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Fall Risk in Seniors: The Role of Vein Problems and Blood Clots

Updated:
by Laura Kelsey, MD

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Medically reviewed by Laura Kelsey, MD, on February 5, 2026

It goes without saying that fainting spells in older adults should never be ignored. Beyond the immediate dangers of falls and fractures, fainting can be an early warning sign of serious circulatory problems, including potentially life-threatening blood clots. For older adults, identifying and addressing vein disease and blood clot risk factors can be a life-saving step toward preventing future episodes.

According to the Mayo Clinic, blood clots that form in the legs can sometimes break loose and travel to the lungs, causing a pulmonary embolism (PE), a dangerous blockage in the lungs that can reduce oxygen levels and disrupt blood flow. These sudden changes in circulation can make you feel lightheaded or short of breath, cause a rapid heartbeat, and, in some cases, lead to fainting. If these symptoms occur along with leg swelling, they should be assessed urgently.

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We consulted with Center for Vein Restoration (CVR) vein expert Dr. Laura Kelsey regarding how circulation problems and blood clots can contribute to fainting in older adults. Recognizing the connection between vein health, blood clots, and fainting is essential to protecting long-term health and maintaining independence.

Dr. Kelsey is the lead physician at CVR vein clinic locations in Grand Rapids, Michigan, and Muskegon, Michigan.

📅To schedule a consultation with Dr. Kelsey in Grand Rapids, Michigan, CLICK HERE.

📅To schedule a consultation with Dr. Kelsey in Muskegon, Michigan, CLICK HERE.

📍 Don’t live near Grand Rapids or Muskegon, Michigan? Call 240-249-8250 to speak with a Patient Services Representative, or schedule your consultation online at one of our 120+ CVR vein clinics near you HERE.

Why Fainting Is Especially Dangerous for Older Adults

According to the Centers for Disease Control (CDC), falls are a leading cause of injury and death among people age 65 and older. When fainting is involved, the risk of serious injury, hospitalization, and long-term loss of mobility increases significantly.

Common causes of fainting in older adults include:

  • Sudden drops in blood pressure
  • Heart rhythm problems
  • Dehydration
  • Medication side effects
  • Low blood oxygen levels
  • Blood clots affecting circulation

A landmark study published by the New England Journal of Medicine (NEJM) found that pulmonary embolism was present in up to 17 percent of patients hospitalized for a first episode of syncope, even when other causes were suspected. The authors concluded that pulmonary embolism is frequently overlooked in patients presenting with fainting.

The Link Between Blood Clots and Fainting

Blood clots most often begin in the deep veins of the legs, a condition known as deep vein thrombosis (DVT). If part of a clot breaks loose and travels to the lungs, it can cause a pulmonary embolism (PE). PE can cause sudden changes in oxygen levels and blood flow that lead to symptoms such as:

  • Sudden shortness of breath
  • Chest pain
  • Rapid heart rate
  • Lightheadedness
  • Dizziness
  • Fainting (syncope)

In some cases, fainting may be one of the first noticeable signs of a pulmonary embolism, particularly in older adults with underlying heart or lung conditions.

Don’t Ignore Fainting or Unexplained Falls

If you or a loved one has experienced fainting, dizziness, or a recent fall, it may be time to look beyond surface symptoms. A consultation with Center for Vein Restoration can help identify underlying vein problems and circulation issues that may increase the risk of blood clots and falls. Early evaluation and treatment can provide peace of mind and help prevent more serious complications.

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How Vein Disease Raises Blood Clot Risk

Vein disease, including chronic venous insufficiency and varicose veins, is a major contributor to clot formation. Healthy leg veins rely on one-way valves to push blood upward toward the heart. When those valves weaken, blood can pool in the legs, slowing circulation and increasing pressure inside the veins.

Cleveland Clinic confirms that varicose veins and chronic venous insufficiency increase the risk of superficial blood clots and that these clots can be associated with, or progress to, deep vein thrombosis (DVT).

Common vein-related risk factors linked to clot risk include:

  • Varicose veins
  • Chronic venous insufficiency
  • Prior DVT
  • Leg swelling and inflammation
  • Poor circulation

Early diagnosis allows for prompt vein treatment and clot management, reducing the risk of serious complications.

Take Action on Leg Swelling, Pain, or Visible Veins

Leg swelling, leg pain, and visible varicose veins are not just cosmetic concerns. These symptoms may signal venous insufficiency and an increased risk for blood clots. Scheduling a consultation with Center for Vein Restoration allows a vein specialist to assess circulation and recommend personalized vein treatment to help protect long-term health.

📍Find a Center for Vein Restoration near you HERE

What Causes Blood Clots in the Elderly?

Understanding the causes of blood clots in older adults is key to prevention. While blood clots affect people of all ages, those aged 60 and older are at the highest risk, according to the National Library of Medicine (NIH) MedlinePlus.

