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Possible blood clot from ski boots?

post #1 of 8
Thread Starter 
Hi all.

My wife went me to the resort yesterday, and she tried their beginner package (rentals and 90 minute lesson).

She put on the rental boots around noon, and took them off around 3pm. All her activities were on a relatively flat terrain (they didn't go on the lift), but things were difficult because the resort was super icy.

She complained of pains in her leg (she was very sore in general from all the activity) When we came home in the evening, she had a red spot below her ankle, about an 3/4 inch in diameter. It stayed the same today. She's somewhat worried that she may have a blood clot.

Since she said that the boots didn't feel too tights but she had felt a chafing, the option of a blood clot seems unlikely to me. For all we know from a surgery last year she has no known clotting problems, and she's not on hormones or a smoker.

Any ideas?
post #2 of 8
Did you fly to the resort?
post #3 of 8
Thread Starter 
Quote:
Originally Posted by Dan5252 View Post
Did you fly to the resort?
No no, we just drove to our local resort (about an hour and a half away). I have a season pass this year and they were offering an early season discount package for first-time skiers (Makes sense since it's not worth it to buy a ski pass at this phase).

She actually drove home so she definitely has use of the leg. It's localized to a spot about an inch below the ankle, and it looks almost triangular, just uniform red.

She's also sporting a low grade fever tonight (99.3), though that may be unrelated or from the cold yesterday.
post #4 of 8
Does she have varicose veins? The great saphenous vein runs through this area. I know thats personal. Increases the likeliness of a clot. I would get it checked out in any event.
post #5 of 8
I doubt very much that this is a blood clot.
In the legs, there are two types of blood clots--superficial (on the surface) and deep vein clots. Superficial clots can usually be felt as a firm "cord"; they rarely cause any problems. From the description you provided, not sure that this is even a superficial clot. From a medical standpoint, one worries about deep vein clots as they have a chance of breaking off and traveling to the lungs, as well as impeding circulation to the leg if they are very extensive. These deep vein clots do not present as red spots on the surface.

Still, if your wife is concerned, it never hurts to see a doctor.
post #6 of 8
I kind of doubt it is a DVT also. If you are worried get it checked out.

http://en.wikipedia.org/wiki/Deep_vein_thrombosis

Signs and symptoms
There may be no symptoms referrable to the location of the DVT, but the classical symptoms of DVT include pain, swelling and redness of the leg and dilation of the surface veins. In up to 25% of all hospitalized patients, there may be some form of DVT, which often remains clinically inapparent (unless pulmonary embolism develops).
There are several techniques during physical examination to increase the detection of DVT, such as measuring the circumference of the affected and the contralateral limb at a fixed point (to objectivate edema), and palpating the venous tract, which is often tender. Physical examination is unreliable for excluding the diagnosis of deep vein thrombosis.
In phlegmasia alba dolens, the leg is pale and cool with a diminished arterial pulse due to spasm. It usually results from acute occlusion of the iliac and femoral veins due to DVT.
In phlegmasia cerulea dolens, there is an acute and nearly total venous occlusion of the entire extremity outflow, including the iliac and femoral veins. The leg is usually painful, cyanosed and oedematous. Venous gangrene may supervene.
It is vital that the possibility of pulmonary embolism be included in the history, as this may warrant further investigation (see pulmonary embolism).
A careful history has to be taken considering risk factors (see below), including the use of estrogen-containing methods of hormonal contraception, recent long-haul flying, and a history of miscarriage (which is a feature of several disorders that can also cause thrombosis). A family history can reveal a hereditary factor in the development of DVT.

http://en.wikipedia.org/wiki/Great_saphenous_vein

Pathology of the saphenous vein
Pathology of the great saphenous vein is relatively common, but in isolation typically not life threatening.[3]
  • Thrombophlebitis: The great saphenous vein can thrombose and become infected. Thrombophlebitis of the great saphenous vein is not life threatening in isolation; however, it may be associated with deep vein thrombosis which can be and thus requires further investigation.[3]
post #7 of 8
Thread Starter 
Thanks for the feedback, everyone.

I have an unfortunate familiarity with DVT as my grandmother had died from it; however, in her case there were the factors of age (nearly 90) and medical malpractice (a doctor from a call-a-doc service who wasn't willing to check why she was out of it, but rather said that it's because of her age even though she was usually crystal clear). But in that case, the leg was completely blue.

She still has the mark this morning, only red (no other colors), but I think that it's starting to slightly dissipate and she feels less soreness on the spot.

Maybe it's like a sore I got last year when my leg got squished between snow and ski-lift in Montage, PA. Looks bad but is eventually ok. I also think that if she goes skiing again, we may get her fitted for a boot and buy one in advance even though she'd still be renting 'em skis.
post #8 of 8
Boots that fit well are the key to happiness
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