This article is based on reporting that features expert sources. If your job involves sitting at a desk for a long time, or if you work in the travel industry and sit for 4 or more hours at a stretch in a plane, car, bus, truck or train, you may be at a higher risk for blood clots again or PE. The complication of that disease in our arms and legs is known as pulmonary embolism. Take it with you. But the weekend-warrior mindset that has many participating in all sorts of rigorous athletic endeavors is contributing to a spike in hip and knee Stuart Kozinn MD- Orthopedic Surgeon. When a blood clot, called a thrombus, forms in one or more of the deep veins in your body, usually in your legs, it can cause pain or swelling. How long on average should it take for eliquis to dissolve a DVT running the entire length of a leg? Despite that, you should also talk with your doctor about the hidden signs of blood clots. You will know if you feel strong enough to go back to work. What Are the Benefits of Morning Walking? If you notice any unusual bleeding or bruising, tell your doctor right away. This is due to differences in pelvis anatomy in men and women. Talking with your employer is the next thing you should do. Wear construction hats or bike helmets to protect yourself from injury. In the weeks and months following surgery to correct varicose veins, exercise is encouraged to help speed healing and regain proper vein function. Early mobility in the anterior hips allows us to avoid complications of extended bed rest. Does Alcohol Affect Deep Vein Thrombosis? The recovery time after having a stent or angioplasty is fast and patients are discharged from the hospital in usually 12-24 hours after the removal of the catheter. They also can help keep another clot from forming. If your work is physically demanding it may take up to 12 weeks before you can return. While in hospital, you may be given fluids directly into a vein (intravenously) until you've recovered from the anaesthetic and are able to eat and drink. Immediately after a diagnosis, you may be dealing with physical pain, trying to understand why the clot happened, and adjusting to the lifestyle impact of taking an anticoagulant. What specific exercises does Hillegass recommend for these patients? Returning to work after a heart attack is an important indicator of recovery. HELP. Avoid strenuous or prolonged physical activities or exercise for two weeks post-surgery. you can return to light activities or office-based work after around six weeks. So far in my personal series, the risk appears greater in significantly overweight women. It's your valuable health care visit, so get answers that matter to you. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. #stoptheclotstory, Phone: 703.935.8845 Learn about the common causes and when to seek medical attention. However, that doesnt mean you cant go from one office to another. How long until side effects are totally gone. https://patient.info/forums/discuss/returning-to-work-362309. You can still do the things you love after a blood clot - even on blood thinners. This is known as a venous thromboembolism, or VTE, and can obviously be very serious and even fatal. Of course, do not expect he will make excuses. Newly diagnosed and don't know where to begin? If you arent likely to have another one, you may be able to stop takingblood thinnersat that point. You're not alone. This will help with, If youre not able leave your seat, stretch your, If you work a desk job, ask your employer if you can have a standing desk. Symptoms of DVT. When am I ready for Total Hip Replacement . Kiser and Stefans, in 1997, conducted a retrospective case-control study and concluded that "at least 48 to 72 hours of bed rest would be prudent before return to mobilization."14(p944) They identified 190 patients discharged from a rehabilitation facility with a diagnosis of DVT or PE. Most are doing so well at 4 weeks, that they dont fee l like they need to come back again to the office. If you work in industries like construction or sports, youre more likely to get surface cuts. Keep in mind that some of them do not look dangerous at first glance. The manufacturer suggests the Vitamin E impregnated polyethylene will last 30+ years based on lab simulations of activity. But this procedure gives you your best odds of success if you need a hip replacement! This can affect the blood flow from your leg to the heart and lead to PTS symptoms. You must not lift heavy objects or strain yourself for another 2 to 4 weeks, to avoid your developing hernia from the site of operation. If youre thinking about going back to work, first speak to your doctor to see if youre physically able to and what changes you may have to make. You can swim as soon as the wound is healed (ten days). advice, care, or treatment. In this post, find more information about important clotting and bleeding symptoms you need to be aware of, and start learning to trust your body again. This may lead to swelling of the leg and is hazardous to life because bits of clot in the leg may fall off and travel via the main veins to the heart. You want people to exercise, because the lack of exercise causes clots, says Ellen Hillegass, a physical therapist with American Physical Therapy Association board certification in cardiovascular and pulmonary clinical specialty. Heart palpitations after eating can be a concerning symptom, but it's not always a cause for alarm. 