Is Your Calf Pain a Blood Clot!? Do Homan's Test and Find Out.
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- čas přidán 29. 03. 2015
- Famous Physical Therapist's Bob Schrupp and Brad Heineck descibe the test one can do to help determine whether or not the pain in.
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Shout out to all my hypochondriacs
I’m having an episode right now
lmao
😂😂😂😂 I needed this!
🤣🤣🤣
Just remember one day eventually you’re going to be right!
Because of this video I finally went to the ER to get my calf pain I had been havingchecked out, it was getting to where I could hardly walk. Did the Homan’s sign test and it hurt like heck so went straight to the ER. Turned out it is a femoral and popliteal vein DVT, and quite large. Just got of the hospital today after a two night stay. They sent me home with blood thinner Rx. This video might have saved my life, though not totally in the clear until the clot is resolved. It’s scary. Please pray for me.
I do want to add that I have never had redness or swelling with this DVT at any point. The nurses in the hospital could hardly see any swelling, yet internally there is a large clot around 6 inches. Do not let a lack of redness or swelling stop you from getting calf pain checked out. It’s one of the things that made me hesitate to go for a while, was the fact there was no redness or swelling. This video finally pushed me into going.
@@hix9306 how is it now?
@@hix9306 mine is pain on my calf and it feels like someone’s pulling my nerve there and my foot hurts on that side in a “tingly” way. it’s not severe pain but it does feel very off and not like the other leg. thinking about heading to the ER because i’m too scared lol
I’m so glad you didn’t ignore that pain and got treatment in time. My daughter wasn’t so lucky. I think the only leg pain she had happened that morning. She was rushed to the hospital but they were unable to save her. I just posted her story here a few minutes ago.💔
@@hix9306 they did a blood test and said nothing was wrong!
Wow. This video saved my life. I am a 30 year old healthy active male and started having calf pain. Brushed it off for a few days, watched this video and decided to get it checked in the er. Straight up dvt. On blood thinners now. Oh my God, thank you for this video!
What was the cause?
how severe was the pain if i may ask?
@@Cptraktorn it wasn't super painful per se. When I stood up I could feel pressure building in my calf and foot but it didn't hurt much. But when I went to straighten it out, I couldn't. Like I physically couldn't without pain then. The biggest reason I went to the doc was because there was no reason at all for this pain and I couldn't walk and it wasn't getting better after three days. Highly recommend going to doc, you don't want to mess around with this.
@@tanyawieczorek7943 they don't know for sure. But my diet for about a month before was lot and lots of fats. I was eating like 5 eggs for breakfast, two big pork steaks for dinner and full fat Greek yogurt with protein powder for dessert. Trying to bulk up and recover from the gym. This along with chronic dehydration, drinking basically no water each day. On top of that, the leg where I got the dvt I wasn't walking properly on it because I had a bad callus on the bottom of my foot. So barely any actual full flexing of my left foot while walking. I think it was a combination of all these things. I'm still waiting to see a specialist though..
@@BlazerLz eggs and meat is NOT bad for your heart, my dude. It's all a lie. Sugar/carbs will ruin your heart. Not eggs!
Our mailman had one in his thigh...he said it was sore lump...he went to Dr and it was a clot. Pray for everyone 🙏🙏🙏
I’m having a panic attack before they get to the point 😳🙄🤦♀️
same here
Idk if I have it but man my calves hurt. It hurts a lot that I have to use one leg to walk on my tip of my foot. I think what caused it was when I was stretching my calves and think I stretched too long or something.. But then I was doing leg stretches on the floor and that was all. But then the next day after that it started to affect. My calves felt so tight and sore when I stood up and began to walk. Now I look like I'm whimping when I walk that I use my right leg tip of my foot to support me when I walk. My right calf hurts the most!!.. I have no idea what pain it is. I just hope it goes away fast.
No kidding. Not sure they are aware of what the average person's attention span is either.
They always seem to do this .... It's sooooo ufffff
Fr
Wish I saw this 30 years ago. Never knew about this till I almost died. Lucky for me I got to the hospital ER, the doctor there knew right away what the trouble was. A week later I was let go from the hospital with a list of things I needed to change in my life. This coming year I will be 73 and still going strong. To bad this is not told to the public more often. Thank you both for this video.
