> Still not sure I agree with the sporting regimen on warfarin
> though. You'd
> be amazed at the number of minor bruises that sportspeople
> get, but just
> shrug off. It's just not normal to have deranged coagulation; it's not
> compatible with a very long and active life!
Not a big deal, but a few points on return to activity:
1. Sports people will rarely accept 3 months off activity- you have to do a
bit of negotiating.
2. Do you really want to advise someone with a DVT to become more sedentary?
3. A few people (mainly in the States) have written (mainly in grey
literature) about return to sport- usually build up to running around 6
weeks.
4. No evidence either way.
Maybe discuss the options and lack of exercise and let the patient decide
whether they want to exercise or not.
But if someone gets a DVT while racing, I'd seriously worry about what
precipitated it and deal with that before I got tied down on details of
anticoagulation and exercise- there's hardly going to be venous stasis so
I'd be pretty worried about either external compression or major
hypercoagulability.
Oh, and if they do return to sport, hydrate properly during the event.
Matt Dunn
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