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Suggest Treatment For Superficial Thrombophlebitis

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Posted on Tue, 5 Jul 2016
Question: I had leg vein stripping procedure done about 2 years ago all the way to the groin. The vein above my knee on my inner thigh is now somewhat hard, darkish colour and a bit painful. I also mountain bike 10-15 hours a week and occassionaly race. What is causing the bruising/hardening? Can I continue to train and cycle competitively or will this make it worse/ harmful?
doctor
Answered by Dr. Mukund Savaskar (52 minutes later)
Brief Answer:
Painful, hard,darkish Thigh Veins / Under Evaluation

Detailed Answer:
Brief Ans-Painful, hard,darkish Thigh Veins / Under Evaluation

Mostly from incompetent Perforator Veins from strenuous mountain biking exercise,as the long and short saphenous superficial venous systems are stripped

Hi,Dear !! Thanks for your query to HCM.
Read and reviewed query facts in context to your health concerns of Painful, hard,darkish Thigh Veins.

My Primary Impression-
Based on facts submitted, in the given scenario, You seem to suffer from-
Thromophelbitis of perforating veins of thigh, with hardening dark superficial veins draining from nearby leg area around.
The possibility of deep Vein thrombosis-due to incompetent perforating and deep vein flow,needs to be investigated in your case.

-More Information needed-to give more specific reply in your case-
In absence of any more details,I can't assess the severity of this hard,painful,darkish veins in thigh,as these thigh veins could be from post-thrombotic ( DVT) regurging flow via perforating veins to superficial veins around, which is causing extended thrombophlebitis in to these darkish hard,painful thigh veins.

-Update if you are on any blood thinners post-surgery? Since how long you are having this hard,painful, thick veins in the thigh?
Was stripping done on both leg veins/or on which side of leg?
Did you got any DVT attack in post-stripping 2 yrs period?
When was first painful,hard thigh vein, noticed by you?
Updates of any medical reports on Colour Doppler would help Me to suggest further course of action.

Till the time you update this information-following is the course of action suggested for you-

Do' Suggested-
In the given situation and emergency-
Stop mountain biking till the cause is investigated and risk is fixed or ruled out.
Rest and Elevation with Venostocking up to groin till things cool / and settle down.
Consult your attending Vascular Surgeon and assess possibilities of DVT with progressing thrombophlebitis in to perforating veins from Deep Vein thrombosis, due to extreme stress from mountain biking.
NSAID like Motrin 400 mg
Thrompbophobe Ointment Locally.
Consider adding blood thinners after testing for clotting time, under expert care only, and after full investigation for DVT with thrombophlebitis progressing through perforating veins.

Next appointment-
24x 7 anytime-in case of emergency needs/ and or after 10 days, by which time you would have come out with investigations,for further help in planning future treatment.

Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.

Dear, Hope this reply would help you to resolve your health issues and its worries, with help of your doctors there.

Welcome for any further query in this regard.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if satisfied, Don't forget to close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services.


Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest Treatment For Superficial Thrombophlebitis

Brief Answer: Painful, hard,darkish Thigh Veins / Under Evaluation Detailed Answer: Brief Ans-Painful, hard,darkish Thigh Veins / Under Evaluation Mostly from incompetent Perforator Veins from strenuous mountain biking exercise,as the long and short saphenous superficial venous systems are stripped Hi,Dear !! Thanks for your query to HCM. Read and reviewed query facts in context to your health concerns of Painful, hard,darkish Thigh Veins. My Primary Impression- Based on facts submitted, in the given scenario, You seem to suffer from- Thromophelbitis of perforating veins of thigh, with hardening dark superficial veins draining from nearby leg area around. The possibility of deep Vein thrombosis-due to incompetent perforating and deep vein flow,needs to be investigated in your case. -More Information needed-to give more specific reply in your case- In absence of any more details,I can't assess the severity of this hard,painful,darkish veins in thigh,as these thigh veins could be from post-thrombotic ( DVT) regurging flow via perforating veins to superficial veins around, which is causing extended thrombophlebitis in to these darkish hard,painful thigh veins. -Update if you are on any blood thinners post-surgery? Since how long you are having this hard,painful, thick veins in the thigh? Was stripping done on both leg veins/or on which side of leg? Did you got any DVT attack in post-stripping 2 yrs period? When was first painful,hard thigh vein, noticed by you? Updates of any medical reports on Colour Doppler would help Me to suggest further course of action. Till the time you update this information-following is the course of action suggested for you- Do' Suggested- In the given situation and emergency- Stop mountain biking till the cause is investigated and risk is fixed or ruled out. Rest and Elevation with Venostocking up to groin till things cool / and settle down. Consult your attending Vascular Surgeon and assess possibilities of DVT with progressing thrombophlebitis in to perforating veins from Deep Vein thrombosis, due to extreme stress from mountain biking. NSAID like Motrin 400 mg Thrompbophobe Ointment Locally. Consider adding blood thinners after testing for clotting time, under expert care only, and after full investigation for DVT with thrombophlebitis progressing through perforating veins. Next appointment- 24x 7 anytime-in case of emergency needs/ and or after 10 days, by which time you would have come out with investigations,for further help in planning future treatment. Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem. Dear, Hope this reply would help you to resolve your health issues and its worries, with help of your doctors there. Welcome for any further query in this regard. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Don't forget to close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services. Keep Me updated,if you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS