The Pain in thrombosis arise mainly from a Blood clotswhich that vessel clogged and such a thing Reduced blood flow of the area to be supplied triggers or the Obstructed outflow of the vessel. Because of this insufficient supply of the area, the pain occurs, which signals that the Area is slowly dying off.
A distinction is also made between thromboses (blood clot deposits) in arterial and venous vessels. Depending on whether it is arterial or venous vessels that are affected, the symptoms and the type of pain also arise.
In addition, a distinction is made as to whether it is superficial or deep vessels that are affected.
The lower limbs are most commonly affected. In rare cases, thrombosis can also occur in the eye.
Thrombosis occurs particularly often in the leg, especially in the lower leg. The main symptoms are sudden pain and a swollen leg. The pain can be accompanied by strong pulling and a feeling of tension. The pain can also take on a spasmodic character.
Some sufferers compare the pain with sore muscles. On the other hand, the pain does not decrease like with sore muscles, but gets stronger and stronger.
It is typical for venous thrombosis pain that the pain subsides when you put your legs up. In addition to the pain, swelling, discoloration, and warming of the leg may also occur.
Read more on the topic: Burning in the legs
Superficial vein thrombosis
To be distinguished at Blood clots are in the venous system Thrombosis in superficial or deep tissue. If the affected vessel is superficially in the tissue, it is called the Disease thrombophlebitis. Thombophlebitis is both an obstruction of the superficial vessel by a blood clot and an obstruction Inflammation of the vessel.
In thrombophlebitis there is another symptom component Reddening of the affected area added. In addition, one can coarse, thickened, painful vein cord feel at the reddening of the skin. In contrast to deep thrombosis, there is one Swelling of the affected limbs rarely before.
The most common localization is also here in the field of Legs 90% of the time. The other cases are thrombophlebitis on the arms or one jumping, changing localization. A blood clot carried over into the lung (so-called Pulmonary embolism) is much rarer here than in deep thromboses, because here the blood clot from the superficial vascular system into the hike deep system must, and only then through hiking through heart the connection to the Pulmonary vasculature receives. Most thrombophlebitis is more likely to have other complications, such as one Destruction of the connecting veins between the deep and superficial vasculature (perforating veins) or to further infection of the affected vein bacteria or other pathogens.
Deep vein thrombosis
Deep venous thrombosis is also most common in the leg (limb thrombosis). In 60% of cases the thrombosis occurs in the legs, in 30% in the pelvic veins and in the arm veins the least common with 0.5-1.5% of cases.
In particular, there is pulling pain with the character of sore muscles described above. In addition, there is also a swelling with a clear difference in circumference of the legs, a bluish shiny skin and so-called Pratt warning veins. The Pratt warning veins are an increased protrusion of veins in the shinbone region. They arise from the increased pressure in the vascular system due to the deep vein thrombosis, because this causes the blood to build up into the superficial veins, which leads to the emergence of superficial veins.
There is also pressure sensitivity in the area of the deep veins and calf pain when the calf is compressed. In addition, pain sometimes occurs when bending the foot or when the sole of the foot is painful when pressure is applied to the inner edge of the sole.
The complications of deep vein thrombosis should not be underestimated. In 50% of cases, the blood clot can be carried over into the pulmonary vessels. In the case of deep arm vein thrombosis, however, a complication in the form of a pulmonary embolism occurs in only 6% of cases.
Another complication of deep vein thrombosis is a permanent injury to the veins in the form of congestion syndromes. The congestion problems in the veins are caused by an injury to the venous valves, which normally prevent the blood from flowing back. If the veins are injured, there is an orthostatic backflow of the blood and an overcrowding or strain on the veins. In addition, there is a particular risk of a blood clot recurring, which blocks the vein again, due to the congestion of blood in the venous system.
The congestion symptoms can also lead to the so-called post-thrombotic syndrome (i.e. complaints after the thrombosis). These are swollen legs, varicose veins and skin changes. In the case of skin changes, the affected area turns brown, especially in the ankle area. The skin changes can develop into an ulcer.