What were those things?
The Holman's test starts at 2:00 minutes in
Thank you!
Simma down…
God bless you
Dear Bob and Brad, you just saved some lives. Strong work.
Ohhh this saved my anxiety from kicking into high gear! This test actually made my leg feel better!!!
Mine too!
You just saved my life. I have had calf pain for two weeks and did the test this morning. I went to my primary physician and asked if they could do an ultrasound. Just got the ultrasound done and it’s a blood cloth. If left unchecked could have become worst. Thank you so much!
I was diagnosed with pulmonary embolism, only after I insisted to have my calve pain checked by a specialist, since my own GP said it was just muscle pain. No discoloration, not swollen, no fever, only a horrible pain. In the end the blood clot ended up in my left lung causing a infarct. These men make it seem it's simple to recognize DVT, deep venous thrombosis. Apparently it can be quite tricky.
Doctors, despite their 8 years of schooling, often over look or are completely dismissive of patients.
It’s sad when you have to advocate for your own care but you know your body, so listen and keep pushing if it doesn’t feel/seem right.
This is so TRUE I went to 8 Doctors for almost a year complaining "MY LEG" "MY LEG" and that it hurts so bad I got to where it was impossible to walk and lift the leg at all until one nite I got up from trying to rest but the pain was horrible went to a different Hospital talk with the Doctor and she said that I will order some tests came back it was a blood clot before I left she gave me a shot of blood thinner and told me to be back at 8am for more tests to make sure that it was a blood clot tests proved that it was a blood clot people PLEASE listen to you body it will tell you when something isn't right
@@olliejohnson5229 excellent comment. Thank you!
I took my mom to urgent care and decided to get the increasing pain behind my knee checked out while I was there. The dr there thought I might have sprained something but ordered an ultrasound just to rule out DVT. Can’t believe that the radiologist said I was positive for DVT and sent me to the hospital.
I didn’t see swelling but the dr felt swelling. I was literally dragging my leg because it hurt to stand on it. I would have never checked it out if I hadn’t brought my mom to urgent care.
I’m pretty sure my pcp would have thought only a sprain and not rule out other stuff with testing. I could have easily set myself up for a pulmonary embolism because it only felt like a crap starting to form behind my knee.
So I understand how easy it is to go unrecognized or be misdiagnosed. I had cancer 3 years ago. Even with a giant lymph node forming, my pcp at the time misdiagnosed me and so did the allergy specialist she sent me to. I only found out it was cancer after going to the hospital right before my follow up. Without the lymph node, the only symptom I had was extreme tiredness. Without the multiple symptoms, it’s hard for them to pinpoint what you have.
This video actually saved me..
I had a leg pain for couple of days which got worse followed by fever
my calf slowly turned red and then brownish
i thought its a muscle strain or streched muscle and didnt cared too much
but after watching this video i rushed to my cardiologist who confirmed after ultrasound that its DVT
i was hospitalized for 7 days and had to take 14 injections of cleaxane
Yogesh H Oh wow
Glad you're ok!
Glad you are ok now.. scary stuff .
Ive had one in my leg but didnt know it because i had just had ankle surgery so i thought the pain was from that but about a week later my ribs really hurt..and again i thought it was cuz i had tried out some crutches... couldnt get comfortable enough to sleep..but eventually having troubles inhaling
I faded in n out in ambulance.
Docs did tests and asked questions.. i wrote down answers.
I was in hospital for a week on warfarin .
Just a few days ago i had stretched out my leg and it seemed to just get worse.. i keep trying to walk on it...slow going.. today seemed ok at beginning
Maybe the 2 extra strength tylenol
But as day went on it felt worse if i was sitting...I sat at a cafe with a friend and we sat on stools.. and it got to be too much i had to get up n keep moving.
Kinda felt like that first time.. so I looked up leg blood clot...and here I am.....hoping its not but have a feeling it might be another clot.
I am having calf pain along the vein starting from thigh for 1 week but no redishness as of now . After how much time the skin changed color
@@prakashdhyani524 my skin color didnt change but my one calf was 3inches wider than the other from the swelling.
I am super grateful for both of you you taught me how to get my triceps exercise with weights laying down to protect my back!! Thank you!!
