What is Post Thrombotic Syndrome (PTS)?
This is the name given to vein problems developing as a result of the damage a blood clot can inflict on a vein
Symptoms of PTS
- Similar to varicose vein symptoms
- Pain, swelling, aching, throbbing
- Brownish or reddish skin discoloration in the lower inner leg
- Venous leg ulcers (VLU)- nonhealing wounds or sores on the leg
- This happens in 20-30% of patients who have had a blood clot (DVT) in the leg.
- Clots can occur in the calf, in the thigh or above the groin or in any combination.
- The higher up the clot extends, the more likely PTS will develop.
- The rate of development of PTS is highest in the first few years following DVT and decreases after that.
- The clot may completely resolve, but leave the vein wall stiff and unable to stretch or be compressed by the muscles
- If the clot resolves, the vein valves can also be damaged leaving a refluxing deep vein
- Deep veins can’t be ablated like superficial veins. Artificial valves are not yet available. Repairing damaged veins and relocating arm veins to the leg is used only rarely.
- After the clot resolves, the vein may close off due to scarring .
- The blood has to find other routes to get out of the leg.
- Other veins may or may not take over adequately.
- Vein bypass is a rarely performed operation.
- All patients who have had a blood clot in their legs should be told to wear compression garments.
- Reopening a clotted vein above the groin reduces the chance of developing PTS
- Opening blood clots in the thigh or lower leg does not reduce PTS occurrence
Schedule a Consultation
At Vein Specialists of the Carolinas, we can maximize your treatment to get you the best possible improvement for Post Thrombotic Syndrome. For more information call 704-544-5245 to schedule a consultation.