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Return to training and competition after deep venous calf thrombosis
1Community Health Plan, Poughkeepsie, NY 12601.
Medicine and Science in Sports and Exercise
|January 11, 1992
Summary
A triathlete developed deep venous thrombosis (DVT) after pregnancy termination. A tailored protocol enabled a faster return to training, though post-thrombotic syndrome occurred but resolved.
Area of Science:
- Sports Medicine
- Vascular Medicine
- Reproductive Medicine
Background:
- Deep venous thrombosis (DVT) is a serious condition affecting athletes, particularly after significant physiological events like pregnancy termination.
- Triathletes engage in high-intensity training, demanding careful consideration for safe return-to-sport protocols post-DVT diagnosis.
Observation:
- A 25-year-old female triathlete presented with acute left calf pain following an elective pregnancy termination.
- Diagnosis confirmed deep venous thrombosis (DVT) of the calf and popliteal veins, necessitating anticoagulation therapy.
Findings:
- A progressive 5-week return-to-training protocol was adapted for the athlete, allowing running in the sixth week.
- The athlete accelerated this protocol, resuming running within 3 weeks post-discharge.
- Post-thrombotic syndrome developed but resolved within two years.
Implications:
- This case highlights the importance of individualized DVT management and return-to-training protocols for athletic patients.
- Early and progressive rehabilitation can be feasible but requires careful monitoring for potential complications like post-thrombotic syndrome.
- Further research into DVT management strategies specific to athletic populations is warranted.