/ Deep Vein Thrombosis
I likely have DVT (deep vein thrombosis) and it seems likely that clot removal is the best treatment for restoration of health to the affected left leg, which is swollen up like a balloon from hip to ankle. But I can't readily find anything in the NHS resource websites about this. Their recommendation is anti-coagulant drugs and condition management. That means my climbing is likely going to be affected. This I do not like.
Does anyone know anything about clot-removal surgery possibilities in the UK or N Europe please?
Regardless of the course of treatment your climbing will be affected for a while, but it will never be as bad as it is right now.
If you've already seen a doctor and they've suggested surgery then that's the obvious choice. As mentioned previously, normally clots are managed by anticoagulation drugs at a treatment dose, then a maintenance dose plus regular blood tests as a carry-on. Once you get on the regular prevention treatment then it probably won't affect your climbing much, as being able to mobilize is the key to preventing clots. Just be careful when you have to hang in a harness (work a route) for a long time as that'd obviously have a slight impact on blood flow.
Occasionally surgery is required, as perhaps with your case, and although it may seem like it'll cause problems to your climbing in the mean time, it's worth sorting the clot out sooner than later. The risk of clots is that it can dislodge and get moved around in your body, and when it reaches somewhere like a big artery in/near your heart or even up in your brain and then decides to get stuck again that could result in a heart attack or stroke, which the outcomes are obviously, we all know, not nice, and certainly will have a much bigger impact on your climbing.
Anyway, listen to what the medics say and try not to carry out too much "medical research" online :) Get well soon!
This is why well meaning medical advice on the internet is absolutely terrifying sometimes. Femoral embolectomy is for arterial thromboses that critically impair blood supply to a lower limb.
A DVT is completely different, being venous and affecting the return of blood from the lower limb. Physical removal of DVTs is highly unusual and the mainstay of therapy is warfarin.
Well meaning health advice from the ukc massive can be hugely wrong - a doctor is still the best bet! I'm happy to discuss by pm if you would like. Hope the leg settles down quickly and you get back to normal asap.
Don't mess about asking questions on here as they are potentially life threatening.
If you have had advice already then you will already know about medication such as tinzaparin (or similar) and then possibly warfarin. I'm no GP or Doctor but that was my drugs for several months after a fall and subsequent DVT's(3) in 2007.
To the OP: the obvious question is if surgery is something that has been discussed by your doctor, or if it is something you have researched online. If the latter it is best to discuss it with your doctor.
It sounds from this distance as if you have a sizeable DVT which would be treated with some form of injected heparin in the first instance followed by a tablet, usually warfarin but there are some newer versions that need less monitoring coming through the system. The two main ones (dabigatran and rivaroxaban) have little evidence of superiority over warfarin, but a higher risk of bleeding, are much more expensive, and not readily reversible (e.g. if you fell of a cliff on dabigatran and started to bleed it would be very difficult to stop, but on warfarin reversing the blood thinning is rapid and straightforward in hospital - assuming you get there...!)
So as you will see be careful interpreting medical advice on the internet, and as someone very wisely said above best see your friendly local medical team :-)
Get in touch with Fiend via the forum profiles - he's a very committed climber and he had significant bilateral DVTs a couple of years ago. I'm sure he'll be happy to talk to you about how he's managing life post-thrombosis.
> how he's managing life post-thrombosis.
Life post DVT's is just very normal. OK the medical stockings may leave their mark, but there should not be a lasting effect after the say 3 or 4 months post thrombosis treatment period.
Fiend is still having trouble walking up hills, two years later. I think his case was particularly complicated though.
Other friends have had them and have recovered with no lasting effects.
Maybe I was lucky then.....had never really thought or was told of issues like Friend is having - hope he/she gets well and is able to resume full fitness soon. G
A forum stalwart of old, creator of the E0 grade, agent provocateur.
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