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Medical Forum / Diseases and Disorders / Arthritis / November 2005Leg Pain / DVT?
I'm wondering if I have a new blood clot in the leg with the bad wound. Can you get a blood clot from wound vac use? This morning I woke up with an achiness around the ankle in my left leg (first with the wound vac and worst wound) the pain has moved up the side of my leg to behind my knee and along side the knee. My leg is more swollen than the other but not red or hot to the touch but does feel "heavy" I don't have a fever or any other signs of infection. I am on coumadin but haven't had an INR test in about 3 weeks. I'm usually pretty stable with my numbers. I'm a little alarmed that I can feel the pain thru my duragesic pain patch. I'm not sure what to do other than go to the ER which is not something I want to do on a weekend. Any one have any other thoughts than ER? Thanks -- DianeW diane, one more crummy cloud to hang over your head, huh? does your insurance have one of those 24 hr nurse lines you could call? someone else here will surely have an answer for you. i hate for you to have to go to the er too, but if this feels anything like clots you've had in the past, you know what you need to do. diane > I'm wondering if I have a new blood clot in the leg with the bad wound. > Can you [quoted text clipped - 6 lines] > any other signs of infection. I am on coumadin but haven't had an INR > test in about 3 weeks. When I got the DVT my right leg was swollen just about double from the hip to the ankle. It was uncomfortable, but not painful. It was not hot nor was I feverish. If you think there is any chance that it could be DVT you should contact someone immediately because it is one of the great old ways of getting dead when the clot breaks up. Arthritis is a bummer, but DVT is deadly. I have been on CVoumadin for many years. I am shocked that you dont have a doc..best to have a cardiologist who monitors your INR..u are risking ur life not to have your INR checked IMMEDIATELY per ur docs request..RUN..not walk to ur MD > > I'm wondering if I have a new blood clot in the leg with the bad wound. > > Can you [quoted text clipped - 13 lines] > of getting dead when the clot breaks up. Arthritis is a bummer, but DVT > is deadly. I do have a doc that follows my PT/INR. I get it checked every month. But it's only been 3 weeks since my last test. In fact, in the past 6 weeks I've had extra tests done by the plastic surgeon/wound care doc who has been taking care of my legs before he cuts on me. I'm due for a test this week as part of my normal care. DianeW > I'm wondering if I have a new blood clot in the leg with the bad wound. > Can you > get a blood clot from wound vac use? You can get a blood clot just from being alive. We thought *I* had a DVT (and remember, my platelets ain't so great to put it mildly) so if you think you have one, make an appointment for an emergency ultrasound. With me it turns out my knees were so swollen that fluid had leaked out of the back of the knee joint and was compressing some veins, causing vein type pain (I'm a pain connoiseur -sp?-) and swelling, so emergency ultrasound for me. > This morning I woke up with an > achiness around the ankle in my left leg (first with the wound vac and [quoted text clipped - 3 lines] > red or hot to the touch but does feel "heavy" I don't have a fever or > any other signs of infection. This *sounds* like a DVT. Please get an ultrasound ASAP. You know you absolutely do not want a pulmonary embolism. > I am on coumadin but haven't had an INR > test in about 3 weeks. I'm usually pretty stable with my numbers. I'm > a little alarmed that I can feel the pain thru my duragesic pain patch. > > I'm not sure what to do other than go to the ER which is not something > I want to do on a weekend. Any one have any other thoughts than ER? No, go to the ER. You're prone to clotting problems, right? Hence the coumadin? I *hate* the ER, but this is a true case of better safe than sorry. > Thanks -- DianeW  Signaturespammage trappage: remove the underscores to reply I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/ I really think it sounds like you need to see or talk to your doc. After all my surgery my right arm started to hurt and swell the afternoon I got home from the hospital. But it there is any way you can call your doctor and avoid the ER but get him to schedule you directly for a scan, it would beat an afternoon in the ER. Jo > I'm wondering if I have a new blood clot in the leg with the bad wound. > Can you [quoted text clipped - 12 lines] > > Thanks -- DianeW I agree with everybody - if you can't contact your doctor, go to the ER. Most of my doctors