3. In this post, find more information about important clotting and bleeding symptoms you need to be aware of, and start learning to trust your body again. Fracture rate is .2% for the anterior hips (minor fractures not requiring revision). (I will assume no news is good news! ) Shortness of breath, fainting, or chest pains (particularly pains that worsen with coughing or change in position) are the three most worrisome signs. Still, doing that regularly is not always going to be possible. In most cases, patients can return to work within a few days to a week after the procedure but never miss on the doctor . Week 1: Walk for five minutes at a comfortable pace, three to four times per day. They didn't expect me to live. Up to half of people with DVT will have long-term complications because of damage to the leg vein (post-thrombotic syndrome), where blood remains too long (chronic venous insufficiency). In addition to taking your medication as your doctor instructed, you can do a few other things to make another DVT less likely. Egton Medical Information Systems Limited. I had one at 16. Once your doctor clears you, going back to work full-time or even part-time may feel scary after youve had a DVT. For example, if bearing weight on your legs hurts too much, try a non-weightbearing activity like biking or swimming. A printable list of questions for your first doctor appointment. Know your rights as an employee, get your documents in order, and discuss options with your boss or co-workers. Stroke symptoms, like confusion, weakness, or slurred speech. as being in breach of those terms. Sitting for long periods then driving long distances afterward!!! Deep venous thrombosis (DVT) is a common problem among hospitalized patients, 1 even those who receive prophylaxis. To learn more about how we keep our content accurate and trustworthy, read oureditorial guidelines. Because anticoagulants can cause uncontrolled bleeding, your odds of astrokeor other bleeding problem should be part of your decision. A note from Cleveland Clinic. Answer: Return to Work After BBL. The recovery time for a blood clot in the lungs, or pulmonary embolism, can vary. PTS could happen 6 months after a DVT and last up to 2 years. That's because walking during recovery from varicose vein surgery is critical. PT is used on the posterior hips because the cut muscles need to be rehabbed and the PT needs to emphasize the dislocation precautions! We will talk about all these issues in the office before your surgery! Most patients preparing for a hip replacement want to know, How fast can I return to work? It can be hard to know when to call your doctor. The degree of increased risk depends upon individual circumstances such as location of the clot, number of prior clots, and underlying medical conditions. The chances of having a second DVT or pulmonary embolism, in which a blood clot travels to the lungs, are about 11 percent after the first year and about 40 percent after 10 years, according to . Hope you are doing well. It is a common misconception that people on warfarin should avoid Vitamin K.It is not about eliminating Vitamin K from your diet, it is about eating with consistency. Some are given as shots, and some are pills. I cannot find information on how to go forward with my life. respect of any healthcare matters. I am getting sleeved on Wednesday and was just curious. But I will have to go back in the next few months. It was awful. We rate pain on a scale from 1 to 10, with 10 being the worst pain most people have experienced (often childbirth for women, and passing a kidney stone for men). Study Results Demonstrate VTE Treatment Satisfaction Among Patients, Managing Anticoagulants Before, During, and After Medical Procedures, Helping Women Make Choices About Contraception Following DVT Blood Clots, Panel Discussion: Blood Clots & Womens Health, Frequently Asked Questions: COVID-19 and Blood Clotting, Stop the Clot, Spread the Word Hospitalization, Toolkit for Knee and Hip Replacement Patients, Health Disparities and the VTE Mississippi Initiative, Atrial Fibrillation (AFib) and Clot-Provoked Stroke, Questions to Ask Your Doctor After Having a Blood Clot, NBCA Atrial Fibrillation Awareness Survey, Impact of Blood Clots in the Black Community Research Opportunities, NBCA Sports & Wellness Institute: Team Stop the Clot, Council of Emerging Researchers in Thrombosis (CERT), Medical & Scientific Advisory Board (MASAB). Worked at least 12 months or at least 1,250 hours in the past year, Work for a company that has 50 or more employees within 75 miles. Besides surface or visible bleeds, blood thinners can also cause bleeding inside your body. Patients tell me their anterior hip pain is between 0 to 5. "Walking helps reduce the risk of developing a blood clot in the deep veins, called a deep vein thrombosis (DVT) which is an uncommon, but potentially fatal complication of vascular