Thanks guys. I had a recent knee replacement operation. I had really bad stiffness and swelling in my calf muscle after being discharged from hospital. Was searching CZcams for massage exercises, came across this and went to see my doctor and an ultra sound confirmed I had a blood clot. If it wasn't for this video I may never have known. Thank you !
Thank you for this life saving video. My Mom would be alive today if only the Doctors and Nurses in the hospital she went to back in 2004 actually understood the classic symptoms of blood clots. They had a day and a half of her complaining of the pain and symptoms to give her blood thinners, which they failed to give and it traveled to her lungs in the hospital and she died. I shared this on Facebook and hopefully it helps someone whoever needs this. Thank you!
So sorry for your loss, may she rest in peace.
@@aosmozeza Thank you so much! I was changed forever by her death as so many are when death could be prevented.
@@PracticalPip So sorry for your loss 🙌 for you.
@@areviryyr Thank you so much for your kindness. 😘
God bless this Dr for sharing this world need Drs like this
Thank you. Some people don’t realize the time involved in prepping and delivering these videos while keeping up a working practice. I applaud you and others who are devoting their time to help us stay healthy became stronger and live better quality lives. Thank you so very much!
Thanks so much, I have always worried about blood clots. Now I know what to look for. A big thanks.👍
Thank you for the demonstration. I am an immobile man relegated to spending most of my time in a recliner at home because of FND. Your demonstration and the list of symptoms will help my wife and me determine whether I have a DVT. We have recently been more concerned about this issue as it has become more difficult for me to move.
Please keep doing your videos, as your work with them has helped innumerable people determine just how severe their personal medical issues are. Again, thank you.
Just watched this old video. Very useful. Thanks Bob and Brad 😊
I went to doctors after watching this ,and had blood clots in my calf, great information 👍
Ok and what did the Dr do ??????????
As a nurse in a SNF, I appreciate the straight,forward presentation of this subject to the general population. Both of you make a great team!
*an SNF
@Jin Sakai thank you for the correction. Most in health-care pronounce it as Snif,not .S N F,separately.
Had back surgery last May and was in hospital for a week. They did all those tests and I felt no pain at all. A few hours after I got home I was in an ambulance off to the ER. Diagnosis: DVTs in right calf and left thigh with extensive pulmonary embolisms in both lungs. I'm lucky to be alive. Next time I not leaving hospital unless they give me an ultrasound first.
Thanks for this info. Good to know especially since I'm 6 weeks post-op from a knee replacement.
I wish my daughter would have known about this test. Although it may not have made a difference. What happened to her, happened very quickly. She woke up on a Monday morning with pain in her leg. She told her boyfriend she was going to go to Urgent Care before work. She quickly changed her mind and asked him to take her because she didn’t think she could drive herself. She was also suffering from shortness of breath by this time and it was getting worse. She lived in a second floor apartment. They made it to the landing halfway down. She sat down there, unable to go any further. Those were her last steps and probably her last words. He called 911 and they came and took her to the nearby hospital, and her boyfriend followed in his car. By the time her boyfriend got to where she was in the emergency room, they were already working on her. He was told she was in critical condition and he could hear all the commotion in her cubicle of them working on her…machines beeping, urgency in their voices. Mercifully, they had put her out and were putting her on a breathing machine, so she wasn’t conscious. They worked on her for about 20 minutes but were unable to save her. For some reason, I’m unable to remember what her time of death was, but sometime after 9:00. She would have been getting up for work by around 6:30 or 7:00, so it only took roughly two hours from start to finish. They’d had an uneventful weekend with no warning signs. She may have had some kind of sign, but we’ll never know because she never said anything, but she wasn’t someone who complained about every little ache or pain. However, a few months earlier she’d gone to the doctor and was told she couldn’t fly up to visit me because she had a small clot in her leg. It would have been an hour and a half flight, from San Jose CA to Portland OR. He told her it was a small clot and nothing she needed to worry about. He prescribed an anti inflammatory and that was it. There was no follow up and she wasn’t treated any further. No blood thinner medication. I’ve since found out that they don’t usually prescribe them in that type of situation. She did have some of the risk factors though, and had a sedentary job sitting at a desk. And in fact, there was a hereditary factor that we were unaware of. My other daughter has been tested and she has markers in her blood for the same thing. She’s under a doctors care now and being monitored so the same thing won’t happen to her, thank God! It came from her dad’s side because we were both tested and mine came back negative. I only wish we’d known about this before! Maybe Sara’s life could have been saved. All of our lives were changed forever that day. No parent should have to outlive a child. My other daughter lost her sister who was also her best friend. She had only just turned 35. 💔
GOD BLESS U!!