Read more on this topic: Post-thrombotic syndrome
In addition to the limb veins, other organ systems can of course also be affected by thrombosis. The liver is a portal vein thrombosis, but the kidneys, jugular veins and other organ systems can also be affected, which is explained below.
Read more on the topic
- Deep vein thrombosis
- Pain in the calf - what are some indications that I have a thrombosis?
- Portal vein thrombosis
The portal vein collects this Blood from the abdominal organs like intestines, stomach, spleen and pancreas and leads the blood as largest supplying vessel to the liver to. The most common symptoms here are the occurrence of non-specific ones stomach pain, hemorrhoids (Formations of an arterial and venous vascular cushion in the transition between the anal canal and the rectum), enlargement of the spleen, liver swelling, diarrhea, Bloating and also nausea.
- Budd-Chiari Syndrome
Should the other hepatic veins If affected by the thrombosis, it is the so-called Budd-Chirari syndrome. But this is one rare disease.
The disease usually manifests itself in abdominal pain, Water retention in the abdominal cavity (this is also known technically Ascites) and liver swelling.
- Renal vein thrombosis
If a renal vein is affected by a thrombosis, a renal vein thrombosis occurs. This one has Drainage disorder of the kidney result. The symptoms are in Flank pain in 70% of cases, bloody urine, nausea, loss of appetite, Trembling of hands or also around fever.
- Jugular vein thrombosis
Jugular vein thrombosis is a thrombosis in the Jugular vein on the neck. Diagnosis is usually difficult because of the Pain mostly by chance and occurs very suddenly. This leads to a sharp pain in the region of the jugular vein.
- Cerebral venous sinus thrombosis
This is a Special form of stroke, which also occurs very rarely. With this disease lies the Thrombosis in the cerebral sinus. The cerebral sinuses are not classical veins, but arise from duplicates of the Meningesso trapping venous blood.
The main symptoms arise very severe headachewhich also last a long time. You can also Paralysis of the face or limbs and Visual disturbances occur. In contrast to the classic stroke, this is the one Forecast much better and the likelihood of lifelong symptoms or sequelae is lower.
Both arterial thrombosis One does not differentiate between a superficial and a deep system, in that sense there is only one deep arterial vasculature.
The pain associated with arterial thrombosis is also one Pain from reduced blood flow of the area through a blood clot in the vessel.
90% the clot became in the process from the heart, in 10% from calcified plaques from other vessels, like that Main artery or carried away to the pelvic vessels.
The pain of arterial thrombosis occurs very suddenly on. Depending on where the occlusion of the arterial vessel is, there are also those Localization of the pain. Besides that, it can too Pallor of the region, cold and to one missing pulse come. In addition, abnormal sensations, inability to move and shock on. The symptoms are easy to remember if you from English to 6 Ps thinks:
Paileness, pallor (pallor)
Paresthesia (Abnormal sensations)
Paralysis (Inability to move)
Pulselessness (Lack of pulse)
One differentiates between the symptoms incomplete reduced blood flow syndrome and a complete hypoperfusion syndrome. With the incomplete syndrome you have no loss of feeling or in the motor skills, with the complete syndrome you already have these failures. The pain is projected onto the serving area behind the clot, in front of the clot there are against it no reduced blood flow and thus also no pain.
The arterial thromboses and the venous thromboses can be easily identified by the different symptoms. With venous thrombosis, the typical swelling, overheating, reddening and reduced pain occur Put your legs up.
In contrast to arterial thrombosis mostly not so much swelling arises, usually the region cools down or appears pale. In addition, it comes to increased pain when raising the legs. Because the arteries are the vessels that supply the region with the necessary nutrients and oxygen. The veins, however, are in principle for the Removal of waste products or deoxygenated Blood cells responsible. By raising the legs in arterial thromboses, the reduced blood flow to the area is increased, whereas the reduced evacuation in venous thromboses is improved by raising the legs.
