Thrombophlebitis. Causes, symptoms, diagnosis and treatment of acute thrombophlebitis


  1. What is thrombophlebitis (acute thrombophlebitis, varicothrombophlebitis, superficial vein thrombosis)?
  2. Symptoms of acute thrombophlebitis
  3. Causes of thrombophlebitis
  4. Diagnosis of acute thrombophlebitis
  5. What is dangerous thrombophlebitis of the veins of the lower extremities
  6. How and how to treat acute thrombophlebitis?
  7. Thrombophlebitis and varicose veins
  8. Thrombophlebitis. The results of the treatment. Photos before and after.
  9. Testimonials of our patients after treatment of thrombophlebitis
  10. Frequently asked questions from our patients on the Internet about thrombophlebitis

What is thrombophlebitis? (acute thrombophlebitis, varicothrombophlebitis, superficial vein thrombosis)?


Thrombophlebitis of the veins of the lower extremities (acute thrombophlebitis, varicothrombophlebitis, superficial vein thrombosis) - all these are the names of one of the most serious complications of varicose veins of the lower extremities.

Acute pathological conditions associated with blood vessels can bring a lot of trouble. One of these diseases is thrombophlebitis (acute varicothrombophlebitis, superficial vein thrombosis), which is usually observed on the lower extremities, and ignoring treatment can bring dangerous complications to a person, including death.

How does acute thrombophlebitis occur?

How does thrombophlebitis occur?  on his feet

Thrombophlebitis (varicothrombophlebitis, superficial vein thrombosis) is a serious disease during which an inflammatory process of the walls of blood vessels with the formation of a thrombus is observed, as a result of which the limb becomes swollen (swollen).

Thrombophlebitis - symptoms


A blood clot is a solid formation of blood cells that stick together. Blood clots can interfere with the normal flow of blood throughout the body. Blood clots can cause swelling in the lower extremities, and this happens very often.

Symptoms of acute thrombophlebitis

Symptoms of thrombophlebitis (acute phlebitis)

Pain in the limb is characteristic, sometimes the temperature rises. Pain pulling, bursting, and sometimes become acute. The skin over the inflamed area turns red.

How does Wikipedia explain the name of thrombophlebitis? 


The authors of the Wikipedia article argue that thrombophlebitis is an inflammation of a vein that is associated with the formation of a blood clot (thrombus). In principle, this is the correct definition, but there are many nuances that we will try to tell you about. 

Thrombophlebitis - causes


The formation of blood clots is the main cause of venous inflammation. The following is a list of risk factors that can lead to clot formation.

  • Damage to the vein wall (injuries, operations)
  • Change in blood flow velocity through veins (with varicose veins)
  • Use of birth control pills (if there is a predisposition)
  • Bed rest for a long period (sedentary lifestyle)
  • Diabetes (type II)
  • Deficiency of vitamins in the blood, for example, vitamin B-12 deficiency
  • Thrombophilia (hereditary genetic diseases)

Active movement promotes circulation, which prevents the coagulation of blood cells.

Thrombophlebitis at risk


A greater risk of developing thrombophlebitis is possible in the following situations: 

  • Pregnancy;
  • Childbirth;
  • Decreased activity (recumbent patients after a stroke, infarction, injuries, severe operations);
  • Excess weight;
  • Venous diseases.

The more factors, the higher the chances of developing thrombophlebitis.

Thrombophlebitis - diagnosis


Diagnosis of the disease on the basis of examination and additional methods: angiography, ultrasound, phlebography, phleboscintigraphy.

Any doctor can suspect acute thrombophlebitis during a visual examination, when he sees dense, painful nodes, the skin over which has a crimson-red hue. However, the main diagnostic method can only be an ultrasound examination of the veins of the lower extremities. In this case, the doctor can see thrombotic masses in the lumen of the vein, as well as determine the level of thrombosis, its nature (is it dangerous or not)!

Ultrasound for acute thrombophlebitis is the main thing in diagnosis!

Ultrasound for acute thrombophlebitis is the main thing in diagnosis! 

Based on the ultrasound picture, the doctor decides on the use of a particular type of treatment for superficial vein thrombosis.

What is dangerous thrombophlebitis of the veins of the lower extremities


There are two serious dangers of thrombophlebitis:

  • Thrombus migration in the deep venous system. In this case, a complication may occur, since deep veins are affected, which is manifested by severe edema and the development of trophic ulcers in the future.
  • Closure of thrombus. A severed thrombus enters the circulatory system, which leads to thromboembolism and can often result in death. Thrombophlebitis of lower limbs, photo which is on the net, cold-blooded "executioner"!

