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Superficial thrombophlebitis

Thrombophlebitis superficialis · Povrchová tromboflebitida

What it is

A clot in a vein just under the skin, usually a varicose vein of the leg: red, hard and tender along its course, and sometimes the tip of a deep clot.

Symptoms & signs

  • Red, warm, tender cord under the skin
  • hard lump along the vein
  • swelling around it
  • often in varicose veins

🚩 Get help if…

  • call 112 / 911 now Sudden breathlessness, chest pain or coughing blood
  • see a doctor soon Whole leg or calf swollen and painful
  • see a doctor soon Redness climbing towards the groin
  • see a doctor soon Fever or spreading red, hot skin

Where it strikes

Medical treatment

  • Ultrasound to measure length and nearness to the deep veins
  • NSAIDs and warm compresses
  • fondaparinux or low-molecular-weight heparin if 5 cm or more
  • treat the varicose veins later

Natural & lifestyle

  • Keep walking
  • compression stockings
  • leg elevation at rest

Emerging & experimental

  • Rivaroxaban as an oral alternative
  • sclerotherapy timing studies

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Heparin gel — small trials ease symptoms early / small studies
  • Arnica ointment — anecdotal anecdotal / traditional
  • Horse chestnut (escin) — trials in venous insufficiency; untested here early / small studies

ICD codes