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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Anti-phospholipid Syndrome?

I am an elite ultra-distance runner who has anti-phospholipid syndrome. ABout 2 month ago i ceased warfarin then promptly clotted for the 2nd time in the left calf muscle. Have now been taking clexane for 1.5months (will change to warfarin once I return to Australia). My question relates to massage of the calf muscle that clotted. I feel tightness in the calf muscle after running any distance and want to know if now that i am taking clexane, can i massage the calf muscle safely? I was told that massage can dislodge a clot but have no idea when i can start massage sessions again. Your advice woud be appreciated. Email YYYY@YYYY . Website WWW.WWWW.WW
Fri, 12 Feb 2021
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Internal Medicine Specialist 's  Response
Hello,

The clot has probably become stable by now but it would be much safer to check with an ultrasound scan whether it's stable or not. There are certain ultrasonographic features that may help to determine the clot age and stability like its adherence to the vein walls, its echogenicity, etc. If the clot seems stable then massaging should be safe.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Panagiotis Zografakis, Internal Medicine Specialist
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What Is The Treatment For Anti-phospholipid Syndrome?

Hello, The clot has probably become stable by now but it would be much safer to check with an ultrasound scan whether it s stable or not. There are certain ultrasonographic features that may help to determine the clot age and stability like its adherence to the vein walls, its echogenicity, etc. If the clot seems stable then massaging should be safe. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Panagiotis Zografakis, Internal Medicine Specialist