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Dr. Andrew Rynne
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Dr. Andrew Rynne

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How To Rule Out Thrombosis?

I have had a haemotomer which appeared to heal about 4 weeks ago. I am now in such pain but my doctor says that this cannot be a DV thrombosis as the leg is not swollen , is it possible to have a dv Thrombosis iwht out external signs. I am in intense pain and can hardly move
Thu, 14 Apr 2016
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Physical Therapist or Physiotherapist,  's  Response
hi,

As mentioned by you, that you are having a doubt about DVT then getting a Doppler scan will be advised to rule out the DVT factor. Also, if the pain is in the lower limb as a whole then getting an MEI of the lumbar spine will be recommended to rule out any pathology of the lumbar spine. Usually due to the nerve impingement there will be symptoms of pain and can be misdiagnosed with DVT or any other issue. But getting a scan done wil help understand the extent of the lumbar disc degenerative pathology. As the spinal nerves works as dual functions of motor and sensory, any compression on the nerve will lead to abnormal motor or sensory symptoms. It is never compulsory to have all the symptoms . Having a provisional diagnosis and differential diagnosis in mind and step by step ruling out the pathologies will help come closer to the root cause.

Usually 99% of patient recover with physical therapy, this is my personal experience in clinical setting.

I recommend to undergo MRI of lumbar spine and also the Doppler of lower limbs to come close to the root cause.

Regards
Jay Indravadan Patel
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How To Rule Out Thrombosis?

hi, As mentioned by you, that you are having a doubt about DVT then getting a Doppler scan will be advised to rule out the DVT factor. Also, if the pain is in the lower limb as a whole then getting an MEI of the lumbar spine will be recommended to rule out any pathology of the lumbar spine. Usually due to the nerve impingement there will be symptoms of pain and can be misdiagnosed with DVT or any other issue. But getting a scan done wil help understand the extent of the lumbar disc degenerative pathology. As the spinal nerves works as dual functions of motor and sensory, any compression on the nerve will lead to abnormal motor or sensory symptoms. It is never compulsory to have all the symptoms . Having a provisional diagnosis and differential diagnosis in mind and step by step ruling out the pathologies will help come closer to the root cause. Usually 99% of patient recover with physical therapy, this is my personal experience in clinical setting. I recommend to undergo MRI of lumbar spine and also the Doppler of lower limbs to come close to the root cause. Regards Jay Indravadan Patel