Venous rehabilitation after deep vein thrombosis.

Venous rehabilitation after deep vein thrombosis.

Introduction: The increasing incidence of DVTs and the prevalence of their functional and socio-economic consequences are prompting in-depth exploration of approaches to comprehensive and effective management that can improve patients’ quality of life. DVTR is an area of medical innovation. The aims of this dissertation are to study the key concepts, to clarify the issues surrounding this practice and its impact on the prevention of complications (particularly TPS) and finally to propose a rehabilitation protocol for effective, personalized patient management. Results and discussion: RVPT is a set of medical and physiotherapeutic strategies that refer to an interdisciplinary and holistic therapeutic process designed to mitigate the long-term consequences of deep vein thrombosis. It focuses on managing the sequelae and complications that arise as soon as DVT is diagnosed, in order to minimize functional limitations, reduce symptoms and improve blood circulation in the affected limbs, with a better quality of life. Class III elastic compression, over a minimum period of one year, is positioned as an essential intervention and current evidence supports its effectiveness in improving blood circulation and reducing symptoms of venous insufficiency. Once therapeutic levels of anticoagulants have been achieved, early mobility is permitted. The safety of non-contact exercise after one month has been proven, with an average of 30 minutes per day. Once the anticoagulant has been stopped, patients can start contact exercise under supervision. Physiotherapy plays an essential role in venous rehabilitation, helping to improve venous return, strengthen venous muscles and reduce oedema. Every patient is different, and the choice of techniques must be adapted to the severity of the DVT, individual needs and tolerance. Therapeutic education becomes the cornerstone of DVT therapy, increasing the patient’s involvement in their own recovery and providing essential skills and knowledge to manage their disease. Finally, regular follow-up and psychological support are essential to assess, make any necessary adjustments and achieve the effectiveness of the venous rehabilitation plan. Conclusion: Post-thrombotic venous rehabilitation requires a holistic and comprehensive approach, emphasizing the crucial role of patients, healthcare professionals and research. The outlook is very promising, and we are encouraged to continue our efforts in this area to develop the concept and practice of venous rehabilitation with a view to improving patients’ venous health.