The Hemophilia and Thrombosis Center of Nevada

2020 W. Palomino Lane Suite 110

Las Vegas, Nevada 89106

702-385-2702

since Sept. 22, 2011

Last updated Sept. 22, 2011

webmaster RIS

What Is It??   POSTPHLEBITIC SYNDROME

The Post Phlebitic Syndrome occurs following a blood clot in the vein to the leg (Deep Vein Thrombosis ).  The Post Phlebitic Syndrome may occur weeks to months after the initial blood clot.  This syndrome can result in pain, redness, thickening, and glossy appearance of the skin.  Another possibility is an ulcer of the skin which can occur months to years after the blood clot.

Who Knows If They Have It??

In the Post Phlebitic Syndrome, the swelling in the affected leg is increased after standing or sitting (without elevating the leg) for a prolonged period of time.  It is important to report any changes in the affected leg so your doctor may differentiate between Post Phlebitic Syndrome and the possibility of a new blood clot.  This may be difficult to identify but is often noted by history and examination of the leg.  In difficult cases a venogram or ultrasound of the affected leg may be necessary.

How Do You Get IT??

When you have a blood clot in the vein of the leg, it interferes with the blood flow from the leg up to the heart.  This blood clot causes injury to the blood vessel and to the valves lining the blood vessel which may be permanently damaged.  Pooling of blood in the leg results in swelling and occasional pain.  The larger the blood clot, and the longer it is present before treatment, the more severe the Post Phlebitic Syndrome.

What Should You Do About It??

Although the Post Phlebitic Syndrome may be difficult to treat, in time it is possible for the swelling to decrease to near normal.  To help improve the syndrome, it is best to begin wearing elastic stockings soon after the blood clot.  These should be measured to fit snugly and may be purchased at any drug store that sells medical equipment.  The hose should be put on upon waking up and removed before going to bed.  If you will have prolonged times of standing, it is important to sit and elevate the leg at scheduled times as often as possible.  If you are sitting for a prolonged period, elevating the leg on a chair will decrease the swelling.  Remember to report any problems with this leg to your doctor.

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Last modified: September 23, 2011