The goals of treatment are to reduce pain and inflammation and prevent complications.
To reduce discomfort and swelling, support stockings and elevation of the affected extremity are recommended. A warm compress to the area may also be helpful.
A catheter or IV line should be removed if it is shown to have caused the thrombophlebitis.
Medications to treat superficial thrombophlebitis may include:
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation
If deeper clots (deep vein thrombosis) are also present, your provider may prescribe medicines to thin your blood, called anticoagulates. Antibiotics are prescribed if you have an infection.
Surgical removal (phlebectomy), stripping, or sclerotherapy of the affected vein are occasionally needed to treat large varicose veins or to prevent further episodes of thrombophlebitis in high-risk patients.