RISK MANAGEMENT
Deep Vein Thrombosis Medically Diagnosed as Leg Pain and Sciatica: Diagnostic Considerations for the Care of the Pregnant Woman
Russell Herring, D.C.Bio & Linda Mullin, D.C., CACCP, FICPA Bio
Journal of Pediatric, Maternal & Family Health – Chiropractic ~ Volume 2012 ~ Issue 3 ~ Pages 74-76
Abstract
Objective: To review and discuss a case of an atypical presentation of deep vein thrombosis (DVT) in pregnancy.
Clinical Features: A 38-year-old multi-gravid female was referred by her OBGYN to a chiropractic office for management of radicular leg pain imitating sciatic neuropathy.
Intervention and Outcomes: The patient presented with progressively worsening pain of two days duration. The pain began in her right hip and traveled down the back of the right leg into the plantar aspect of the foot. The leg pain was severe enough to limit ambulation. It was worse with coughing and moving and relieved with rest. Physical exam revealed a positive Homan’s sign. She was immediately transported to a vascular diagnostics center which revealed the presence of a mixed age thrombosis that extended from the common femoral vein into the calf veins. This diagnosis resulted in direct hospitalization for treatment of the life threatening condition.
Conclusions: Many serious conditions may mimic common musculoskeletal problems. This case highlights an uncommon cause of radiating leg pain in pregnancy which practitioners must be aware of.
Key Words: Pregnancy, chiropractic, Deep Vein Thrombosis, venous thrombosis, thrombophlebitis
