DVT deep vein thrombosis forum

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dvt and driving
Started by Rob,UK
Posted: October 24, 2011 at 21:29
Hi to you all out there, I would like some feedback please on an issue that I have with my job.....
Two years ago I was diagnosed with an extensive dvt behind my right knee extending up the back of my leg. Although I am now on life-long warfarin, I am fortunate that the clot has now totally dispersed with no valve damage, but my leg has been 'damaged' and is very painful if I sit immobile for any length of time- this is my problem, as my job involves driving some 800-1000 miles per week and this is proving very difficult. I try to use cruise control on the motorways, but this can only be done over short stretches. I've been advised that , if I could be provided with an automatic car fitted with hand controls, this would 'free up' my legs meaning that I could flex/stretch them whilst driving- I've tried this whilst on cruise control at night, and it really does help. Has anyone ever tried this, how did it go?
Although I'm 56, I'm not in a position to retire so I need to continue working as long as possible.
Re: dvt and driving
Reply #1 by Angie
Posted: October 28, 2011 at 06:32
I have never tried this. However, if you are want ideas for how to make it easier to drive and stretch your legs I can provide a suggestion. I used to know and talk to a paraplegic man who was very independent and had accommodations made to his car to allow him to
accelerate and brake from the steering column instead of the base board like standard vehicles. This enable him to do things for himself without relying on anyone else. I cannot tell you because I am deffinately not the person to ask, but if this is being done to enable you to continue to be able to work and you were able to get your PCP to provide documentation about your clotting history/pain while driving etc. maybe your health insurance would help cover the cost to have your accommodations met/ or maybe even your employer, since it's for you to get back and ofrth to work, and if this the job you were doing before the clot, it could have helped in leading up to it anyway. Just a thought. Good luck. Try to stop and get out and stretch as often as possible too though!
Re: dvt and driving
Reply #2 by Steve UK
Posted: November 4, 2011 at 08:05
Hi Rob.
I am very interested in your story, I have suffered Bi lateral DVT up and into the IVC. Big issue as the IVC (main return vein from lower body) got blocked and caused the blood flow to stop. This caused extensive clotting in both legs. They expanded in the middle of the night in March 2011 and went purple all over. Five weeks in hospital and now very immobile, lots of damage to the vein valves, warferin for life, IVC filter fitted etc etc.
Both my legs were like the picture on the home page of this forum for three months. Now gone down but have to sit with legs raised most of time. Lucky that the clot did not go any further or I would have had a pulmanory embolism in heart or lungs. For a few months prior to this I had a pain in the arch of my right foot. this was the same pain as I eventually had when all the blood stopped flowing so I know it is connected and probably a clot forming months before I got really ill.
I had no reason to get a DVT apart from my working environment. I was driving across the UK often over 8 hours in a car and if not I was sat behind a computer all day in my office.
I am researching DVT from immobilisation, lots of stuff about air travel on he net but not loads about driving. It has the same affect as you are immobile for so long if you take long journeys.

Do you know what caused your DVT ? Was it from your driving.
My employers are looking at my condition, I have not been able to return to work so I am having to take an early retirment. I was wondering what the attitude of your employer has been to your condition ?

Re: dvt and driving
Reply #3 by Rob, UK
Posted: November 6, 2011 at 17:37
Hi Steve,
Your working day sounds very similar to my own! The minimum time I spend in the car is 2.6 hours per day as I commute each day to the office, but if I'm out on appointments, it can be 6 hours or more. And when I am in the office, like you, most of my time is spent on the laptop.
My haematologist and vascular surgeon believe that the immobility resulting from the driving and the rather 'sedentary' nature of my job was, without doubt, a major contributing factor in the cause of my dvt....howver, it is almost impossible to prove. I have done some research and you may find the article below of some interest.
My company have failed in all aspects of trying to accommodate my condition and the accompanying PTS. Various letters from the consultants and my GP have failed to stir them into action and they have effectively ignored the advice of the Occupational Nurse. It has come to the point where I have taken legal advice as, in my opinion, they have failed to offer me 'reasonable' adjustments to my working week- every suggestion is met with a resounding 'no'. I will keep you updated as events unfold.
Take care,

Sitting Too Long Can Cause Rogue Blood Clots—And More!
By Dr. Michael Cutler on 03/31/2010

Research indicates sitting for long periods of time—even if you exercise regularly—can be extremely bad for your health. It could even prove deadly. Many studies are now suggesting that those who sit most of their days are more likely to be overweight, develop blood clots, have a heart attack, develop certain types of cancer or even die.
Researchers report that a sedentary lifestyle is not just a lifestyle lacking in exercise. Rather, it is a set of behaviors that are devoid of whole-body muscle movement and promote bad health. So if you sit for hours watching TV… take long plane or car rides… work long hours sitting at your desk or a computer… or keep your legs and ankles crossed whenever you sit, you could be endangering your health.
When you sit for a long period of time, your blood flow can become sluggish and pool in your larger veins. This creates a higher risk of your developing blood clots within your thigh or calf known as deep vein thrombosis (DVT)—a condition in which there is a blood clot in a deep vein (a vein that accompanies an artery).
Close to 2 million people in the United States (U.S.) develop DVT each year, most of whom are 40 years old or older. There is the danger that a leg clot can break free and travel through the blood vessels to the lung, which can be extremely serious and even fatal. At least 200,000 people die each year from blood clots in their lungs—a condition known as a pulmonary embolism (PE).

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