😢
I understand your pain😢
That’s so sad :(
Sorry for your loss. It's hard loosing a child. I lost my daughter five years ago, not due to the same thing, but she passed away.
I love them. Random thought. Sarcasm and educational.... Famous!!!
You both just made my heart smile!!!
Sitting or lying down for long period of time...swimming, walking,and bike riding helps alot...keep moving ...
This video saved me. Scheduled an appointment with my doc, got an ultrasound, found out i have an excessive DVT in my left leg. Currently on blood thinners. Hope everything goes well 🤞.
goodluck 🙏🏽
Which doctor should we go to for any foot pain/calf pain/unable to walk
Sometimes the only time you know you have dvt is when it kills you.
Wow I wish I saw this vid 16 years ago..in the middle of an athletic event..at the age of 45...I suffered a DVT in my leg which traveled into my lungs. at the time I thought it was heat stroke. The loss of breath ..unbelievable weakness. Racing heart beat. An ambulance was called. They released me..being very athletic I thought I injured my knee again..the shin splints..the swelling in my left leg was very noticeable..not regaining my strength..I went a month before seeing a doctor thinking I was going to get better...I was diagnosed with a DVT and A Factor 5 blood disorder..im now on blood thinners and wear compression socks. .a small price to pay. I think of all the signs I missed not knowing and not facing the fear of what it could be...I’m lucky to be alive..I hope people gain knowledge of this vid and my story...thanks gentlemen..you provide the knowledge we just have to pay attention.
My right leg hurts so bad and after sitting it's worse. As I'm watching this I stretch my toes up. My leg feels better. Thank you. I have a Dr appointment scheduled for next week
I would love to sit around and talk to these two guys. I could listen to them talk all day
An easy way to remember the risk factors are to know Virchow’s triad - stasis, vessel wall injury, and hypercoagulability. (Ex: sitting for a long time, surgery, birth control)
I had an extensive DVT and a bilateral pulmonary embolism which I survived about 5 months ago. Now I'm a lifer on blood thinners. It was very scary and is still is, but thank God I made it on time to the ER. So doctors and nurses saved my life.
Well don't get the clot shot then
Tows toward the noze. Love you guys!
@71 y.o. this vid allayed recent anxiety I have had. My youngest sister has had a multitude of problems, and operations, losing RS leg to hip/LS toes, half foot. While I maintained slightly better diet/exercise, this is on my mind, daily.
I've suffered 2 separate instances of DVTs, which led to pulmonary embolisms; both of which were induced by long periods of sitting still. After the second one, my doctor prescribed Xarelto and I will have to take it for the rest of my life. Great advice on what you can do to reduce the likelihood of getting a DVT while traveling. However, I'm surprised you guys didn't mention using compression socks while on a long flight or drive. I use them every time I travel long distances, in addition to stopping every 2 hours to just walk around for a few minutes. A good pair of compression socks can be a lifesaver.
Too late for my mum.no warning signs at all.
Which doctor to reach out to for calf pain and unable to walk?
I actually wear compression socks all day & night. Idk if I have clots, but my legs swell & hurt if I don't wear them. And my circulation is bad.
THANKS for that because that was the first investment I did was buy those stockings that in which is not cheap but well worth the investment 🌺
@@t.g.7180 look into Keto diet to help improve your circulation. Lots of great CZcams videos on keto.
Thank you, Doctors.
Oh my gosh, I just can't get over how many people here were prompted to go see their doctor (THANKFULLY!) on the strength of this video! ♥️♥️♥️♥️
Exactly 🤦♂️
So they won't think ok it's a stiff or a torn calf muscle they believe those 2 poopholes I'm shocked
Thank you so much. This is very helpful.
these guys are awesome, they need a show.
funniest blokes combined aye
a show AND T shirts for their fans!
they have a show; the CZcams show
You're watching it.
