Understanding Phlebitis

A Comprehensive Guide to Superficial Thrombophlebitis

Vascular Surgery

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Last updated: Mar 24, 2025

What is Phlebitis?

Phlebitis is inflammation of a vein, often accompanied by blood clot formation (thrombophlebitis). When it occurs in superficial veins near the skin's surface, it's called superficial thrombophlebitis.

Common Symptoms

  • Redness along the vein
  • Warmth and tenderness
  • Firm, cord-like swelling
  • Pain or discomfort
  • Mild fever in some cases

Risk Factors

Medical Conditions

  • Varicose veins
  • Blood clotting disorders
  • Obesity
  • Pregnancy

Situational Factors

  • Recent surgery
  • Prolonged immobility
  • IV catheter use
  • Trauma to the vein

Diagnosis

  • Physical examination
  • Medical history review
  • Ultrasound (in some cases)
  • Blood tests (if needed)

Treatment Options

Conservative Measures

  • Warm compresses
  • Elevation of affected area
  • Anti-inflammatory medications
  • Compression stockings

Medical Interventions

  • Blood thinners (if necessary)
  • Antibiotics (if infection present)
  • Treatment of underlying conditions

Prevention

  1. Stay active and avoid prolonged sitting
  2. Maintain healthy weight
  3. Stay hydrated
  4. Wear compression stockings when recommended

When to Seek Medical Care

  • Severe pain
  • Spreading redness
  • Fever above 100.4°F (38°C)
  • Swelling that worsens rapidly

Complications

  • Deep vein thrombosis (rare)
  • Infection
  • Recurrence

Recovery and Outlook

Most cases resolve within 2-6 weeks with proper treatment. Follow-up care may be necessary to prevent recurrence.

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