5 doctors weighed in:
How best to treat deep vein thrombosis of the lower leg?
5 doctors weighed in

Dr. Robert Vorhies
Surgery - Vascular
2 doctors agree
In brief: Anticoagulation
Tibial vein DVT has been a controversial subject.
Current recommendations call for systemic anticoagulation for 3 months (often started with Lovenox (enoxaparin) and bridged onto coumadin). At three months a repeat ultrasound is done to determine if another 3 months would be appropriate due to persistent clot. Don't forget the compression stockings to avoid post phlebitis syndrome.

In brief: Anticoagulation
Tibial vein DVT has been a controversial subject.
Current recommendations call for systemic anticoagulation for 3 months (often started with Lovenox (enoxaparin) and bridged onto coumadin). At three months a repeat ultrasound is done to determine if another 3 months would be appropriate due to persistent clot. Don't forget the compression stockings to avoid post phlebitis syndrome.
Dr. Robert Vorhies
Dr. Robert Vorhies
Thank
Dr. Ted King
Phlebology
2 doctors agree
In brief: Blood thinners
It depends, to some extent, on where the clot is.
It is possible to have a deep vein thrombosis that is so far down the leg, is so small, and is in such a small vein that we might treat it with anti-inflammatory medicines and compression stockings. If the clot is in a larger vein and is bigger, then we treat those with blood thinners for a minimum of 3 months and use compression stockings too.

In brief: Blood thinners
It depends, to some extent, on where the clot is.
It is possible to have a deep vein thrombosis that is so far down the leg, is so small, and is in such a small vein that we might treat it with anti-inflammatory medicines and compression stockings. If the clot is in a larger vein and is bigger, then we treat those with blood thinners for a minimum of 3 months and use compression stockings too.
Dr. Ted King
Dr. Ted King
Thank
Dr. Kevin Taubman
Surgery - Vascular
1 doctor agrees
In brief: Broad topic
Anticoagulation still the baseline therapy for an acute DVT.
In recent years, we have been more aggressive in selected cases to intervene with pharmacomechanical treatments (e.g. ANGIOJET and t-PA) to achieve more rapid clearance and preserve valve function. This is with the intent to reduce the incidence of post-phlebtic syndrome. Duration of anticoagulation depends on many factors.

In brief: Broad topic
Anticoagulation still the baseline therapy for an acute DVT.
In recent years, we have been more aggressive in selected cases to intervene with pharmacomechanical treatments (e.g. ANGIOJET and t-PA) to achieve more rapid clearance and preserve valve function. This is with the intent to reduce the incidence of post-phlebtic syndrome. Duration of anticoagulation depends on many factors.
Dr. Kevin Taubman
Dr. Kevin Taubman
Thank
Dr. Norman Chideckel
Surgery - Vascular
In brief: Dvt
Dvt is treated with abnticoagulation therapy as a prevention of pulmonary embolism

In brief: Dvt
Dvt is treated with abnticoagulation therapy as a prevention of pulmonary embolism
Dr. Norman Chideckel
Dr. Norman Chideckel
Thank
Get help from a real doctor now
Dr. Tonga Nfor
Board Certified, Internal Medicine - Cardiology
12 years in practice
508K people helped
Continue
108,000 doctors available
Read more answers from doctors