Deep vein thrombosis — a blood clot, usually in the leg — is one of the risks doctors mention before surgery that can sound alarming without much explanation of what to actually do about it. The reassuring part: it's also one of the more preventable post-surgical complications, and prevention starts well before any symptoms would appear.
Why surgery raises the risk
Reduced mobility after surgery slows blood flow in the legs, and slower-moving blood is more prone to clotting. This is exactly why "just resting until you feel better" isn't the safest instinct after surgery — appropriate movement is part of what protects against this specific risk, not just something that happens once recovery is otherwise complete.
What actually reduces the risk
- Ankle pump exercises — simple, repeated flexing of the foot at the ankle, which activates the calf muscles that help pump blood back up the leg
- Active lower-limb exercises — movement of the legs even before you're up and walking
- Early mobilisation — getting up and moving as soon as it's medically appropriate after discharge
- A progressive walking programme — building up activity in a structured, guided way
- Compression therapy — when specifically prescribed by your treating doctor
What this doesn't replace
None of this — exercise, mobilisation, or supportive technology — replaces anticoagulant medication or compression therapy that your doctor has specifically prescribed. If you've been given blood thinners or a compression garment to wear, that instruction stands regardless of what else your rehabilitation programme includes. Prevention here is layered, not either/or.
The bigger picture
DVT prevention isn't a separate, isolated task bolted onto recovery — it's woven into the same early mobilisation and structured movement that supports every other part of post-surgical rehabilitation. Following your programme as guided is, in itself, meaningful DVT prevention.
Post-Surgical Rehabilitation at Impulse Physiotherapy includes DVT prevention as a standard part of recovery, alongside your surgeon's specific medical guidance.
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