Superficial phlebitis usually improves on its own in a few days, although it may take a few weeks for the lumps and pain to disappear. Treatment usually consists of warm soaks, rest, leg elevation, and a nonsteroidal anti-inflammatory drug (NSAID) such as acetylsalicylic acid* or ibuprofen. If there is evidence of an infection, a short course of antibiotics may also be prescribed.
For superficial phlebitis and DVT, your doctor may suggest that you wear elastic compression stockings. If you have blood clots in the superficial veins (e.g., veins of the leg), the doctor may suggest removing the vein. Rarely, the doctor may remove the blood clot from a superficial vein under local anesthesia.
For DVT, medications such as heparin or warfarin may be used to prevent blood clots from getting bigger.
Doctors might also suggest placing a filter (an umbrella-like device) in a vein to prevent clots that break off from reaching the lungs. Rarely, surgery may also be recommended to bypass or open a vein.
To prevent phlebitis, avoid smoking and participate in moderate physical activity to maintain muscle tone and promote circulation. When travelling for long periods of time, walk around every hour or so and move your legs frequently.
Compression stockings may also be helpful. For some people (especially those who have had a blood clot in the past), your doctor may recommend a medication to reduce your chances of developing a blood clot.
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