HomeAnswersInternal Medicinepaget-schroetter syndromeHow to treat Paget-Schroetter disease?

How to manage Paget-Schroetter disease?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At February 10, 2021
Reviewed AtFebruary 10, 2021

Patient's Query

Hi doctor,

Can you live with Paget-Schroetter disease?

Hi,

Welcome to icliniq.com.

I understand your concern. According to your statement, you are suffering from Paget-Schroetter disease. It is a form of upper extremity deep vein thrombosis (DVT). It is a medical condition in which blood clot forms in the deep veins of the arms. These DVT typically occurs in the axillary and subclavian veins. The non-surgical treatment is taking anticoagulants. It has to be taken for three to six months followed by recanalization. Decompression is recommended for DVT and ultrasonography can be done to monitor it. This is a rare condition and immediate diagnosis improves the surgical outcomes and it is life-saving. When the diagnosis is soon, the treatment is initiated immediately and the prognosis is better. They sooner return back to their normal activities. A combination of thrombolysis and thoracic outlet decompression is successful in ninety percent of patients.

Patient's Query

Thank you doctor,

I am taking anticoagulants now and I have done first rib resection. Now the clot is returning back. What to do?

Hi,

Welcome back to icliniq.com.

You can continue taking anticoagulants. The returning clot can go away within few weeks to few months. Do some exercise daily. You can consult a physiotherapist and doing physiotherapy exercises regularly can prevent further blood clot formation. Anticoagulants, thrombolysis, and surgical decompression with physiotherapy and regular exercise are the treatment protocols followed here. Have a change in sleeping patterns. Try to sleep on one side without a firm pillow. You have to learn some exercise to strengthen and stretch the shoulder muscles to open the thoracic outlet. Improve your range of motion and posture too. Add citrus foods, green leafy vegetables, and spinach to your diet. Again low molecular weight heparin can help to remove recurrent clots.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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