They have their own CZcams channel
I have got one behind my knee, I knocked my calf at work, nothing major or enough to even report, but noticed my left leg had swollen slightly,
Only a 2-3 cm difference but felt like a dull ache, went to the doctors and saw a nurse practitioner, decided it wasn’t a clot, after a week I went back
as not happy, she did a D Dimer blood test which came back positive and I was sent for a ultrasound today which revealed the clot, I have to take blood thinners now and have some more tests, but if you have any symptoms go go the doctors.
Excellent information. Thanks
Wish I had seen this video earlier.......but alas too late lost all my toes and part of my foot......Miss diagnosis by a former Sports Injury Doctor.. you both sure save a lot of lives with these shows...
On an unrelated note... that blue shirt & tie is absolutely beautiful!👍💙
CJ and Brad sitting in a tree....
I had leg pain in my right leg calf down to my Achilles tendon. Sometimes the leg would go numb below the calf, but the pain was almost constant because my job requires me to be on my feet 90% of the shift. After a couple of weeks of the pain not subsiding I went to my Doctor who scheduled an ultrasound which showed a blood clot behind the knee. The Doctor immediately prescribed blood thinner Pradaxa, and Naphroxin for pain. It took about six months for the clot to totally dissolve and the pain to stop. My side effects with Pradaxa were brutal at times, shortness of breath, chest pains, and serious joint pain. Anyone who reads this and is having calf/Achilles pain, tingling/ numbness in lower leg, please get it checked out by your physician or fo to the emergency room. I take a low dose aspirin daily for life after doctors took me off the Pradaxa. The whole episode changed my life, had I ignored it I wouldn't be alive today. God bless 🙏
I hope you're wearing compression socks at your job.
Great information, thank you!
Very helpful, thank you.
Hi Bob and Brad,
My dad recommended your videos a few months ago and I became a subscriber. I'm so glad I did as I'll explain.
I started having some left leg calf pain about a week ago. I chalked it up to a pulled muscle and started icing and heating etc. After a few days of no relief, I searched your videos on CZcams hoping to find some good stretches for the calf. That's when I happened upon this video. It made me think about the possibility of a clot. I did your recommended test in the video and thought it might be worth going to get checked out.
I went to my doctor this morning, where they did a d-diper test and found elevated levels. They then sent me to get some imaging where they discovered a clot just above my knee and one in my calf area.
Had I not watched your video, the thought probably would not have entered my mind and I would have just continued assuming I pulled my calf muscle.
I'm not one for hyperbole but I feel like your video may have saved my life.
Thanks for all you guys do!
I had that happen to me I have not had it checked..I spoke to my VA DOCTOR and he brushed it off like it was nothing..currently I am not having any problems, sometimes a little pain in my calf and leg
I've been mostly bed or couch bound for nearly two decades. I'd noticed that I'd picked up a habit of flexing / pumping my ankles. Haven't done this intentionally. Good thing I'm doing it.
THANK YOU Gents.
Thank you for this! Great tips! 👍
Wow! Thank you Im on the other side of my 2nd blood clot in my lung...Thanks for this...
Second this scares me I had massive pe I don’t want another
With you on that one. I had a bilateral PE 5 months ago. It's very scary
Just recently diagnosed with dvt/clots in calf & thigh. I had calf pain, swelling on one leg, BUT swelling was going down with elevation, and when I tried this test, squeezing my calf, it did not hurt that much, so I did not think it was DVT. Thankfully, I went to doc and they did ultrasound... Several clots found.
Omg how are you doing now? What was the cause?
I have pain in my carve for the past week now.i take pain tablets and rub it then I feel better but the next day it's back again. I have a history with thrombosis In my father's family's some passed .
Ok and what did the Dr do for you ?????????
Thank you guys.
I'm 33 and healthy. Just had meniscus surgery. Within a day my calf was red and hurt a lot. Physical therapist didn't mention it but thank got the massage aid did otherwise I wouldn't have known it was serious and to go to ER. DVT, multiple blood clots in calf and behind knee. Now I'm on blood thinner. Could you guys do a video on what you should and should not do after being diagnosed with DVT? I can't find any information on that and it's important I move a bit to gain range of motion back in my knee but I'm also afraid of dislodging the clots. Thank you for the helpful video full of New England wit!
