DEEP VEIN THROMBOSIS - INFORMATION FOR LONG DISTANCE RAIL TRAVELLERS

What is Deep Vein Thrombosis?
Deep Vein Thrombosis (DVT) is clotting of blood internally in the veins, which usually occurs in the lower leg.  In some cases part of a clot will break off and be carried towards the heart which can give rise to other – occasionally serious – medical conditions (such as pulmonary embolism).  

DVT may develop as a result of a long period of immobility and it follows that long distance travel (i.e. where the uninterrupted journey length is of more than 4 hours duration), whether by train, plane or car, can result in an increased risk of DVT.

Am I at Risk?
Independent research indicates that for most people the risk of developing DVT when travelling is very small.  However the risk is greater in people:
• over 40 years of age
• who have had blood clots already
• with a family history of blood clots
• suffering from or who have had treatment for cancer
• with certain blood diseases
• being treated for heart failure and circulation problems
• who have had recent surgery especially on the hips or knees
• who are very tall
• who are very short
• who are obese

DVT is also more common in women who:
• are pregnant
• have recently had a baby
• are taking the contraceptive pill
• are on hormone replacement therapy (HRT)

These groups make up approximately 90% of all those who suffer a DVT.

How Can I Reduce the Risk of DVT?
The following simple measures will help reduce the risk of getting DVT:
• drink plenty of water
• avoid excessive alcohol
• avoid taking sleeping pills
• wear loose fitting clothes
• take occasional short walks within the train

If you have any of the additional risk factors listed, you may additionally wish to take specific medical advice before travelling.