Deep Vein Thrombosis: What It Is, How to Spot It, and How to Stop It
Deep vein thrombosis, or DVT, is a clot that forms in the deep veins of your legs or pelvis. When a clot blocks blood flow, you can feel pain, swelling, or a warm spot on the leg. If the clot breaks loose, it can travel to the lungs and cause a pulmonary embolism – a life‑threatening emergency. Knowing the signs early can save you from serious complications.
Common Symptoms and Red Flags
Most people notice a few tell‑tale signs:
- Leg pain or cramping that feels like a deep ache, not just a sore muscle.
- Swelling in the calf or thigh, often on one side only.
- Warmth and redness over the affected area.
- Visible vein bulges that look like a rope under the skin.
If any of these show up after a long flight, surgery, or a period of inactivity, call your doctor. A quick ultrasound can confirm if a clot is present.
Why Clots Form – The Main Risk Factors
Clots don’t just appear out of nowhere. Here are the biggest contributors:
- Immobility: Sitting for hours (plane rides, road trips, desk work) slows blood flow.
- Medical conditions: Cancer, heart failure, or clot‑ting disorders increase risk.
- Medications: Hormone therapy, some chemotherapy drugs, and certain birth control pills.
- Recent surgery or injury: Especially to the hips, knees, or pelvis.
- Family history: If a close relative had DVT, you’re more likely to develop one.
Even if you’re healthy, long periods of sitting can trigger a clot. Simple tricks like standing up every hour or doing ankle pumps can keep blood moving.
How Doctors Treat DVT
The goal of treatment is two‑fold: dissolve the current clot and prevent new ones. Most doctors start with anticoagulants – blood thinners that stop the clot from growing. Common choices include:
- Apixaban (Eliquis): A direct oral anticoagulant taken twice a day.
- Rivaroxaban (Xarelto): Once‑daily pill, good for short‑term use.
- Warfarin (Coumadin): Requires regular blood tests but is cheap.
In severe cases, doctors may use a clot‑busting drug (thrombolysis) or insert a filter in the vena cava to catch clots before they reach the lungs.
Everyday Steps to Prevent DVT
Prevention is easier than treatment. Try these habits:
- Stay mobile – walk around the cabin or office every hour.
- Wear compression socks on long trips or if you have a known risk.
- Hydrate – drink water, avoid alcohol that dehydrates you.
- Exercise regularly – even a short daily walk boosts circulation.
- Talk to your doctor about prophylactic anticoagulants if you’re having major surgery or a high‑risk pregnancy.
Most people recover fully when DVT is caught early and treated correctly. If you notice any symptoms, don’t wait – get checked out. Understanding the warning signs, knowing your risk factors, and taking simple preventive actions can keep you clot‑free and healthy.