Video of a creeping blood clot in a vein on ultrasound


In this video, you can see how a blood clot crawls from a superficial vein into a deep one. The ultrasound clearly shows the spread of thrombotic masses through the vein. In no case should the progression of the disease be triggered to such an extent.

The conclusion is this: do not delay with treatment! Methods of treatment of thrombophlebitis numerous, it will be possible to choose the optimal one.

How and how to treat acute thrombophlebitis


The treatment of thrombophlebitis will depend on the stage at which the disease is located. There is conservative treatment or active surgical tactics. Which method the doctor chooses depends on his knowledge, qualifications and experience in the treatment of acute thrombolybitis. In our clinic, a comprehensive treatment of acute thrombophlebitis is carried out:

  • constant wearing of compression jersey;
  • anti-inflammatory drugs and ointments;
  • preparations for the dilution of blood;
  • laser treatment;
  • treatment of RFA.

laser thrombophlebitis treatment

Laser treatment of acute thrombophlebitis in our clinic 

With the simultaneous application of all these methods, we get good results, and patients do their usual business, not looking up from work and family. Often we are faced with patients who use alternative methods of treating thrombophlebitis. These methods will not help to eliminate thrombophlebitis of the lower extremities, symptoms which is very unpleasant, but only aggravate the situation of the patient.

Thrombophlebitis - how to treat quickly


Want to quickly remove Thrombophlebitis? Treatment without surgery possible only if the thrombus is in the superficial veins. It is very important to stick to bed rest to relieve swelling. Taking anticoagulants will help speed up the liquefaction of blood clots and partially eliminate thrombophlebitis. Treatment (Moscow - a city where there are many good specialists involved in the treatment of acute thrombophlebitis) should be complex. Use ointments to help reduce inflammation. The main thing is if you have thrombophlebitis of veins - consult with a phlebologist.

Thrombophlebitis of the lower extremities - treatment


Treatment can only be carried out by experienced phlebologists:

  1. Conservative. The goal is to reduce blood clotting and reduce inflammation of the vein wall;
  2. Operational. The goal is to remove blood clots and eliminate further progression of the inflammatory process.

The phlebologist, after examination and ultrasound scanning, will be based on the severity of the illness and the condition of the patient at the time of the examination. In some cases, when the thrombus is very high, only emergency admission to the vascular compartment for urgent surgery is indicated.

Thrombophlebitis or phlebothrombosis


Phlebothrombosis lasts for a long time and is also characterized by the formation of a thrombus in the lumen of the vein, but without inflammatory changes in the wall of the vein itself. Increases coagulability, which slows the flow of blood. Because of weak fixation, the thrombus can soon come off and lead to thromboembolism. A few days after the onset of clot formation, inflammation can join and it is already possible to talk about such a disease as acute thrombophlebitis of the lower extremities. Diet and water stress should become mandatory in the treatment. It is necessary to drink a large amount of liquid to remove intoxication of the body, stabilize the water-salt balance and reduce the recurrence of phlebothrombosis.

Thrombophlebitis and varicose veins


Varicose veins are the main precursor of such a pathology as thrombophlebitis of the lower extremities. Prevention can not always help when superficial veins are affected by varicose veins. There is only one reason - a weak tone of the venous walls. Due to the decreased tone, the veins cease to overcome the blood resistance of those veins that are located above. This leads to their expansion. Thrombophlebitis and varicose veins are diseases that have long been called "a disease that knocks down."

Thrombophlebitis - conservative treatment


In addition to taking medications, conservative treatment includes the following procedures:

  • Compression linen, which consists of elastic fibers;
  • Ultraviolet irradiation;
  • Infrared rays;
  • Ointments that include heparin (for example, Lyoton 1000 or Hepatrombin);
  • Proper nutrition;
  • Bed rest.

During treatment, the doctor monitors all changes.

Thrombophlebitis - drug treatment


Treatment with medicines can give excellent results. What exactly will be assigned to you, this will be determined by the doctor. And if you can not stop thrombophlebitis? Treatment - surgery in this case is shown unambiguously.

