Superficial Thrombophlebitis

Do You Have Unexplained Localized Leg Pain?

Are you experiencing inexplicable swelling in a leg or arm, have a firm, hard, tender spot, feel increased warmth in one location, or have redness or discoloration in your skin? You may have superficial thrombophlebitis. Premier Vein & Body by Schwartz can help.

What is Superficial Thrombophlebitis?

Superficial Thrombophlebitis (STP) is inflammation or blockage of a superficial vein in the leg or arm, most often from a blood clot. This type of clot is superficial only, and is not the more dangerous deep venous thrombosis (DVT), and therefore does not travel to the heart or lungs (pulmonary embolism). Fortunately, STP is a short-term condition that Dr. Craig Schwartz, the only triple-board-certified vein specialist in Kansas City, can quickly treat. It has a number of causes, including:

• Injury
• Insertion of an IV line
• Inherited condition
• Cancer and some cancer treatments
• Long periods of inactivity or immobilization
• Pregnancy and recent childbirth (within the last 6 weeks)
• Patients over 40
• Overweight
• Hormone therapy, including birth control pills or postmenopausal therapies
• Placement of a central venous catheter or pacemaker

What Treatments are Available for Superficial Thrombophlebitis?

Treatment of STP is generally conservative, and directed at symptomatic relief. The mainstay of therapy are NSAIDs and moist, hot compresses as a common first step. The use of compression stockings is important, as is the continuance of normal activity and ambulation. Only in rare, or very severe, cases does the use of  blood thinners or clot-busting medications become necessary.

Ambulatory phlebectomy is an option when STP is a frequent concern. This involves a special, small instrument that removes the vein that has become prone to developing blood clots. It usually requires only a tiny incision that doesn’t even need stitches. Blood flow is rerouted to healthier vessels to improve circulation and prevent more clots.