ProAling Therapy Center

𝘿𝙚𝙚𝙥 𝙑𝙚𝙞𝙣 𝙏𝙝𝙧𝙤𝙢𝙗𝙤𝙨𝙞𝙨 (DVT)

Deep Vein Thrombosis (DVT) refers to the formation of a blood clot (thrombus) within a deep vein, most commonly in the lower extremities (legs, thighs, or pelvis). It is a potentially serious condition as the clot may dislodge and lead to pulmonary embolism (PE).

𝙀𝙩𝙞𝙤𝙡𝙤𝙜𝙮 (𝘾𝙖𝙪𝙨𝙚𝙨)
DVT commonly occurs due to Virchow’s Triad:

-Venous stasis – e.g., immobility, prolonged bed rest, long flights/travel
-Endothelial injury – e.g., surgery, trauma, inflammation
-Hypercoagulability – e.g., genetic clotting disorders, pregnancy, malignancy, hormone therapy

𝙍𝙞𝙨𝙠 𝙁𝙖𝙘𝙩𝙤𝙧𝙨
-Surgery (especially orthopedic or pelvic)
-Prolonged immobilization
-Pregnancy and postpartum period
-Oral contraceptives or hormone replacement therapy
-Cancer
-Obesity
-Smoking
-Age > 60
-Previous history of DVT or PE
-Inherited thrombophilias (e.g., Factor V Leiden)

𝙋𝙖𝙩𝙝𝙤𝙥𝙝𝙮𝙨𝙞𝙤𝙡𝙤𝙜𝙮
-Blood flow slows or becomes turbulent (venous stasis)
-Injury to the endothelium initiates platelet aggregation and clotting cascade
-A thrombus forms, obstructing venous return
-Risk of thrombus dislodging and migrating to lungs (PE)

𝘾𝙡𝙞𝙣𝙞𝙘𝙖𝙡 𝙁𝙚𝙖𝙩𝙪𝙧𝙚𝙨
-Unilateral leg swelling (calf or thigh)
-Pain or tenderness in the affected limb (especially on palpation)
-Redness and warmth over the area
-Dilated superficial veins
-Positive Homan’s sign (pain in calf with dorsiflexion of the foot) – not specific
-Often asymptomatic in early stages

𝙄𝙣𝙫𝙚𝙨𝙩𝙞𝙜𝙖𝙩𝙞𝙤𝙣𝙨
1) D-Dimer Test
-Elevated in DVT but non-specific
2) Doppler Ultrasonography (Venous Duplex Scan)
-Most common diagnostic test
3) Venography (Contrast X-ray)
-Gold standard, but rarely used now
4) Blood coagulation profile – To detect clotting disorders
5) CT Pulmonary Angiogram (CTPA) – If PE is suspected

𝘾𝙤𝙢𝙥𝙡𝙞𝙘𝙖𝙩𝙞𝙤𝙣𝙨
•Pulmonary Embolism (PE) – Life-threatening condition
•Post-thrombotic syndrome (PTS) – Chronic pain, swelling, skin changes
•Chronic venous insufficiency
•Recurrent DVT

𝙈𝙖𝙣𝙖𝙜𝙚𝙢𝙚𝙣𝙩
•Medical
1) Anticoagulation: Heparin, Low Molecular Weight Heparin (LMWH), Warfarin, DOACs (Apixaban, Rivaroxaban)
2) Thrombolytic therapy (in severe cases)
3) Inferior Vena Cava (IVC) filter – If anticoagulation is contraindicated

•Surgical
1) Thrombectomy – Rarely performed, in severe cases

𝙋𝙝𝙮𝙨𝙞𝙤𝙩𝙝𝙚𝙧𝙖𝙥𝙮 𝙍𝙤𝙡𝙚 𝙞𝙣 𝘿𝙑𝙏
⚠ Contraindicated: Mobilization or massage in acute undiagnosed DVT phase due to risk of embolization

𝙊𝙣𝙘𝙚 𝘿𝙑𝙏 𝙞𝙨 𝙙𝙞𝙖𝙜𝙣𝙤𝙨𝙚𝙙 𝙖𝙣𝙙 𝙖𝙣𝙩𝙞𝙘𝙤𝙖𝙜𝙪𝙡𝙖𝙩𝙞𝙤𝙣 𝙞𝙨 𝙨𝙩𝙖𝙧𝙩𝙚𝙙 (𝙖𝙛𝙩𝙚𝙧 24-48 𝙝𝙧𝙨):

1)Early Mobilization (when safe)
-Enhances venous return and prevents complications
2) Graduated Compression Stockings
-Prevents PTS and reduces swelling
3) Limb Elevation
-Reduces edema
4) Breathing Exercises
-Prevents PE and improves lung perfusion
5) Ankle Pumping and ROM exercises
-Enhances circulation in immobilized patients
6) Education
-Avoid prolonged immobility
-Encourage hydration
-Lifestyle changes: exercise, smoking cessation

𝙋𝙧𝙚𝙫𝙚𝙣𝙩𝙞𝙤𝙣
-Early ambulation post-surgery
-Use of compression stockings or intermittent pneumatic compression (IPC) devices
-Anticoagulant prophylaxis in high-risk individuals
-Leg exercises during long travel
-Avoiding dehydration

𝙆𝙚𝙮 𝙋𝙤𝙞𝙣𝙩𝙨
-DVT is a medical emergency with risk of pulmonary embolism
-Prompt diagnosis and appropriate anticoagulation are critical
-Physiotherapists must screen carefully before initiating mobilization
-Patient education is essential in both prevention and rehabilitation...

Stretching Exercises

🌿 ProAlign Physiotherapy Clinic
Your Path to Recovery & Wellness

At ProAlign Physiotherapy Clinic, we offer personalized, evidence-based care to help you live pain-free and regain your full potential. Our team specializes in:

✅ Musculoskeletal Rehabilitation (Joint & Muscle Pain)
✅ Neurological Therapy (Stroke, Paralysis, Balance Issues)
✅ Pediatric Physiotherapy (Child Developmental Delay)
✅ Sports Injury Management
✅ Pain Management (Back, Neck, Shoulder Pain)
✅ Cardiopulmonary Rehab (Post-COVID, Heart Conditions)
✅ Home Visit Sessions Available

We believe in healing through manual therapy, exercises, education, and compassionate care tailored to your goals. Let us help you restore movement and improve quality of life.

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