01/02/2024
DVT's!
We had an interesting case a few weeks ago, which we are sharing with the patient's consent, to highlight that not all DVT's present with classic symptoms. The patient's review below details what happened:
"Abi is extremely thorough and diligent and always ensures you get the most out of every session. I am particularly grateful for her recent diligence in encouraging me to go to the GP, for what turned out to be a deep vein thrombosis (DVT). I just thought it was a very bad calf cramp, as I had none of the other classic signs of a DVT such as swelling, discolouration or warm skin. I am also very active with none of the risk factors for DVT, so it seemed unlikely. Abi examined my leg and suggested I should go to the GP to be on the safe side, as she didn’t think it seemed like a cramp. Sensing I wasn’t going to heed her advice, she also sent me a message later that evening with some information she had found online about DVT not always presenting with classic symptoms, which persuaded me to make a GP appointment. By the time of my GP and subsequent hospital appointment I had zero symptoms, so I was very surprised when the ultrasound showed that I did have a DVT. I am now being treated for that. I doubt I would have gone to the GP if it wasn’t for Abi’s intervention, so I’m very glad she followed up!"
So if you have any unusual calf (or thigh) pain do be sure to get it checked out by your G.P, even if you don't have all the classic DVT symptoms such as pain, swelling, redness and heat. In this case the patient did not have any cause of injury and on examination there was no obvious musculoskeletal damage which prompted Abi to refer to the G.P, despite the lack of other DVT symptoms.
The following links gives more details on DVT:
https://newsinhealth.nih.gov/2017/01/how-spot-prevent-deep-vein-thrombosis
https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/