What is Plantar Vein Thrombosis?

Plantar Vein Thrombosis (PVT) is a rare condition where a blood clot forms in the veins in the sole of the foot. While deep vein thrombosis (DVT) commonly affects the legs, PVT specifically involves the plantar veins, leading to foot pain and other symptoms.

According to the National Library of Medicine (NIH), PVT is often misdiagnosed as plantar fasciitis. Understanding PVT is crucial for those experiencing unexplained foot discomfort, as early detection and treatment can prevent complications.​

Varicose Veins and Plantar Vein Thrombosis: Is There a Connection?

Varicose veins are swollen, twisted veins visible just under the skin, often occurring in the legs. They result from weakened or damaged valves in the veins, leading to blood pooling and increased pressure. According to UCLA Health, research suggests a possible link between varicose veins and an increased risk of deep vein thrombosis. A 2018 study in The Journal of the American Medical Association found that individuals with varicose veins had a higher incidence of DVT.

Don’t ignore persistent foot or leg pain—your veins are telling you something!

Individuals with varicose veins should be vigilant about any new or unusual foot pain and consult a vein specialist if concerns arise. ​At Center for Vein Restoration (CVR), we are the nation’s largest physician-led vein center, improving lives in the communities we serve by providing state-of-the-art vein care, compassionately and affordably.

Call 240-965-3915 to speak to a Patient Services Representative or schedule your consultation online at a CVR near you today.

What Causes Plantar Vein Thrombosis?

Several factors can contribute to the development of PVT:​

• Immobility: Extended periods of inactivity, such as prolonged bed rest or long flights, can slow blood flow in the veins, increasing the risk of clot formation.​
• Trauma: Injuries to the foot can damage blood vessels, leading to clot development.​
• Surgery: Recent foot or ankle surgeries may elevate the risk due to decreased mobility and potential vessel injury.​
• Medical Conditions: Certain conditions, like varicose veins and chronic venous insufficiency, can impair blood flow, making clots more likely.​
• Lifestyle Factors: Obesity, smoking, and dehydration can also increase the risk of venous thrombosis.​

Symptoms of Plantar Vein Thrombosis

Recognizing the symptoms of PVT is essential for timely intervention:​

• Foot Pain: A sudden, sharp, or throbbing pain in the sole of the foot, especially when standing or walking.​
• Swelling: Noticeable swelling in the foot or ankle area.​
• Redness and Warmth: The affected area may appear red and feel warmer than the surrounding skin.​
• Tenderness: Sensitivity when touching the sole of the foot.​

It's important to note that these symptoms can resemble other conditions, such as muscle strains or plantar fasciitis. Therefore, it's crucial to consult a vein care or other healthcare professional for an accurate diagnosis.​

Is Plantar Vein Thrombosis the Same as Visible Veins on The Top of The Feet?

​No, PVT is not the same as having visible veins on the top of the feet. These two conditions differ in their nature, causes, and clinical significance. Key differences include:

• Nature: PVT involves a blood clot in the veins of the foot, whereas visible veins on the top of the feet are typically superficial veins that have become more noticeable without clot formation.​
• Symptoms: PVT presents with pain, swelling, and redness, while visible veins usually do not cause these symptoms unless associated with another condition.
• Clinical Significance: PVT is a medical condition requiring prompt attention to prevent complications. In contrast, visible veins are often not dangerous but can cause painful symptoms beyond cosmetic concerns, including aching, heaviness, and leg pain. Untreated varicose veins can lead to blood clots or skin ulcers.

Pain in Your Feet or Legs? It’s Time to See a Vein Specialist!

If you’re struggling with ongoing foot pain, leg discomfort, or unexplained swelling, it could be more than tired muscles—it may be a sign of venous disease or even a dangerous blood clot. The board-certified experts at Center for Vein Restoration specialize in diagnosing and treating problem veins, helping patients return to an active, pain-free life.

Don’t wait—schedule your appointment at CVR today and get the expert care you deserve!

CVR accepts many insurances, including Aetna, Amerigroup, Anthem, Blue Cross/Blue Shield, Cigna, MultiPlan, Medicaid, Medicare, and more.

Diagnosis of Plantar Vein Thrombosis

To diagnose PVT, a vein specialist or doctor may perform the following:​

• Physical Examination: Assessing the foot for signs of swelling, redness, and tenderness.​
• Duplex Ultrasound: This imaging test uses sound waves to visualize blood flow and detect clots in the veins.​
• D-Dimer Test: A blood test that measures a substance released when a blood clot breaks up; elevated levels can indicate the presence of a clot.​

Early and accurate diagnosis is vital to prevent the blood clot from growing or migrating to other parts of the body.​

Treatment for Plantar Vein Thrombosis

Treatment aims to prevent clot progression and alleviate symptoms:​

• Anticoagulant Medications: Commonly known as blood thinners, these medications prevent existing clots from enlarging and reduce the risk of new clots forming.​
• Compression Stockings: Wearing these special snug, stretchy socks can improve blood flow in the legs and reduce swelling.​
• Elevation: Keeping the foot elevated can decrease swelling and discomfort.​
• Physical Activity: As advised by a healthcare provider, engaging in gentle exercises can promote circulation.​

In severe cases, there's a risk of the blood clot traveling to the lungs, called pulmonary embolism (PE). According to Johns Hopkins Medicine, more aggressive treatments like thrombolytic therapy or surgical interventions like vena cava filter placement or pulmonary embolectomy (removal of the clot) may be necessary, as PE is potentially fatal.

Prevention of Plantar Vein Thrombosis

To reduce the risk of developing PVT (and blood clots in general!):​

• Stay Active: Regular physical activity promotes healthy blood flow.​
• Maintain a Healthy Weight: This reduces pressure on your feet and leg veins.​
• Avoid Prolonged Immobility: During long periods of sitting or bed rest, take breaks to move around and stretch your legs and feet.​
• Hydration: Drinking adequate water helps maintain blood viscosity, reducing clot risk.​
• Manage Chronic Conditions: Properly managing conditions like varicose veins and venous insufficiency can lower the risk of thrombosis.​

Your Legs and Feet Shouldn’t Hurt—Find Relief Today!

Foot pain, aching legs, and swelling aren’t just part of aging—they could be signs of an underlying vein condition called chronic venous insufficiency. If you’re experiencing leg or foot discomfort that won’t go away, it’s time to see a vein expert.

If you experience persistent foot pain, swelling, or changes in the appearance of your veins, you must consult a board-certified Center for Vein Restoration vein specialist near you. They can offer an accurate diagnosis and customized treatment plan using minimally invasive outpatient techniques.

At Center for Vein Restoration, we provide customized vein treatment plans tailored to your needs, helping you feel better fast. Call 240-965-3915 to speak to a Patient Services Representative or schedule your consultation online at a CVR near you today.