Twisted my calf last night and got paranoid. Lol this test actually felt good (nice stretch) and the pain I was feeling reduced by 75%. Diagnostic and therapeutic! Thanks guys!
Common Femoral Vein, Popliteal Vein and then calf veins are the 3 spots where DVT's likely start.
You're absolutely right. Mine started in the illiac artery and popliteal vein...extensive DVT
@@marielacantu9603 DVT is not in artery
I am active, but have had this 'ache' in my calf for a few months. I was concerned of having a DVT. No pain doing this test, thank you!
It’s possibly just inactivity; make sure to stretch your muscles every hour and try to walk at least 3k steps a day if you’re sedentary
You guys are amazing for doing this video! You should be very proud of yourself, if you are not you should be ashamed that you are not!
I think the newest recommendation (after you are diagnosed with a blood clot) is to get up and move or exercise.
Been on blood thinner now for almost 12 years. Have had DVT'S twice that broke loose and ended up as a pulmonary embolism. Those clots can take your heart out in the way to your lungs. Very serious matter.
Sometimes you don't even know you have a clot until it kills you suddenly.my mum had no idea of a clot in her leg and it broke off and lodged in her lung killing her instantly.
Thank you gentleman , God bless
You guys are the best.
Very informative. I had a DVT behind my right knee, broke off went to my right lung. The pain was horrible. Found out I have an inherited clotting disease, Factor V Leiden. On blood thinners for life now.
Hope you’re doing okay
Jesus can heal
Did it show in your blood work?
@@fluffyflo2602 yes that would be on his blood work usually they check that through a hematologist
What are other places clpts tend to form? How do you test the upper thigh? Arms?
I do love you guys you’re so awesome do you mind turning your volume up so that we can hear you louder?
very informative ....... thank you
As usual, great information. But the microphone is causing an echo in your voices, making it difficult to clarify your words
Thank you guys for this great information. Last year I had a blood cloth on my brain and the back of my eye. I was losing my eye sight for up to 6 hour. Long story short I took Nattokinase also known as Ortho Natto and all blood cloths were gone within 2 weeks. I never lost my eye sight again. Thanks again it is people like you that makes a difference in this world in a positive way. Love your videos.
I take that as well. I wonder if it works
I’m glad you mentioned these. I was told I would be on thinners for after Dvt and pe but I use these instead
@@Swansue this truly saved my life. There are so many great benifit taking this. I will continue to take them.
@@Empressqueenprincess I will continue to take this product. Truly saved my life and I never have to take blood thinners. Many great reasons to take this.
Thanks for this, i just wabted to check because this morning i grazed a vein and ny parents are worried, so now i can show them and be sure that I don't have one :)))
woke up with an unexpected pain in my calf--just one spot. Despite the lack of most of the causes, (I'm always dehydrated....) I immediately assumed there was a clot and yep, anxiety kicked in....this video just popped into my email inbox and this test put my mind at rest.
Sciatica can cause intense calf pain. I have gone for ultrasound many times when I had severe calf pain...could not even touch my calf, and the test always comes back as nerve pain....no clots.
Exactly. This isn't the most helpful video. Its far too general in its approach. Pain from squeezing the calf can be very indicative of an injury.
Sharon here: Just an added note. My DVT did not present as red, and had only 1cm difference between the size of my calves. Lucky for me, the resident sent me for an x-ray anyway. After sending blood samples out to California, no cause was determined, and it remains "unprovoked". Knowing that it could happen again at any time makes me jumpy every time I have calf pain.
Thx. I had like a small knot in the back of my left thigh area? And I'm gonna go take a shower. But I think it's dehydration. I was busy and probably didn't drink enough fluids tonight. But you guys are good I am going to subscribe. Thank you
Definitely remember David Bloom and his passing. So young. Hard to believe it’s been decades since his death.
thank you i fully sure now its a blood clot i have every sign thank you love from laura faith in ireland dublin. im going straight to emergengy room , thank you guys are amazing irisah blessings to you xxxx
How did things go?
Was it a blood clot?
How long would it take for the blood clot to break away and go to the lungs? I've had a sudden pain inside my calf, I'm hoping its not a big deal. If it's possible to wait a week or so before the signs are more definitive, that would be great.
