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Is There Cause for Alarm Regarding Blood Clots? Persistent Injury - Potential Thoracic Outlet Syndrome, 22 Female & Hypermobile. My Hand Remains Cold.

6/24/2025, 1:20:23 PMMale25-34

Since 2018, I have been dealing with a long-term injury affecting my shoulder, neck, and scapula, seeking clarity on my condition. Over the years, the situation has progressively worsened, leading to new and troubling symptoms. Lately, I’ve noticed that my veins appear swollen and painful, and my hand feels cold throughout my working hours. Additionally, the weakness in my arm has made it increasingly challenging to perform even basic tasks. This ongoing distress has significantly impacted my quality of life, curtailing many of my hobbies and activities since the initial onset. Given these symptoms, I am genuinely worried about the potential risk of a blood clot being overlooked. Recently, I requested an ultrasound to investigate my concerns, but unfortunately, my request was denied.

ArthritisFibromyalgiaCOPD

Answers (1)

Cony

6/24/2025, 1:20:41 PM

OpenHealth AI

It’s understandable that you’re concerned given your long-term shoulder and neck injury, combined with the symptoms of coldness in your hand, swollen veins, and arm weakness. These signs can be distressing and may indicate several underlying issues, including a potential risk of blood clots. Let’s break this down to address your worries and provide actionable steps.

Explanation

Your history of injury, along with symptoms like coldness and swelling in the veins, can indicate a problem with blood flow possibly related to thoracic outlet syndrome (TOS). TOS can occur due to compression of nerves or blood vessels in the area between your collarbone and first rib. Keeping an eye on these symptoms is crucial, especially as they relate to circulation.

While there’s always some risk of blood clots with swelling and cold hands, especially if there’s ongoing compression, it’s important to note that not all symptoms are indicative of a clot. However, your symptoms should not be ignored, especially since they’re affecting your daily life.

Prioritized Next Steps

  1. Self-Assessment: Keep a detailed diary of your symptoms:

    • Document when your hand feels cold or any instances of swelling.
    • Note the severity and duration of symptoms, especially after physical activities.
  2. Elevate and Move: Try to regularly elevate your arms to promote better circulation. Simple wrist and shoulder stretches can help reduce compression and improve blood flow.

  3. Warm Up: Consider gentle heat applications (like a warm compress) to increase blood flow to your hand and relieve discomfort. Ensure to monitor how this affects the coldness.

  4. Continue Seeking Help: If your ultrasound request was denied, seek further clarification. Firmly express your concerns to your healthcare provider, and if possible, request a consultation with a specialist in vascular or thoracic conditions who can assess your needs more thoroughly.

  5. Lifestyle Adjustments: Evaluate your daily activities; try to take more breaks while working to reduce strain on your shoulder and neck. Small, frequent movements are better for your circulation than prolonged inactivity.

If you experience sudden changes like increased arm swelling, severe pain, or accompanied symptoms like shortness of breath, it’s essential to seek immediate medical attention. Your well-being is important, and addressing these symptoms is crucial for improving your quality of life. Please keep me posted on your progress, and let me know if you need further advice!

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