Vein Disorders

Post Thrombotic Syndrome - Vein Specialists of the Carolinas

Post Thrombotic Syndrome (PTS) Charlotte | Gastonia NC

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

PTS Facts

  • 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.

Preventing PTS

  • 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.

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Gastonia, North Carolina 28054

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Charlotte, NC

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Charlotte, North Carolina 28277

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