Thanks Docs
HAD CRAMP IN MY CALF WHEN I WALKED--WENT TO DR---IT WAS A CLOT IN MY GROIN THAT WAS CAUSING IT. GLAD I GOT IT CHECKED! COULD HAVE BROKE OFF AND WENT TO MY LUNGS OR BRAIN ETC.
In medicine, Homans' sign (sometimes spelled as Homans sign) or the dorsiflexion sign is considered a sign of deep vein thrombosis (DVT). It was defined by John Homans in 1941 as discomfort behind the knee on forced dorsiflexion of the foot.[1] After surgeons discovered many examples of a false-positive Homans' sign, Homans redefined it in 1944, stating that "discomfort need have no part in the reaction", including increased resistance, involuntary flexure of the knee or pain in the calf to forced dorsiflexion as positive responses.[1][2][3][needs update]
It is estimated to have a sensitivity of 10-54% and a specificity of 39-89%,[1] and is thus considered to have no diagnostic value, since a positive sign does not indicate DVT and a negative sign does not rule it out.[1] Still, it is widely used in clinical practice, probably because of its historical role prior to the availability of more reliable diagnostic studies (such as a D-dimer titration or a Doppler ultrasound), as well the ease of eliciting it.[4] Signs and symptoms of DVT in general are not sufficiently sensitive or specific to make a diagnosis, being helpful only to help determine the likelihood of a DVT (with the use of a clinical prediction rule such as the Wells score).[5]
I added this because I had a DVT that was missed because the doc relied on Homan's and Homan's only. By the time I was diagnosed 6 weeks later the clot was all the way up into my pelvis and I was hospitalized for 6 days. Imagine if they had caught it early when it was still a little clot in my calf. I probably wouldn't have had that brain bleed from heparin and wouldn't have post thrombotic syndrome now.
This test did not work for me either. I do not present with classic symptoms because I seek help before the problem gets that big. Unfortunately most doctors only look for the classic signs. My doctor tests "just in case" and catches them early.
Thank you for mentioning Wells criteria. As a PT for 27 years, I have to admit earlier in my career I depended on Homans test. I also frequently sent my TKA patients to get Dopplers that were negative. When I did wells criteria in inpatient rehab, with a student who educated me, we were able to find 2 patients with clots (1 was already diagnosed, we weren’t informed). Much more reliable
Thank you for this video. I had a DVT 2 yrs ago which was treated. I am a teacher and now that we are teaching through distance learning I am sitting for a prolonged period and I am afraid of it returning.
standing calf raises with deep breathing thru out day x10 plus walking.
Excellent upload, excellent channel. thank you! Blood clots run in my family, plus i have IF which puts me at an even higher risk , so I am on permenant blood thinners...but a clot in the calf always niggles me in the back of my mind so i appreciate this video a lot, big thanks from the UK 😀👌
My mom had that in the early 200's, She had two blood clots in the same leg. But different times
Not me being a hypochondriac again
I've had calf pain for month's now but xrays and scan show nothing wrong . So what am I supposed to do .
Had an anterior right hip.....went back to work at 6 weeks...physical job....swelling daily. My calf never blew up....developed mild chest pain at 8 weeks...worked up for a cardiovascular event in the ER. 4 days later had a d-dimer....critical high..20. They missed it the first ER visit. Had a PE and a developing non-occlusive DVT. None of my symptoms matched the pattern. I was lucky.
First the clinic or hospital emergency room that you go to will do a blood test called d-dimer. These can usually show whether there are blood clots in your body. Then if that test is high they will do an ultrasound. Then they may do a CT scan.
Also in addition to pumping your feet up and down against a hard surface, pump them side to side also.
My dad had factor 5 and thats hereditary, and my mom had factor 9, which isnt hereditary. Factor 5 is when your blood clots to much, and factor 9 is your blood has a problem clotting. Thank God I dont have either one...thanks for your video.
I have the same problem have severe left calf pain and hurts like hell can’t sleep and I pass this test. feels like a cramp but no swelling or redness went to ER few days ago and was given Xarelto tablets (blood thinner) 15MG 2x per day and ultrasound scan is due tomorrow wish me luck :(
Turned out I have DVT , this test is spot on and saves lives
good video!
