Current Approaches to Superficial Venous Thrombophlebitis
Chapter from the book:
Karakurt,
P.
&
Fırat,
M.
(eds.)
2025.
Current Approaches in The Field of Health.
Synopsis
Superficial venous thrombophlebitis is a common reason for seeking care both in primary care settings and in cardiovascular surgery outpatient clinics. The condition can often be treated and monitored on an outpatient basis without referral to a higher level of care. Therefore, it is important for healthcare professionals at every level to be familiar with its diagnosis and treatment.
Patients usually present with superficial venous thrombophlebitis more frequently in the lower extremities than in the upper extremities. Symptoms include pain, redness, edema, palpable swelling along the vein, induration, and local heat increase in the area affected by thrombophlebitis. Physical examination typically reveals cord-like thrombosed veins and signs of inflammation around them. Although physical examination alone is often sufficient for diagnosis, Doppler ultrasonography is the most commonly used and gold standard diagnostic method. Treatment is based on a stepwise approach according to the disease and the patient's risk of thromboembolism. Elevation of the extremity, cold compresses, non-steroidal anti-inflammatory drugs, and compression therapy are applied at all stages. The dose and duration of anticoagulation therapy are determined according to the patient's risk of thromboembolis
