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General measures

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The patient should be confined to bed for the first 24 hours with the foot of the bed elevated by 15-30 degrees.

Pain and swelling should be alleviated by full length graduated compression stockings and analgesics.

  • there is evidence that the daily use of compression stockings reduced the risk of any and severe post-thrombotic syndrome (by about 55% (when compared with no intervention or placebo stockings) )(1)

The patient should then be mobilised and encouraged to perform regular leg exercises.

Post-thrombotic syndrome (PTS) is a long-term complication of deep vein thrombosis (DVT) characterised by chronic pain, swelling and skin changes in the affected limb.

Reference:

  1. Kolbach DN et al. Non-pharmaceutical measures for prevention of post-thrombotic syndrome. Cochrane Database Syst Rev 2004; (1): CD004174.

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