I've had edema in my left foot for 3 weeks now since working in heels on the holiday. It began 2 weeks after I had unexplained nerve pain on the top of my left foot. Theres been very slow improvement but when I'm on my feet for any length of time it swells again. The insurance company denied the mri and I'm waiting for my dr to do a peer to peer review. I did not have that pain in my calf from the Homans Test so that's a good sign! (wow was the bottom of my foot mad from that flex though). I have Crohns Disease and maybe a connective tissue disorder so I've been stressed over it lol
My many years of calf pain went away when a cardiologist prescribed Eliquis after getting a pacemaker. Up until then, no doctor took my complaint seriously and they said I just needed insoles in my shoes. Eliquis dissolved the blood clot no one knew I had within a few days and I experienced a true miracle!
No Doctor would hear me either for about a year I also went from ER to ER until finally 1 Hospital did test me and it was there they found it
I noticed soreness in both calves when walking for the past two days, this happens once every so often, once every 2 months or so for a few days that I've noticed. I am skinny and no major health problems, but sit for long periods of time due to my job. I am 23 and on birth control pills. I noticed tonight after looking in the mirror due to soreness, that I have 2 unexplained bruises near the back of my knee towards the side of the leg. Should I be concerned this is a blood clot?
Can’t figure out why calve hurts in one spot and has for weeks. Right behind, not favoring a side. Woke me up the first night it hurt so bad. But not swollen, not pink, can bed toes up, so ... idk. Hope it’s fine. My kids need me. 🤷♀️ great video btw
You guys are great - true helpers of people and successful living. So admirable. 👍🏼
Just got diagnosed with a Blood Clot this week in my left calf leg. I had the knee arthroscope 2 weeks ago. The only pain I had was in the back of my knee and never in my calf! My only clue something was wrong was that my calf turn hard as a rock and I told the Doctor and it save my life!
Yes mine was originally just in the back of my knee! It spread to my calf and thigh later, but I remember that pain specifically. I thought I just pulled a muscle, but there was no reason for it and I just thought it felt "off" compared to a normal muscle soreness. It's hard to explain, but somehow I knew it was a blood clot even though I didn't get checked out for months. In all that time, the clot got worse and I developed dozens of pulmonary emboli. If I had gone in right away, I may have been able to save my lungs from so much damage. I was 33, physically fit, and had many well-meaning friends and loved ones tell me I was worrying about nothing. Always trust your gut! It's better to be wrong and feel "silly" than to ignore it until it almost kills you.
EASTMAN EDITING my family is saying I’m tripping and overreacting but I need to go and make sure, thanks brother.
Pr.incorporated that’s probably best bro I’m only 18 so I understand where your coming from, it can happen to anyone any age. Hope your leg starts feeling better bro keep me posted.
Michael Anderson how are you now?
Pr.incorporated how are you now?
I sit a lot on my couch due to studying for hours (bad habit and im changing that!) but I've been having this weird calf sensation the past two days and its scaring the crap out of me. I have no calf swelling or redness. Just a weird burning pain that radiates down my leg when standing for long periods and a weird twinge pain sometimes when walking. I convinced myself all day I have a DVT (thanks nursing school lol) but after watching this video and doing the tests I literally have no pain when doing it and it eased my mind, Thank you! -Katie
@@detailforward2530 mines is sore and in pain redness and to the touch...so ik I'll be going to the er
I have venous insuffiency which causes chronic calf pain which worsens when sitting for too long. I’m always paranoid about clots. I always watch for changes in my leg. Pain is never enough for me. It has to turn a different colour or go hot to be a concern otherwise I’ll go 24/7 to the dr. Pain hurts if I bend it like a dvt.
I've had clots twice, the first time was after a really bad sprained ankle where I sat on the couch with my foot elevated for a week. I had 6 clots near my groin. The second time was during chemo, I had bilateral illiac aorta clots. I guess they were huge. I also had several in my left ankle. I was on Zarxio shots which caused a lot of pain so it went for a long time before I realized that pain wasn't related to the injections. I ended up with black toes. Couldn't stand for 2 months, over a year later and my big toe still hasn't healed completely yet. Can't even wear a shoe on my left foot. Worst year of my life.