Prognosis and Duration of disabling effects
Deep Venous Thrombosis (uncomplicated)
There may well be quite intense pain and swelling in the acute phase, and mobility will be affected, but this phase should last no longer than a few weeks at the most.
Pulmonary Embolus
A massive pulmonary embolus is normally fatal.
Multiple small infarcts may cause lung damage. There would normally be reduction in the person’s ability to exert him/herself affecting both ability to self - care and to get about. If the person is sufficiently breathless to have care/ mobility needs the prognosis is as follows -:
- Acute condition – should last no longer than a few weeks.
- Chronic condition (that is, present for more than 9 months) – If an award is made then award for an Indefinite period.
Post – Thrombotic Syndrome and Venous Ulcers
Incompetence of superficial and perforator veins only (excellent long- term results where up to 90% of venous ulcers heal completely after surgical treatment):
- With surgical treatment - no care/mobility needs after recovery from operation which would normally be about 6 weeks.
- Without surgical treatment - If an award is made then award for an Indefinite period.
Most symptoms can be controlled by the wearing of elastic stockings.
However, if the deep veins are incompetent, there could be a high rate of recurring problems. In this case, any care/ mobility needs are likely to be indefinite.
Varicose Veins
The condition responds very well to elastic support stockings and surgery, and there should be no disabling effects after successful use of support stockings and after successful surgery.
Superficial Thrombophlebitis
The inflammatory effects of superficial thrombophlebitis are normally short - lived, and respond well to treatment, and there should be no lasting disabling effects, though the vein is likely to feel hard for a considerable time.
All information must be taken into account when considering the duration of disabling effects and the duration of disabling effects must be based on the particular circumstances of the individual claimant.
Amended April 2008
