Clot risk is individual. Previous thrombosis, thrombophilia, cancer, oestrogen therapy, age, obesity, prolonged immobility and some medical conditions can increase risk. Prophylaxis may include early safe movement, mechanical measures or medication after individual risk–benefit assessment.
CRPS may include severe burning pain, touch sensitivity, swelling, colour or temperature change, sweating and stiffness beyond the expected pattern. Diagnosis is clinical and requires exclusion of infection, vascular problems and mechanical causes.
Seek urgent review for new calf pain or unilateral calf swelling.
Call emergency services for chest pain, sudden breathlessness, collapse or coughing blood.
Report a pale, blue or unusually cold toe, uncontrolled bleeding or rapidly increasing swelling.
Report spreading redness, pus, fever, wound separation or severe escalating pain.
Seek early review for disproportionate burning pain and marked touch sensitivity.
Should everyone receive anticoagulant medication?
No. Medication reduces clot risk but can increase bleeding and wound complications. The decision should be based on the individual’s clot risk, bleeding risk, operation and mobility.