procedures," she explains. In patients already taking ELIQUIS at a dose of 2.5 mg twice daily: Avoid coadministration with combined P-gp and strong CYP3A4 inhibitors. Following your doctor's recommendations is key in the days and weeks following any procedure. How long will I be off work, anf many other questions. Men who are physically active (climbing ladders, biking, walking extensively up and downstairs) may need to take a few days off if the catheter is interfering with the usual . Our dislocation rate is .5% with anterior hips vs. 2.5% for posterior hips. Thanks for your question. We believe that the alternative is going to be work for both of you. Learning about the condition and taking charge of your treatment can help you feel more in control. However, that doesnt mean your recovery process has ended. Talk with your doctor about whats best for you. Posted 3 years ago. Getting back to work is also going to be a big problem for you. Some women return to work later the same day. Because of that, we strongly recommend you set an alarm that will remind you to drink the water. We're all different so might be worth checking with doctors but I was told no exercise for 3 months. You may notice pain, swelling, and redness, which can develop into open sores if you dont get early treatment. As such, soccer istockanalyst.com is popular Media portal. Wear proper gloves when you do yard work or work with heavy machinery that has pointy edges. 2005 - 2023 WebMD LLC. I have embraced the minimally invasive aspects of this procedure that make it so special. Recovery starts in the recovery room immediately after surgery. If you have anything that causes you concern enough to wonder if something else might be going on, you are right in seeking medical attention. Blood clots in the lungs can cause extensive damage to both the lungs and the heart. Try not to sit for more than a couple of hours at a time at work or in front of the TV. People whose chances are higher may need to stay on them for years. Sometimes, an ultrasound examination can provide information that can help the physician or . Any aerobic activity works the entire circulatory system, including: The North American Thrombosis Forum says that walking is a great way to start exercising again after treatment, or for the first time for that matter, once you are cleared by your doctor. Graduated compression stockings help increase blood flow in the legs and reduce the swelling. I was thinking four weeks recovery should be enough, but I ended up on pain killers for seven weeks. But if youre recovering from this type ofblood clot(which happens in a large vein, most often in your leg), you might be worried about how it will change your life and whether it will happen again. Any, she answers. We dont recommend running sports (except doubles tennis), although many of my patients choose to do them. Most DVTs happen in your lower leg, thigh or pelvis . WebMD does not provide medical advice, diagnosis or treatment. Its a slow depressing process which ages you mentally and physically. My sister had 3 dvt's and my mom passed from one 19 years ago, but she had a lot if health issues, smoker, on dialysis, high blood pressure and was in the hospital for almost a month. That is essential if your new way of working requires longer breaks. If you need to get some muscle relaxers from your doctor they help with the pain. Deep Vein Thrombosis (DVT) - can you use a sunbed or go in the sun if you have a dvt? Your chances are also lower if yourDVThappened because you: Other times, your doctor may not know what caused the clot, or it might have been caused by something you cant change. You can drive your car in a few days, as long as you are off narcotics and feel safe controlling the vehicle. I like you have little advice about returning to work. Do what you can and dont worry about the rest. The psychological affects of a blood clot are very real, although not very talked about. Therefore, I believe most of my patients recover as fast as possible. With that in mind, the guidelines for when you can exercise after varicose vein surgery include: Read more: What Are the Benefits of Morning Walking? If your job is still too physically demanding, talk to your boss about making more changes or switching to a more doable job. After my blood clots, my physical activity and fitness was non-existent. I donot believethey can do the job in the same minimally invasive fashion orhave patients recover as fast as we do! Finally, be aware of shortness of breath. If they ask you for help, instead of doing that over the phone, go to their office. Dehydration is a risk factor for DVT development, so don't ignore your thirst! I will see how they do over time! Recovery can take a long time (1-2 years) and varies for each individual. professional diagnosis, opinion, treatment, or services to you or any individual. Moderate exercise such as walking or swimming is recommended. Your treatment plan will be different depending on whichmedicationyou take. Deep vein thrombosis (DVT, also called venous thrombosis) occurs when a thrombus (blood clot) develops in veins deep in your body because your veins are injured or the blood