Drugs for the treatment of thrombophlebitis:

  1. Analgesics (painkillers);
  2. Antibiotics (if infection is present);
  3. Anticoagulants (drugs for dilution of blood) to prevent new blood clots (direct and indirect);
  4. Non-steroidal anti-inflammatory drugs (NSAIDs), such as Ibuprofen and derivatives of Rutozide, to reduce pain and inflammation;
  5. Thrombolytics liquefy the formed clot (Trypsin, Urokinaza).

The combination of medication and conservative therapy may well be enough for a full recovery. But this is only if you turned in time for help. Otherwise, it is more difficult to defeat thrombophlebitis. Laser treatment in Moscow can be the next step to victory over thrombophlebitis.

Thrombophlebitis: laser treatment (EVLK, EVLO)


Intravenous laser treatment is a minimally invasive technique under ultrasound guidance, quickly clears thrombophlebitis. Laser treatment (reviews) very encouraging) This method is usually performed by a phlebologist, interventional radiologist or vascular surgeon who specializes in thrombophlebitis. Laser treatment, price which is individual, passes after anesthesia, the procedure begins, and lasts about 50 min. Minimal intervention guaranteed, disappears thrombophlebitis. Laser treatment (cost they will tell you in the clinic) really effective!

EVLK procedure for acute thrombophlebitis

EVLK procedure for acute thrombophlebitis

A video about how I remove blood clots from superficial veins in my legs without incisions in our center.

Thrombophlebitis - treatment with radio frequency RFA, RFO


This method is one of the best, if there is thrombophlebitis. Radio Frequency Treatment  does not bring pain, but leaves behind only positive results. Exposure to the vein walls of the thermal catheter helps to eliminate thrombus and blood clots, you will not see more thrombophlebitis. RFO treatment in Moscow not for long.

Thrombophlebitis treatment at home


Or maybe you thrombophlebitis, treatment of RFO yet are afraid to apply? Treating thrombophlebitis at home for many is salvation. How to remove thrombophlebitis, treatment with folk remedies will help? This method of treatment on compresses (mainly on the basis of body-water) and tinctures from medicinal plants (colanchoe, nettle, nutmeg) is based on this method. Remember that it's impossible to win this way thrombophlebitis. Treatment with folk methods not as effective as a doctor.

Thrombophlebitis prevention


The main measures for the prevention of thrombophlebitis:

  1. Keep track of weight and nutrition;
  2. Lead an active way of life;
  3. Rest more often, lifting your legs to the bedside or the back of the sofa;
  4. Exercise.

And most importantly, go to the hospital right away.

Acute thrombophlebitis of the lower extremities, treatment


Acute thrombophlebitis, operation on which it can be urgent, is very dangerous. In this method of treatment you need to wait until the redness and inflammation of the skin becomes minimal.

The goal of treatment is to eliminate blood clots or, in severe cases, the entire area of ​​the affected vein. Acute thrombophlebitis of superficial veins requires immediate assistance.

Acute ascending thrombophlebitis of the large saphenous vein is considered a common disease of the vascular system. The development of such a disease carries a serious threat to life, since inflammation and the formation of blood clots passes from the lower part of the body (lower leg) to the top (inguinal fold).

Varicotrombophlebitis of lower extremities


Varicothrombophlebitis is a form of thrombophlebitis, the most common one. It is characterized by lesions of dilated varicose veins on the lower extremities. The main reason for the development of the disease may be complications of varicose veins. You just can’t remove it thrombophlebitis. Treatment after surgery too, should be serious.

Superficial thrombophlebitis of the lower extremities affects the veins that are up to 3 cm under the skin. The formation of a thrombus brings discomfort, pain and restraint of movements. In order not to lead the situation to complications, you should immediately go to the hospital.

Thrombophlebitis. The results of the treatment. Photos before and after.


The result of treatment of a patient with acute thrombophlebitis after endovenous laser coagulation (EVLK)

Photos before and after the treatment of acute thrombophlebitis in 1 month

Photos before and after the treatment of acute thrombophlebitis in 1 month 

Thrombophlebitis, treatment. Feedback from our patients.


Feedback on the treatment of acute thrombophlebitis by the EVLK method from our patient

Pavlova Nadezhda Aleksandrovna, November 9 2017, Moscow.

