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Can you develope post phlebitic syndrome 35 years after having a blood clot in the deep vein?
Development of a post-phlebitic appearance of the leg many years after an event of deep vein thrombosis may be due to worsening venous obstruction due to recurring thrombosis or due to progresssive venous insufficiency or a combination of the two. Detailed venous reflux mapping with assessment of the flow in the femoral veins as well as the saphenous veins often reveals superficial venous insufficiency which in some cases can be treated with considerable improvement in the leg. It is important to be sure that any treatment in not going to obstruct an important pathway of venous outflow from the lower extremity.
Stephen F. Daugherty, MD, FACS, RVT, RPhS
Post phlebitic syndrome can occur at any time following DVT even many years later. Once someone has had a DVT they are at increased risk to develop post phlebitic syndrome. There are many other factors that play a role here including weight, reflux in the saphenous system and perforator incompetence. You should be evaluated with a thorough venous ultrasound by a vein specialist.