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Leg pain after thrombosis and TB
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Cardiac & Vascular Health
Question #22905
71 days ago
139

Leg pain after thrombosis and TB - #22905

Mike

Hello Doctor, I have a history of deep vein thrombosis (DVT) with a recurrence. The recurrence happened after I had tuberculosis. I was hospitalized for about a month, treated with heparin (IV and then subcutaneous), and then I took warfarin 5 mg for 3 months with regular INR monitoring. I am no longer on anticoagulants. I still have leg pain, but it is not constant. The pain mainly appears when I start walking and then decreases after a few minutes. There is no significant swelling or continuous pain. I also notice some mild inflammation in the leg. Could you please tell me what you think might be causing these symptoms, whether there is any current risk, and what follow-up or tests you would recommend? Thank you very much for your help.

Age: 19
Inflammation
Dvt
Leg pains
Recurrence
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
70 days ago
5

Hello dear See as per history it seems post thrombotic syndrome Usually it happens due to excess clot formation and embolism. Iam suggesting some precautions for improvement Do brisk walking to dissolve clots Raise leg twice a day ( bhujang/ surya namaskar) Compression stockings application on knee. Risk is low but following tests must be shared with concerned physician for better clarity Venous Doppler ultrasound Serum ferritin Cbc Esr Bt,ct test Capillary fragility tests Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
70 days ago
5

leg pain that appears when you start walking and improves after a few minutes, with mild occasional inflammation but no persistent swelling — are most consistent with post-thrombotic syndrome (PTS) rather than a new clot.

After a DVT, the leg veins and valves can remain partially damaged, which may cause:

Mild pain or heaviness when walking or standing

Tightness or inflammation feeling

Occasional discomfort without major swelling

This is common after previous DVT and does not automatically mean a new clot.

Important reassurance: Because you have no continuous swelling, no severe pain, no redness, and symptoms improve with movement, the likelihood of an active new DVT is lower.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
70 days ago
5

Hello

Your symptoms most likely suggest post-thrombotic syndrome, a common after-effect of DVT due to vein valve damage.

Pain that starts with walking and improves after a few minutes, with little swelling, usually does not indicate a new clot.

Current risk of acute thrombosis seems low, but monitoring is important because of past recurrence.

A venous Doppler ultrasound is recommended to assess residual clot and vein function.

Compression stockings, regular walking, leg elevation, and good hydration help reduce symptoms.

Because of recurrent DVT at a young age, a thrombophilia (clotting disorder) work-up should be discussed.

Seek urgent care if you develop constant pain, increasing swelling, redness, warmth, chest pain, or breathlessness.

I trust this helps Thank you !

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Given your history of deep vein thrombosis (DVT) and tuberculosis (TB), it’s important to consider a few potential explanations for your leg pain. The intermittent nature of the pain you describe, particularly its onset with walking and reduction after a few minutes, could be consistent with something known as claudication. This is often related to peripheral artery disease, where narrowed arteries limit blood flow to the muscles during exercise. Alternatively, post-thrombotic syndrome could be contributing to your symptoms, which manifests as chronic leg symptoms following DVT due to damaged veins or impaired blood flow.

Since your pain decreases with activity, post-thrombotic syndrome could be less likely, as that often involves more persistent pain and swelling that does not ease with activity. However, the mild inflammation you notice could still align with ongoing venous insufficiency. Given these possibilities, a couple of steps could be taken. Firstly, a thorough clinical evaluation by your doctor is crucial to assess the risk of peripheral artery disease or any venous issues persisting after DVT recovery. A duplex ultrasound can be beneficial for checking venous and arterial blood flow, identifying any abnormalities that may be underlying your symptoms.

If the ultrasound indicates any vascular problems, your doctor might discuss management options such as supervised exercise therapy, which is highly effective for claudication. If you haven’t done so recently, ensuring your INR levels are stable—though you’re currently off anticoagulants—should be reviewed, given any concerns for recurrent DVT. If vascular issues are ruled out, other potential musculoskeletal causes might be considered, and your doctor could recommend physiotherapy or specific exercises. Importantly, if you notice any alarming symptoms like significant swelling, intense pain, or a feeling of warmth in the leg, seek immediate medical attention as these could indicate a recurrent clot.

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