Plantar vein thrombosis: an uncommon cause of plantar foot pain

Main Article Content

Marianne Ariely Andretta Ramos
Taiane Costa Santana
Vinícius Unser
Fernanda Regina Piotto Amaro
Roberto Simeão Roncato
Maria Gabriela Fornazari


Introduction: Plantar vein thrombosis is a rare condition that can lead to pain, edema, and walking difficulties. It presents a series of predisposing factors, such as recent surgeries, the use of oral contraceptives, and local trauma, among others. Imaging tests are essential for the right diagnosis, and ultrasonography is the modality of choice. As for treatment, there is no consensus in the literature. Report: Case of a 30-year-old patient who sought emergency medical care complaining of sudden severe pain in the plantar region of her right foot with walking difficulties. On physical examination, hyperalgesia was observed in the plantar region, irradiating to the calf, associated with swelling. Color Doppler imaging identified an acute thrombus in the medial plantar vein. Rivaroxaban was initially prescribed and replaced by acetylsalicylic acid after three months. The treatment was effective, and the patient was discharged after 11 months. Conclusion: Plantar vein thrombosis is a rare condition and has a wide range of differential diagnoses so physicians must maintain a high level of clinical suspicion. To improve diagnosis and treatment, it would be necessary to include plantar veins in the investigation protocols of patients suspected of having Deep Venous Thrombosis, besides additional clinical research for improving treatment.


Download data is not yet available.

Article Details

How to Cite
Ramos, M. A. A., Santana, T. C., Unser, V., Amaro, F. R. P., Roncato, R. S., & Fornazari, M. G. (2023). Plantar vein thrombosis: an uncommon cause of plantar foot pain. ABCS Health Sciences.


Barros M, Nascimento I, Barros T, Labropoulos N. Plantar vein thrombosis and pulmonary embolism. Phlebology. 2015;30(1):66-9.

Bruetman JE, Andrews JA, Finn BC, Young P. Plantar vein thrombosis as a cause of local pain. Medicina (B Aires). 2014;74(1):87-8.

Barros MVL, Labropoulos N. Plantar vein thrombosis–evaluation by ultrasound and clinical outcome. Angiology. 2010;61(1):82-5.

Czihal M, Röling J, Rademacher A, Schröttle A, Kuhlencordt P, Hoffmann U. Clinical characteristics and course of plantar vein thrombosis: a series of 22 cases. Phlebology. 2015;30(10):714-8.

Karam L, Tabet G, Nakad J, Gerard JL. Spontaneous plantar vein thrombosis: state of art. Phlebology. 2013;28(8):432-7.

Fabro M, Fabro SR, Sales RS, Machado CA, Araújo GL. Plantar vein thrombosis: a rare differential diagnosis in patients with plantar pain. Radiol Bras. 2015;48(6):399-400.

Vansevenant M, Vanhoenacker FM. Plantar vein thrombosis: an unusual cause of plantar pain. J Belg Soc Radiol. 2015;99(2):98-101.

Thomas ML, O'Dwyer JA. A phlebographic study of the incidence and significance of venous thrombosis in the foot. AJR Am J Roentgenol. 1978;130(4):751-4.

Netter FH. Atlas de anatomia humana. 6ed. Rio de Janeiro: Guanabara, 2015.

Uhl JF, Gillot C. Anatomy of the foot venous pump: physiology and influence on chronic venous disease. Phlebology. 2012;27(5):219-30.

Gibbon W, Long G. Plantar fasciitis: US evaluation. Radiology. 1997;203(1):290.

Geiger C, Rademacher A, Chappell D, Sadeghi-Azandaryani M, Heyn J. Plantar vein thrombosis due to busy night duty on intensive care unit. Clin Appl Thromb Hemost. 2011;17(2):232-4.

Miranda FC, Carneiro RD, Longo CH, Fernandes TD, Rosemberg LA, Funari MBG. Tromboflebite plantar: achados em ressonância magnética. Rev Bras Ortop. 2012;47(6):765-9.

Galego GN, Silveira PG, Franklin RN, Bortoluzzi CT, Eli ES, Broering JJ. O uso da Rivaroxabana como monoterapia no tratamento do tromboembolismo venoso baseado em evidências. Arq Catarin Med. 2017;46(2):124-32.

Kearon C, Kahn SR, Agnelli G, Goldhaber S, Raskob GE, Comerota AJ. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133(6 Suppl):454S-545.