Patient review of treatment of acute thrombophlebitis with EVLK

I want to express my deep gratitude to the doctor phlebologist Artem Yuryevich Semenov for high efficiency, professionalism, skillful use of the most modern techniques, attention, golden hands. On August 5, I felt pain, induration and saw redness in the vein under the knee in the back. I realized that it was dangerous: there might be a blood clot (although I have absolutely nothing to do with medicine). In the district clinic, an appointment with a surgeon was only after 10 days, so on August 7, I turned to the Phlebology Center. I was examined in one day, the second day - preparation for the operation, the third - the operation itself. During the operation, Dr. Semenov A.Yu. helped by the surgeon Ivan Ilyich Kalachev, as well as two nurses Olesya and Lena, who helped me with the dressing the next day. 

The blood clots on both legs were large, life-threatening, so I believe that my life was saved. I am under constant supervision of the wonderful doctor Semenov and will be monitored for a whole year free of charge, because my visits, advice, recommendations, vein ultrasound and doctor's assistance were paid for from the amount that I paid before the operation. I am very grateful and glad that Dr. Artem Yuryevich Semenov has created such a modern, wonderful center for patients.

Ps: if someone has questions, you can write to me in the mail This e-mail address is protected from spam bots. You need JavaScript enabled to view.

Pavlova Nadezhda Alexandrovna, 9 November 2017, Moscow

Arina, 40 years, Ekaterinburg.

Hello! I have been working as an accountant for many years, I move a little, and the weight is large. For a very long time I suffered from thrombophlebitis of the lower extremity. The lower leg was completely dark blue, and the veins had increased several times. I learned about your clinic from a friend and did not wait, as I heard about serious complications. I was treated with a laser. I want to say that it doesn't hurt at all. The veins became invisible, although the slimming tights had to be worn for about 1 month, but it's worth it. Now I live a full life and do exercises for my legs every day to strengthen the walls of blood vessels. Arina, 40 years, Ekaterinburg.

Svetlana, Biysk. 

My mother had acute thrombophlebitis of the veins of the right lower extremity. She suffered greatly due to pain, swelling and redness in her leg. We heard good reviews about your clinic and did not hesitate to go straight to you. We were told that we were a little delayed in treatment and therefore only endovascular intervention would have to be used. Under local anesthesia, my mother underwent RF surgery, during which a blood clot was removed from the lower leg. Now we only wear compression underwear and take medications that have been prescribed to us in order to reduce clotting. Thank you very much to all the staff of the clinic. Svetlana, Biysk.

Frequently asked questions from our patients on the Internet about thrombophlebitis


What to do to avoid blood clots? 

To avoid blood clots, it is necessary to be examined in a timely manner by specialists, phlebologists. If a pathology is detected, the doctor will explain to you in detail what to do and how to act to avoid thrombophlebitis.

What are blood clots in humans? 

In the classical sense, blood clots in humans are such a formation in the lumen of blood vessels from blood clots that block blood flow. In case of injury and bleeding, blood clots stop the bleeding, which literally saves lives. With pathologies of the venous system, hemostasis system, oncological processes and some others, thrombosis is an independent pathology and requires appropriate treatment.

How to dissolve blood clots in your legs? 

It is possible to dissolve blood clots in the legs with the help of modern drugs, anticoagulants. They can be used exclusively under the supervision of a physician, since even the best medicines can have their side effects and complications.

How to prevent thrombophlebitis? 

Thrombophlebitis can be prevented by timely diagnosis of the venous system. Such diagnostics are performed by both phlebologists and ultrasound doctors. The former are preferable in this situation, since they specialize in venous pathology.

How to understand that there are blood clots in the veins? 

You can understand that there are blood clots in the veins by such basic signs as:

  • Swelling of the limb.
  • Pain.
  • Local redness of the skin.

In the event of any of the above symptoms, you should immediately seek medical help.

How does a blood clot form? 

The best answer to your question: "how does a blood clot form" would be the classic answer. Namely, the theory of the pathogenesis of thrombus formation, formulated by Rudolf Virchow back in the century before last. The following factors are required for a blood clot to form:

  • Slowing blood flow, stasis.
  • Damage to the inner wall of the vessel, trauma or inflammatory process.
  •  The state of blood hypercoagulation.

What should be done to avoid blood clots in the veins? 

In order to avoid blood clots in the veins, it is necessary to do a timely examination with phlebologists and all the necessary treatment in case of pathology detection.

How to recognize a blood clot on your leg? 

A good vascular ultrasound examination performed by a competent specialist will help to recognize a blood clot localized on the lower limb (leg). The following signs will help to suggest a blood clot on the leg: swelling, pain, discoloration of the skin.