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Blood clots and ESWT

Posted by John H. on 7/27/04 at 13:07 (156347)

Doctors,

Here's the story. I've had PF for about 18 months. I've done all of the standard treatments. (shots, orthotics, stretching, removable cast, hard cast, etc) After removal of the hard cast in Oct. of last year I developed a bloood clot from the groin to about mid calf. I have been on treatment to desolve it for the past 9 months. The clot is getting a lot smaller, now only in lower leg and behind the knee.It has not hardened and become part of the vein wall. It also is not completly closed. I have restricted blood flow. I need to stay on the coumadin for at least a few more months maybe longer. The PF is worse than ever.The doctor told me she would allow me to come off for 5-6 week to take care of the PF and some dental work I need done but that she would want me back on counadin as soon as I could. Now my questions:

1. Would having a blood clot be a major problem as it relates to ESWT?

2. How soon after ESWT could I return to coumadin?

3. Would history of resent blood clots rule out surgery (PF realease)?

Thanks for any help,
John Haines

Re: Blood clots and ESWT

Ed Davis, DPM on 7/27/04 at 13:56 (156350)

John:
You would probably have to stop coumadin about 3 days before high energy ESWT (Ossatron, Dornier) and return to coumadin the day after. If the dose of coumadin is modest, it probably would not have to be stopped for low energy ESWT (Sonocur).
Ed