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can get the sitting work after health promblem

Querist : Anonymous (Querist) 27 October 2009 This query is : Resolved 
i had the fractured in my joint and after
that i get the dvt ulcer in my leg my doctor recommend me sitting work but my work is running type.what should i do
AEJAZ AHMED (Expert) 27 October 2009
If you are the same, who asked another query;

"DVT due to negligence of doctor"

Then my advise to you is:

DVT can strike you with the necessary high risk factors if you sits and work immobile for hours.

The failure to diagnose a DVT is often life threatening because a blood clot can form in a vein and travel to the lungs, causing a pulmonary embolism. It has life and limb threatening effects, this can lead to death.

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What treatments are there for DVT:

In most cases, once a DVT has formed it cannot be removed. Drugs are used to prevent it from spreading or breaking loose into the circulation.

Medications - Drugs generally used to treat deep vein thrombosis fall into 2 basic categories: anticoagulants and thrombolytic Agents. All of these drugs may cause bleeding and should only be taken under medical supervision. While taking these medications: Always read the product label and discuss potential side effects with your doctor. Take only the amount of medication prescribed, and do not change the dosage unless you have been instructed to do so. Do not take these medications with any over-the-counter medicines without checking with your doctor.

Anticoagulants Anticoagulants do not dissolve clots but prevent them from growing and new ones from forming. These medications include:

** Heparin - Given by skin injection or into a vein heparin thins the blood to prevent further blood clot forming over the DVT. In the meantime, the body's own mechanisms begin to dissolve the DVT. Prior to and after any major operation, you will be given a low molecular weight heparin to reduce your risk of developing a DVT in hospital. In patients with a new diagnosis of DVT, low molecular weight heparin is given as the blood levels are more stable, and you will not require frequent testing and monitoring.

** Warfarin - This is an oral anticoagulant. Warfarin therapy overlaps with low-molecular-weight heparin at the beginning. This is because it needs time to take effect - usually 3 to 5 days. Once blood tests confirm that warfarin is working adequately, the heparin can usually be stopped.

** Thrombolytic Agents - These drugs will dissolve clots. Administered through a vein or directly into the clot via catheter, they make the clot disintegrate. These are very potent drugs and can only be prescribed in hospitals. Close monitoring is required because the risk of bleeding complications is high. The main drug used is tissue plasminogen activator (TPA). At present, thrombolytic therapy is reserved for patients with new large clots and those who are at high risk of long-term complications due to a clotting disorder or other predisposing condition.

** Surgical Procedures - Patients who are unable to take anticoagulants (due to allergy or excess bleeding) or who develop pulmonary emboli while on therapy may require insertion of a filter or surgery to remove the clot.

DVT and flying:

Don't let cramped conditions put you at risk of DVT. Keep your body moving - even when travelling by airplane. Take proper precautions to reduce the risk of "Economy Class Syndrome."

Seated Exercises:

** Ankle Circles: Lift your feet off the floor and twirl your feet as if you’re drawing circles with your toes. Continue this for 15 seconds, then reverse direction. Repeat as desired.

** Foot Pumps: Keep your heels on the floor and lift the front of your feet toward you as high as possible. Hold for a second or two, then flatten your feet and lift your heels as high as possible, keeping the balls of your feet on the floor. Continue for 30 seconds, and repeat as desired.

** Knee Lifts: Keeping your leg bent, lift your knee up to your chest. Bring back to normal position and repeat with your other leg. Repeat 20 to 30 times for each leg.

** Shoulder Roll: Lift your shoulders upward, then pull them backward, downward, and forward, creating a gentle circular motion. Continue for 30 seconds. Then reverse direction if desired.

** Arm Curl: Start with arms on chair rests, bent at a 90-degree angle. Raise one hand up to your chest and back down. Alternate hands and continue for 30 seconds. Repeat as desired.

Seated Stretches

** Knee to Chest: With both hands clasped around your right knee, bend forward slightly and pull your knee to your chest. Hold the stretch for 15 seconds; then slowly let your knee down. Repeat the same stretch with your left knee. Perform 10 stretches for each leg.

** Forward Flex: Keep both feet on the floor and slowly bend forward, reaching for your ankles. Hold the stretch for 15 seconds and slowly return to a normal seated position.

** Overhead Stretch: Raise both hands straight up over your head. Use one hand to grab the wrist of the opposite hand and gently pull to one side. Hold the stretch for 15 seconds, and repeat with the other arm.

** Shoulder Stretch: Bring your right hand over your left shoulder. Then place your left hand behind your right elbow and gently pull your elbow toward your body. Hold the stretch for 15 seconds and repeat with the other arm.

** Neck Roll: Relax your neck and shoulders. Then drop your right ear to your right shoulder and gently roll your head forward and to the other side, holding each position about 5 seconds. Repeat 5 times.

General Tips

** Try to keep your feet elevated by using the leg rests at the highest elevation. Rest your feet on your carry-on luggage if necessary.

** If you have an opportunity to move around the cabin, walk to the restroom and back.

** Drink plenty of fluids, preferably water, to avoid dehydration.

** Walk for 30 minutes before boarding the plane
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Raj Kumar Makkad (Expert) 27 October 2009
Better u chose any sitting work.
adv. rajeev ( rajoo ) (Expert) 03 November 2009
If you are working in an orgn., then u request your owner or officer to change the work. If you are self employed then u have to appoint some person to help you till you recovered fully.


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