Will slow/easy running within 1 month of being diagnosed with a DVT increase the probability of a PE?
I was diagnosed with a DVT one week ago. It is the second one in less than one year. A PE is not suspected. I am on Xarelto and most symptoms have diminished (no swelling, pain or discoloration). Can slow, easy running increase the probability that a DVT will break free or dislodge and become a PE? If so, is there a treatment that will dissolve the clot so I can return to running?
Answers from doctors (2)
Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS
There is no data to support this one way or the other. Meaning, it is not known if running will dislodge clots a month later, etc. So, use your best judgement and get a follow-up scan to see if the clot has resolved, i.e. lysed by your innate fibrinolytic system. Xarelto does not dissolve clots, it prevents it's progression.
DVT's scar down as time goes on and become adherent to the vein wall. The thrombosed vein can shrink along with the clot, which calcifies or it reabsorbs through a process called fibrinolysis.
Published on Jul 11, 2012
Answered by Vein Specialties of St. Louis
As you are on Xarelto, you can pretty much do what you wish. The Xarelto will help with clot dissolving. Have you had blood clotting studies to see if you have a clotting disorder? Perhaps a compression runner's calf sleeve or sock. I highly recommend you wear a medic alert bracelet or necklace in case you have an accident. Xarelto is not reversible.
Published on Jul 11, 2012
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