In addition to age, many older adults have other risk factors, including:

  • Prolonged sitting or bed rest
  • Recent surgery or hospitalization
  • Limited mobility
  • Cancer and cancer treatments
  • Heart disease
  • Obesity
  • Smoking
  • Hormone therapy
  • History of blood clots

Reduced physical activity is a major contributor to blood clots. When leg muscles are not regularly contracting, blood flow slows, making it easier for clots to form. NYU Langone urges anyone who has recently had surgery to regain mobility as quickly and safely as possible to help prevent blood clots.

Take Action Before Blood Clots Become Dangerous

Blood clots can develop quietly and become dangerous quickly. If you or someone you care for has risk factors for blood clots, Center for Vein Restoration can evaluate vein health early and help reduce the risk of complications.

📞 Call Center for Vein Restoration at 240-249-8250
📅 Or book online HERE

Warning Signs Seniors and Caregivers Should Watch For

Blood clots do not always cause obvious symptoms. However, common warning signs of DVT include:

  • Leg pain or tenderness
  • Swelling in one leg
  • Warmth in the calf or thigh
  • Red or discolored skin
  • Leg heaviness

Blood clots can be life-threatening, especially in older adults. That’s why Center for Vein Restoration offers same-day DVT rule-out services to help families get fast answers. Our hotline is 877-SCAN-DVT (877-722-6388).

Signs of pulmonary embolism may include:

  • Sudden shortness of breath
  • Chest pain with breathing
  • Rapid heart rate
  • Dizziness or fainting
  • Coughing up blood

If you or a loved one shows sudden breathing changes, chest pain, or fainting, seek emergency care immediately or call 9-1-1.

Modern Blood Clot Treatment 

Today’s treatment focuses on preventing clot growth and reducing the risk of future clots. According to Mayo Clinic, modern treatment options include:

  • Anticoagulant medications (blood thinners)
  • Direct oral anticoagulants (DOACs)
  • Compression therapy
  • Early mobilization
  • Targeted clot-removal procedures in select cases

According to Mayo Clinic, IVC filters are now used far less frequently than in the past and are generally reserved for patients who cannot take anticoagulant medications. This reflects updated best practices and evolving safety data. 

How to Prevent Blood Clots and Protect Vein Health

Preventing blood clots starts with proactive vein care and healthy habits. Evidence-based strategies include:

Stay Physically Active
Daily walking and regular movement help leg muscles pump blood back to the heart.

Manage Vein Problems Early
Treating venous insufficiency and varicose veins can improve circulation and reduce pooling.

Wear Proper Compression
Graduated compression stockings can reduce swelling and improve blood flow when properly fitted.

Maintain a Healthy Weight
Excess weight increases pressure on leg veins and worsens vein disease.

Follow Medical Guidance After Surgery or Illness
Anticoagulants and mobility plans help reduce the risk of blood clots during recovery. Compression therapy and movement are proven tools for supporting circulation and preventing clot formation. 

Concerned About a Loved One’s Leg Swelling, Fainting, or Falls?

Blood clots and vein disease can develop quietly and become dangerous quickly, especially in older adults. If you or someone you care for has symptoms like leg swelling, leg pain, visible veins, or fainting, don’t wait.

Center for Vein Restoration is America’s largest physician-led vein center, offering expert evaluation of vein disease, circulation problems, and blood clot risk. With 120+ locations nationwide and a 98% patient satisfaction rate, CVR is a trusted leader in treating venous insufficiency, varicose veins, and related conditions that can increase the risk of fainting and falls.

📞 Call Center for Vein Restoration at 240-249-8250
📅 Or schedule an appointment online today to have vein health evaluated by a board-certified vein specialist.⬇️

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Frequently Asked Questions

  1. What causes blood clots in older adults?
    Blood clots in older adults are often caused by reduced mobility, prolonged sitting or bed rest, recent surgery or hospitalization, vein disease, obesity, cancer, heart disease, and a history of prior clots. Aging veins and slower circulation also increase the risk of blood clots.
  2. Can varicose veins increase the risk of blood clots?
    Yes. Varicose veins and chronic venous insufficiency can slow blood flow in the legs, increasing pressure inside the veins and raising the risk of clot formation, including deep vein thrombosis.
  3. Can blood clots cause fainting?
    Yes. If a blood clot travels to the lungs and causes a pulmonary embolism, it can reduce oxygen levels and blood flow, leading to dizziness, lightheadedness, and in some cases, fainting.
  4. What are the warning signs of a blood clot in the leg?
    Common signs include leg swelling, pain or tenderness, warmth, redness or discoloration, and a feeling of heaviness in one leg. Some clots may have few symptoms, which is why medical evaluation is important.
  5. How can seniors help prevent blood clots?
    Seniors can help prevent blood clots by staying physically active, managing vein problems early, wearing properly fitted compression stockings, maintaining a healthy weight, and following medical guidance after surgery or illness.
  6. When should someone see a vein specialist?
    A board-certified vein specialist should be consulted if there is unexplained leg swelling, leg pain, visible varicose veins, skin changes on the legs, or a history of blood clots. Recurrent fainting with leg symptoms also warrants vein evaluation.
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