This is one arterial vascular occlusion of the cerebral vessels. Speech disturbances, visual disturbances, disturbances of the sensation of feeling, disturbances of the motor skills or headaches can occur. This is also called Colloquially, stroke.
- Heart attack
By dragging the blood clot from the leg into the Coronary arteries the clot can also clog the coronary arteries. This creates the classic heart attack. The typical symptoms here are Chest pain, a feeling of tightness and pressure in the chest. In addition, the pain can radiate into the rest of the chest, the jaw area, the upper abdomen or even the move. However there is also unnoticed heart attackswhere those affected no pain feel. This happens especially with Diabetics (Patients with diabetes) or in the elderly. The problem with diabetes (Diabetes) is that the sugar is too high annoy and damage their signal transmission, so this nerve damage leads to a disturbed pain perception. Diabetics, on the other hand, are more likely to complain of a feeling of pressure in the chest when they have a heart attack. In addition to the pain, a heart attack can also Cardiac arrhythmiasFeeling weak, fear, nausea, vomiting, sweat or drop in blood pressure.
- Pulmonary embolism
Also with the Pulmonary embolism it is a dragged blood clot, which here the Clogged pulmonary vessels. This also results in pain that starts suddenly, and there is also pain in the chest. In 90% of the cases those affected have acute shortness of breath, one increased heartbeat and breathing rate. In addition, most have fear and anxiety, or sweats to cough.
Pain in the knee
Deep vein thrombosis (phlebotrhombosis) can occur all floors of the leg arise. Thromboses of the popliteal vein, the Popliteal vein. Both large deep leg veins and the superficial veins of the lower leg flow into them. She herself then directs the venous blood into the femoral vein, a large one Femoral vein, further.
Thrombosis of the Hollow of the knee cause pain in this accordingly. In addition, there is usually a thrombosis in the hollow of the knee Pain in calf and foot pain and one swelling these body parts, as the venous blood backs up to this point. These are also increased by pressure on the corresponding area. The Complaints improve typically at a Elevation of the leg, as this is an outflow of venous blood from the Lower leg promotes.
However, you must have pain in the back of the knee not necessarily on a thrombosis indicate. Other causes can be in the Musculature and the skeletal area lie. Among other things, one would also be conceivable here Meniscus damage, one strain or one Biceps tendon tendinosis.
Pain in the sole of the foot
The formation of thrombi in the sole of the foot is right Rare. Nonetheless, deep vein thrombosis typically leads here Pain in the sole of the foot. These can typically be reinforced by applying pressure to the sole of the foot, especially its inside. This is referred to in everyday clinical practice as "Payr sign“And is an uncertain sign of the presence of a venous thrombosis.
Also not proving, but still as characteristic for a thrombosis Homans- and the Meyer sign viewed. With a positive Meyer sign gets involved Tenderness when the calf cause. A positive one Homans sign however, it shows up when it is a passive one Pull the tip of the foot towards the head pain in the calf occurs. It should be noted that these signs only occur in about half of all leg vein thromboses.
Pain when lying down
Leg vein thrombosis occurs in particular Sedentary lifestyle on. In some cases there is already a flight of several hours or one long drive sufficient.
A special risk for the development of a thrombosis is long Lie as can be the case, for example, when one Tied to bed due to illness is. The reason for this is that the blood flow in the venous leg vessels is slowed when lying down, so that thrombi can form more intensely. In combination with other risk factors, about one Dehydration or through Smoke Damaged blood vessels, the risk of thrombosis increases significantly.
Deep vein thromboses often show a characteristic clinical picture. This includes one associated with pain Swelling of the calf and a overheat of the leg due to the congestion of blood. Relieved these complaints can become one Elevate of the leg, as this promotes the outflow of blood from the leg. Lie can therefore also be used with an already existing thrombosis relief procure.