Deep vessel thrombosis (DVT) is a blood clot. Apparently, the doctor believes the presence of edema suggests DVT otherwise coumadin would not be prescribed. Coumadin helps prevent clots. For some insight the lower extremity DVT is much more likely to cause pulmonary embolism (lung clots) and that is very serious medical condition.
Prior to thyroidectomy had been having edema of both lower extremities and had to get clearance for surgery. Echo within normal limits (Also have MVP). Past couple years have chronic edema of feet,ankles and calves, Shortness of breath with exertion and general fatigue. Thyroid hormone levels normal now with replacement therapy. I have seen pcp, cardiologist and endo and nobody can explain my symptoms. I feel like I am 90 years old.
Unilateral lower extremity swelling can result from venous thrombosis, venous insufficiency, venous obstruction by tumor, lymphatic obstruction from tumor, or lymphatic destruction from tumor, radiation, or filariasis.
For more info: https://www.aafp.org/afp/2013/0715/hi-res/afp20130715p102-f1.gif
Bilateral lower extremity swelling suggests a systemic cause, such as heart failure, liver failure, kidney failure, protein-losing enteropathies, or severe malnutrition.
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Vein thrombosis is treatable, both medically and surgically. Stockings (tight compression) to press the lower extremity to aid circulation and medicines help many. If your husband takes these medicines and wears the stockings, the pain will reduce considerably. He should not walk for prolonged time or stand at one place for a long time. If he needs to, then he should keep moving his legs. At times stripping and sclerosing treatments help.
I am a 70 year old male. 17 years ago had angiogram/plasty which went badly resulting in emergency bypass . 8 years ago had heart attack, treated with 3 days on heparin. 4 years ago had partial colectomy and 6 months chemo. Have peripheral neuropathy in legs and hands from FOLFOX.
For the last 6 months I have been very fatigued after little exercise. Mostly sedentary and 30 lbs overweight. Blood pressure good but slow pulse and can't take beta blockers.
In this there is pressure on the brachial plexus (bundle of nerves and blood vessels in the armpit) and the subclavian artery and this can compress or irritate these structures and cause symptoms such as abnormal sensation, cold extremity, claudication (pain), and lymphedema (swelling of lymph channels), discoloration (bluish or red if veins are pressed) in the involved extremity. Usually this affects only the upper limbs or arms.
A faster heartbeat does not provide enough time to fill as at rest, and the timing of contractions are less. The percent of blood pumped with each heartbeat is less reducing stroke volume (lower EF). The heart rate has increased to provide the necessary blood/oxygen to meet the system's demand for the diminished stroke volume.
The CT scan indicates there is substanital soft plaque buildup within the linings of the vessels.
Patient reports bilateral medical elbow pain and inability to hold even lightweight items with arms extended Unfortunately, patient reports bilateral lower extremity “deep ache” and “heavy feeling” as well as bladder and bowel changes.
Recent Cervical MRI demonstrates patent canal throughout however, with widening of canal at levels C5-C6 and C6-C7 post-operative changes.
If the pain radiates to the lower extremity, specially if in the appropriate distribution, this could be a radiculopathy, or something like a "sciatica". It is important to determine if this is associated with neurologic deficits like sensory disturbance, weakness or loss of reflexes in order to determine what is the condition, and what treatment is required. With this, some maneuvers may elicit the pain, like stretching the leg and maneuvers to stretch the "nerves".
It has more to do with your insurance. Some PTs are afraid of going over a certain amount of sessions because of fraud. I am sure your doctor could order more. They way the insurance thinks about it is you get so many sessions the you take a break. Then you show decline and then you get more sessions. I would still fight it.
When this muscle shortens, this can press on brachial plexus (bundle of nerves and blood vessels in the armpit) and the subclavian artery and can compress or irritate these structures and cause symptoms such as abnormal sensation, cold extremity, claudication, and lymphedema (swelling of lymph channels) in the involved extremity.
It can also be pinched cervical spinal nerve. Hence MRI of the neck should be done. It can also be median nerve compression at the wrist or carpal tunnel syndrome.
40 seconds) - normoalbuminemic edema
• Systemic venous hypertension
– Congestive heart failure
– Pericardial diseases, tricuspid valve disease
• Regional venous hypertension
– Inferior vena cava syndrome
– Venous thrombosis
– Lower extremity venous insufficiency
excerpt from Edema - Brad Anawalt, MDVA Puget Sound University of Washington
In 09/2008, I was hospitalized for 1 week with cellulitis of my left lower extremity. I was on iv vancomycin and another antibiotic that escapes me right now. During my hospital stay, my leg was very swollen and tight and was told as the infection deceases, so would my swelling in the leg. I have been assured that the infection is gone, but I still suffer with daily swelling of my lower leg immediately upon getting up in the morning and putting my leg down.
37 year old female presented with ataxia, lower extremity numbness, blurred vision, eye pain and unilateral hearing loss. MRI of the brain and spinal cord were negative. Evoked potentials demonstrated a spinal cord lesion. Optho diagnosed optic neuritis with a positive OCT test. The hearing loss has no other cause, but is being worked up. Over the next few months, hand numbness and weakness developed as did further lower extremity numbness and left sided foot drop.
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