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Upper Marlboro, MD
A 30-year-old female asked:

I had two neg. d dimer tests, but my legs are killing me. i never had a dvt ever but is it worth it to get an ultrasound to be sure?

3 doctor answers • 4 doctors weighed in
Dr. Creighton Wright
Dr. Creighton Wrightanswered
surgery 58 years experience
Multiple causes: See your pcp and be guided as to arterial, venous, or musculoskeletal. Or see a vascular surgeon before spending time and dollars on unnecessary testing.
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Dr. Thomas Wright
Dr. Joseph Accurso
Dr. Thomas Wright and another doctor agree2 doctors agree
Dr. Joseph Accurso
Dr. Joseph Accursoanswered
Radiology 31 years experience
Probably not: The d-dimer test is very sensitive - meaning it is extremely unlikely to be negative if there is any blood clot or dvt. You need to see your doctor to workup your leg pain so that it can be properly diagnosed and treated. That may involve consulting other specialists, such as neurology or perhaps vascular surgery.
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Dr. Thomas Wright
Dr. Thomas Wright agrees1 doctor agrees
Dr. John Ricotta
Dr. John Ricottaanswered
Vascular Surgery 50 years experience
Yes: There are many causes of leg pain and DVT is only one. D-Dimer is not sensitive enough to exclude all blood clots and it does not evaluate for venous insufficiency. A duplex for both obstruction and insufficiency to evaluate your deep and superficial veins is a good start. There are other causes of leg pain such as myositis, referred pain from nerve compression etc that a doctor can help with
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Last updated Sep 28, 2016

Found in:

Deep venous thrombosis›Sonogram›D dimer

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