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Dr. Andrew Rynne

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Diagnosed With DVT & PE, Underwent Coumadin Therapy, Swelling & Soreness Of The Ankle/heel. Reason? How Long Should I Expect This Foot Pain?

I was diagnosed with DVT & PE 2 weeks ago. After 9 days of Coumadin therapy I have swelling & soreness of the ankle/heel area. X-rays confirmed soft tissue swelling. Why has this happened & howllong should I expect this foot pain? I have been using a cane but today started using a walker. Thanks in advance for your reply.
Thu, 4 Jul 2013
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

Swelling and pain in the ankle/ heel region with ahistory of DVT suggests that these symptoms are most probably due to DVT itself.
Coumadin therapy will dissolve the deep vein thrombus and/ or pulmonary emboli if present.
Pain can be relived by analgesics.
However, a doppler study of the lower limb veins is necessary to know the status of the veins, whether there is presence of any thrombus or not.
Besides since you are on anticoagulant therapy, INR value should be followed up strictly.

Thanks and take care
Dr Shailja P Wahal
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Diagnosed With DVT & PE, Underwent Coumadin Therapy, Swelling & Soreness Of The Ankle/heel. Reason? How Long Should I Expect This Foot Pain?

Hello and welcome to HCM, Swelling and pain in the ankle/ heel region with ahistory of DVT suggests that these symptoms are most probably due to DVT itself. Coumadin therapy will dissolve the deep vein thrombus and/ or pulmonary emboli if present. Pain can be relived by analgesics. However, a doppler study of the lower limb veins is necessary to know the status of the veins, whether there is presence of any thrombus or not. Besides since you are on anticoagulant therapy, INR value should be followed up strictly. Thanks and take care Dr Shailja P Wahal