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How Do I Know If I Have It?

Usually, the discomfort and appearance of the affected area is enough to tell a doctor that this condition is present. Taking the pulse and blood pressure also can help. But depending on the blood vessel involved, some of these symptoms may not be present and a doctor would have to order tests to determine whether this condition is causing problems.
Ultrasound uses sound waves and a computer to create images of

he affected area, to help doctors determine if a clot is present and blocking the blood flow. Veins with a healthy circulation look different than a vessel with thrombophlebitis.

But there are some spots in the leg that don't show up very well on ultrasound, especially the deep veins close to the knee. It can be difficult or impossible to tell if there are circulation problems present in these blind spots. Sometimes, a doctor might perform an older test called a venogram, where dye is injected into the foot and is directed into the affected vessel as the blood makes its way back to the heart. The dye will show up on X-ray, giving a contour picture of the inside of the vein. (The clots themselves don't show up, but a doctor will be able to tell how much dye is traveling through the leg and can note where flow stops to a trickle due to the clot.)

What Are the Treatments?

Treatment varies according to severity. When a superficial vessel is involved, for example, the condition may begin to get better in a week or two. Treatment focuses on reducing swelling and pain, so all that might be needed is taking some aspirin or ibuprofen (like Motrin or Advil) and applying heat to the area of concern for 15-30 minutes two to three times daily.

Some people may need to wear supportive hose or stockings or have their leg wrapped to squeeze on the affected leg and lessen swelling. Elevating the leg can keep excess fluid from pooling in the affected area.

More severe cases, however, may require a trip to the hospital to receive IV drugs to melt the clot. Serious thrombophlebitis may also need treatment with antibiotics to kill infections that could develop from the circulation problem. Sometimes, if there is a high risk of tissue damage, surgery might be needed to strip out the vein or bypass the clot with a transplanted vessel. An alternative to surgery is placing a filter in the main vein in the abdomen (vena cava) to prevent clots in the legs from dislodging and traveling to the lungs.

How Can I Prevent It?

Sitting for prolonged periods increases your risk of developing thrombophlebitis. It is advised to get up during long flights or stop the car when taking long drives and walk around hourly or so. If you are unable to get up, move your legs and stretch your calves regularly. Drink plenty of fluids to prevent dehydration and avoid wearing tight clothing around your waist.

 

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