
Yes, it may be deep vein thrombosis or so-called DVT although this is not very likely. I mean that clot is formed inside the big leg vessel. So you need to do Doppler ultrasound to rule this. Vein thrombosis which is manifested with unilateral swelling of the leg, pain in calf and lividity of the skin.
Some conditions such as pregnancy, obesity and recent surgery may increase the risk of it. This may be serious if the blood clot travels to the heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases, it includes strict resting heparin infusions and aspirin. More invasive procedures are rarely required.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein, General Surgeon
Yes, it may be deep vein thrombosis or so-called DVT although this is not very likely. I mean that clot is formed inside the big leg vessel. So you need to do Doppler ultrasound to rule this. Vein thrombosis which is manifested with unilateral swelling of the leg, pain in calf and lividity of the skin.
Some conditions such as pregnancy, obesity and recent surgery may increase the risk of it. This may be serious if the blood clot travels to the heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases, it includes strict resting heparin infusions and aspirin. More invasive procedures are rarely required.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein, General Surgeon
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