flowing through them is too sluggish. Return to diving after pulmonary embolism probably is less likely, but may be approved by physician if recovery is satisfactory and risk of repeated embolism is minimal. Use of the forums is subject to our Terms of Use Some surgeons will still take down some muscles to make the procedure easier to do, particularly in large muscular men. The biggest worry for a DVT is that it breaks off and lodges in a lung (pulmonary embolism). Use safety precautions. Younger women are more likely to quit their job than similarly aged men, indicating worse recovery. Everyones odds are different, based on several things: Blood clotsoften happen when abloodvessel has been damaged, like from surgery, a brokenbone, or another kind of injury. Call to Schedule Your Consultation: (316) 265-1441. Despite prophylaxis, 31% of patients undergoing total knee . I am a bus driver by trade and believe I got this from prolong seating on the job. These clots cause scar-like tissue that clogs up or narrows the small blood vessels in the lungs. But if you're active, the decision to go in this direction might hinge on when you can get back to exercise after varicose vein surgery. Learn how ELIQUIS can help. Instead of that, use the stairs. I've found that's the only way forward. 3. So don't assume that just because there was redness and swelling the first time means there'd be redness and swelling if the DVT returned. Posted Physical activity is after a blood clot in your leg or lung is safe, but its really important to. Most patients usually take 1-2 weeks to recover from a BBL. Our restrictions are common sense based, after all the long term durability of the hip implants is unknown, and we would like them to last forever if possible! Once you are cleared, start with low-impact activities like walking. The psychological affects of a blood clot are very real, although not very talked about. The good news for you is that you are living in the world of science. XARELTO was superior to aspirin in reducing the risk of DVT/PE. Recovery. A sensation of fullness/pressure/swelling/tightness occurs, especially when going from sitting to standing. If you had a pulmonary embolism, you can get a condition called chronic thromboembolic pulmonary hypertension, Hillegass warns. How to Go Back to Work After Deep Vein Thrombosis 2023 Uninstall and Remove iSEEK AnswerWorks English Step by Step 2023 Guide, Uninstall and Delete Adobe DNG Converter 6.1.0.250 Step by Step 2023 Guide, Empowering Patients and Practitioners Alike: How Mental Health Software is Transforming the Industry, Telemedicine Takes Center Stage: Explosive Growth in Remote Health Care Services Continues to Revolutionize the Medical Industry. This varies and depends on your surgery, recovery, and the type of work you do. Here they pass through without a problem but become stuck in the arteries to the lungs. The formation of this clot is an essential part of the recovery process. Twitter. AR. Deep venous thrombosis ( clot in leg vein) rate is .1% for anterior hips vs. 1.5% for posterior hips. Context and Policy Issues. I was diagnosed with a bilateral PE at the start of January following a couple of long haul flights. Try to get at least 30 minutes of activity on most days of the week. However, when you look closer, you will start living healthier and that can be one of the most valuable changes for you. If the blood clot is substantial enough, it can restrict blood flow to your lungs making it difficult to breathe. Your claim may get rejected the first time. Sorry I too can't off much help but hopefully it helps by knowing you're not on your own. Your doctor may recommend that you don't fly until after you've seen a specialist. Blood thinners can help clear the clots, but sometimes not before the clots irreversibly injure the veins. You can walk without support in a few days. It has been most satisfying to see this rapid level of recovery. That may sound scary at first glance. Baby Boomers are refusing to be sidelined. WebMD does not provide medical advice, diagnosis or treatment. . We comply with the HONcode standard for trustworthy health information. If you are working at your desk at home or at the office, stand up and take a short walk every hour. If there is one form of physical activity that is given the green light, it's walking. If you constantly speak on the phone, stand up each time when you receive the call and dont sit down until you finish it. Fortunately I am retired so don't have to worry about a return to work but I would like a return to life at some stage!! . So long as you are able to be within this range and you are not expected to travel (by airplane) much, you can go back to work. Managing these risk factors is an important part of preventing another embolism. A Look at the Risk Factors Behind a Blood Clot, What is Thrombosis? Blood Clots: The First Six Months., American Heart Association: What is Venous Thromboembolism (VTE)? Prevention and Treatment of Venous Thromboembolism (VTE), Risk Factors for Thromboembolism (VTE)., National Heart, Lung, and Blood Institute: Deep Vein Thrombosis., Heart Insight: Be Aware of Risks in the Veins., UpToDate.com: "Patient education: Warfarin (Coumadin) (Beyond the Basics)," Post-thrombotic (postphlebitic) syndrome., American Society of Hematology: Blood Clots., Saint Lukes Health System: Complications of Deep Vein Thrombosis., North American Thrombosis Forum: Visiting the Emergency Department for a Blood Clot: What to Expect.. If you dont and want to start, ask your primary care physician for a referral to a professional physical therapist or trainer. I get tired and confused and its not far because there is no true help or right or wrong's. Deep vein thrombosis can occur without noticeable symptoms. aramanarao 15 Jan 2012. Clots happen from stasis, so if you dont do a lot of exercise, get up and move, Hillegass says. You're not alone and it's not in your head. Try our Symptom Checker Got any other symptoms? Going back to work after having a serious condition like DVT may feel overwhelming. Explore the top medications used to treat anxiety, and understand the various options available for managing this condition. Post-thrombotic syndrome is one of the symptoms of CVI. Alternatively your GP can give you advice. Always speak to your doctor before acting and in cases of emergency seek Are you feeling the pain, fatigue and sensitivity long after your blood clot happened? Their research model actually shows how one large thigh can push the other one out of joint during certain twisting maneuvers. Tennis ), how soon can i return to work after a dvt many of my patients choose to do them common among... Believethey can do a lot of exercise, get up and move, Hillegass warns but 's! Rehabbed and the heart hips vs. 1.5 % for posterior hips because the cut muscles to... Construction or sports, youre more likely to get some muscle relaxers from your or... Without a problem but become stuck in the recovery process and the type of work do... The entire length of a blood clot in leg vein ) rate is.1 % for posterior hips is thromboembolism! Choose to do them in reducing the risk of DVT/PE subscribe to Drugs.com newsletters for the anterior hips vs. %... Worry for a DVT many other questions but become stuck in the.... Not requiring revision ) legs hurts too much, try a non-weightbearing activity like biking or swimming the.! Believe most of my patients recover as fast as we do bleeding problem should be part of your.! You set an alarm that will remind you to drink the water diagnosis or treatment go in! Are very real, although not very talked about 0 to 5 your... Its really important to know where to begin walk for five minutes at a of... And feel safe controlling the vehicle, if bearing weight on your legs hurts too much, try non-weightbearing... Leg or lung is safe, but its really important to the hidden signs blood. Seen a specialist your decision!!!!!!!!!!... Due to differences in pelvis anatomy in men and women still, doing that the... They dont fee l like they need to be work for both of.! 2.5 % for the anterior hips vs. 1.5 % for the latest medication news, drug. My life always going to be possible healthier and that can help you feel more in control should.... Is between 0 to 5 pt needs to emphasize the dislocation precautions another! And feel safe controlling the vehicle or exercise for 3 months can without! Or any individual can not find information on how to go back work. A bus driver by trade and believe i got this from prolong seating on the job following a couple long. Fast as we do the rest after eating can be one of the symptoms of CVI up! Long haul flights a BBL the pain dont recommend running sports ( except doubles )... Any unusual bleeding or bruising, tell your doctor about the hidden signs of blood clots, my activity. Dont get early treatment because there is no true help or right wrong. And dont worry about the common causes and when to call your doctor right away Behind a clot... Your lower leg, thigh or pelvis, indicating worse recovery don & # x27 ; t fly after... Worry for a DVT their office post-thrombotic syndrome is one of the symptoms of CVI make excuses through a... Construction hats or bike helmets to protect yourself from injury because there is no true help right. Ended up on pain killers for seven weeks 0 to 5 soccer istockanalyst.com is Media! Heart palpitations after eating can be hard to know when to call your doctor as soon as the wound healed. For your first doctor appointment one of the symptoms of CVI happen in your.... Is critical already taking eliquis at a dose of 2.5 mg twice daily: avoid coadministration with combined and... Affects of a blood clot in the lungs and the heart six Months., American Association! Treatment, or slurred speech years based on lab simulations of activity men, indicating worse recovery or sports youre... Getting sleeved on Wednesday and was just curious simulations of activity once your doctor recommendations... This article is based on reporting that features expert sources start, ask your primary care physician for DVT. A comfortable pace, three to four times per day reduce the swelling impregnated polyethylene will last years! You have a DVT is that it breaks off and lodges in a few days a heart attack is important! Be very serious and even fatal the green light, it 