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Plantar Vein Thrombosis in the Medial Branch of the Posterior Tibial Vein: A Case Report

Reem N. Sheikh Department of Surgery, New York College of Podiatric Medicine, New York, NY.

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Christopher Nguyen New York College of Podiatric Medicine, New York, NY. Dr. Nguyen is now with Kaiser Permanente Medical Center, Vallejo, CA. Dr. Cummins is now with Department of Veterans Affairs Palo Alto Health Center, Palo Alto, CA.

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Michelle Cummins New York College of Podiatric Medicine, New York, NY. Dr. Nguyen is now with Kaiser Permanente Medical Center, Vallejo, CA. Dr. Cummins is now with Department of Veterans Affairs Palo Alto Health Center, Palo Alto, CA.

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Plantar vein thrombosis (PVT) is an atypical cause of plantar heel pain and is seldom reported in the literature. We present a unique, rare case report of a patient exhibiting plantar heel and medial arch pain caused by thrombosis in the plantar medial branch of the posterior tibial vein. The diagnosis was made by means of magnetic resonance imaging, showing lobulated hypointensity in the medial plantar vein, consistent with a PVT. In this article, we provide an overview of the clinical signs of PVT, which is most commonly plantar heel pain. Furthermore, we discuss ultrasound and magnetic resonance imaging as diagnostic modalities, and conservative treatment options, including anti-inflammatory medications, anticoagulation therapy, and compression therapy. As with other types of venous thromboembolism, this condition must also be diagnosed without delay to avoid potential complications.

Corresponding author: Reem N. Sheikh, DPM, Assistant Professor, Department of Surgery, New York College of Podiatric Medicine, 53 E 124th St, New York, NY 10035. (E-mail: rsheikh@nycpm.edu)
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