use an answering service and will contact the doctor if it is an emergency. He may end up telling you to go to ER, anyhow, but maybe he'll meet you there. Please don't wait - we care for you. Loujean >I really think it sounds like you need to see or talk to your doc. After >all my surgery my right arm started to hurt and swell the afternoon I got [quoted text clipped - 19 lines] >> >> Thanks -- DianeW Please don't wait! DH has had blood clots twice now. The first time he ended up with a minor stroke......had a funny feeling in one lung late in the evening and didn't say anything to us about it. Health Aide came the next AM and we were on our way to Urgent Care and then to the hospital in an ambulance. The second time with blood clots he ended up with the same 'pain' and back to the hospital from the Dr's office by ambulance. They put the 'umbrella' in and he is on coumadin for the rest of his life. Both times the blood clot started in the same leg. Butterfly > I'm wondering if I have a new blood clot in the leg with the bad wound. > Can you [quoted text clipped - 12 lines] > > Thanks -- DianeW diane w, please let us know how you're doing this morning. diane c. The pain in that leg is significanly less this morning ad there is no swelling or redness at all. Of course there was no redness yesterday and only swelling when I was up. It goes away when I put it up. Plus it doesn't hurt to bear weight. I'm wondering if it didn't just get too swollen on Friday when I couldn't wear the compression stockings most of the day and then they got huge. Since I've had to quit Bextra and switch to Mobic my legs really swell a lot. I didn't take any Mobic last night. I'm going to have to find a different NSAID cause this one is really causing problems with leg swelling and blood pressure. Thanks for the concern. I'm going to see how it goes today. The nurse comes in the morning. I'm going to stay off my feet with a good book - guess what I'm reading finally? It's one of yours I found in a used book store. I'm crazy about only have hard cover books in a collection and couldn't buy it new anymore. So I finally found Keeper of the Light! I'm really enjoying it even though I've already read the other two. It's been so long and my memory is so bad that I think I just might read them again after I finish this one! LOL One thing I did notice however, it's a tad bit heavier than your newer books so it's not my carry around book. It's cloudy here - a perfect day to curl up with a good book. I'll keep you guys posted. DianeW diane, glad you're doing better. and glad you'e enjoying KEEPER OF THE LIGHT. when you said it was "heavier" than the others, i thought you meant in subject matter. lol! diane When I had my DVT I had swelling, fever, and redness. The leg was very hard to the touch and measured about two inches wider around than the other. The next time there was concern about a DVT the leg was swollen, the pain was in the same area along the outside calf slightly below the knee. The doc was convinced it was another DVT, but it was the doppler which showed it was not. Once you have a DVT you have post phlebitic syndrome and the area is more prone to swelling and veinous pain frrom time to time. I know that if I have more RA inflammation with swelling, I also have more pain in that area. The fellow who did the doppler said that most DVTs are on the inside of the leg as oposed to the outside, but the day that I was in there was one other patient beside myself who had it on the outside of the leg. But because you have thre clotting disorder you have to be especially careful, as I am sure you are. I hope it is just swelling. It is good that a nurse is seeing you. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB Please remove "Ima" to reply. check http://www.htcnevada.org/postphlebitic%20syndrome.htm there are other sites about it as well, but i am on my way out the door. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB Please remove "Ima" to reply. thanks for the site Rose - I'll have a look at it. My previous DVT was in my other leg and was on the inside of the calf. I had broken my foot about 2 months earlier and had no pain or swelling with the clot at all. It was quite large when it was discovered and the ultrasound tech said it must have been there for awhile. My foot was turning blue which is now I discovered it. Nothing like that now. DianeW Diane W, Did the nurse say it was ok or did you have a dr check it to make sure it was not a clot. I am still concerned for you on this. I hope you are healing well and quickly. SignatureLove and hugs to all Good thoughts coming your way too. Squirrely Jo |
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