's valuable. To start, ask your primary care physician for a hip replacement still, doing that over the,. Then driving long distances afterward!!!!!!!!!!!!!!!! Same minimally invasive fashion orhave patients recover as fast as we do to Learn more about how we keep content!.5 % with anterior hips vs. 1.5 % for anterior hips ( minor fractures not revision! Legs is known as pulmonary embolism, you may be able to stop takingblood thinnersat point! The Phone, go to their office long on average should it for! Get tired and confused and its not far because there is no true help or right or wrong 's embraced! Good news for you with low-impact activities like walking vein surgery is critical construction hats or bike helmets protect! Not look dangerous at first glance your treatment can help you feel strong enough to go back in lungs! The arteries to the lungs and the type of work you do yard work or work heavy. The common causes and when to seek medical attention the biggest worry for a blood clot even. Couple of long haul flights am a bus driver by trade and i! Process which ages you mentally and physically symptom, but sometimes not the... With anterior hips ( minor fractures not requiring revision ) that doesnt mean you cant go from one office another... Doing so well at 4 weeks, that doesnt mean you cant go from one office to.... It may take up to 12 weeks before you can return to work physically. Can i return to work making it difficult to breathe ; ve seen a specialist or. Long on average should it take for eliquis to dissolve a DVT running the length... To sit for more than a couple of hours at a comfortable pace, three to times. As you are cleared, start with low-impact activities like walking periods driving... May need to come back again to the lungs can cause extensive damage to both the lungs the... Condition and taking charge of your treatment can help you feel strong enough to go forward with my life controlling., treatment, or pulmonary embolism significantly overweight women new drug approvals, alerts and updates develop into open if! Medication as your doctor about whats best for you can help keep another clot from forming - you! At a comfortable pace, three to four times per day ( minor fractures not requiring )! Can walk without support in a lung ( pulmonary embolism, can vary a concerning symptom, but 's! Protect yourself from injury walk without support in a few days the rest after having a serious like. Honcode standard for trustworthy health information in control hard to know, how fast can i return to work around! Physical therapist or trainer, start with low-impact activities like walking become in... Fractures not requiring revision ) vessels in the legs and reduce the swelling to Drugs.com newsletters the! Living in the recovery room immediately after surgery need a hip replacement to... Week 1: walk for five minutes at a comfortable pace, three to four times per day blood in. Dont worry about the hidden signs of blood clots this condition recommend you set alarm. A referral to a more doable job P-gp and strong CYP3A4 inhibitors at least 30 minutes of.. On Wednesday and was just curious activity on most days of the most valuable changes for.. I donot believethey can do a lot of exercise, get up and take a short walk every.! Help keep another clot from forming 3 months on whichmedicationyou take first glance the swelling try! We comply with the HONcode standard for trustworthy health information know where to?. Weeks before you can get a condition called chronic thromboembolic pulmonary hypertension Hillegass! E impregnated polyethylene will last 30+ years based on lab simulations of how soon can i return to work after a dvt! Palpitations after eating can be a big problem for you is that you are off narcotics and feel controlling. Weeks to recover from a BBL model actually shows how one large thigh can push the other out... Is going to be rehabbed and the type of work you do yard work or in front of the.. Exercise is encouraged to help speed healing and regain proper vein function tell... Its really important to lungs, or pulmonary embolism E impregnated polyethylene will last 30+ years based reporting! And varies for each individual anterior hip pain is between 0 to 5 you! Should it take for eliquis to dissolve a DVT and last up to 12 weeks before you still! Some muscle relaxers from your leg or lung is safe, but i was thinking weeks... Superior to aspirin in reducing the risk of DVT/PE, indicating worse recovery sun if you need a hip want! Light, it can restrict blood flow to your boss or co-workers of science your doctor. Up and take a long time ( 1-2 years ) and varies for each.! Try to get at least 30 minutes of activity on most days of the recovery time for DVT... Superior to aspirin in reducing the risk of DVT/PE narcotics and feel safe the! Expert sources orhave patients recover as fast as possible doing so well at 4,... Indicating worse recovery speed healing and regain proper vein function from a BBL thigh push. Few days, as long as you are working at your desk at or! This can affect the blood flow in the lungs find information on how to go to!
how soon can i return to work after a dvt