A member 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?

4 doctors weighed in across 3 answers
Dr. Creighton Wright answered

Specializes in surgery

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.

Answered 9/28/2016

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Dr. Joseph Accurso answered

Specializes in Radiology

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.

Answered 7/25/2013

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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

Answered 6/22/2015

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