Homans Sign for Deep Vein Thrombosis

It is a MUST to understand how to perform the Homans Sign for deep vein thrombosis when working with patients. Identifying a DVT is more than just squeezing the calf. Look for redness, warmth, swelling and pain.

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[bobbilly]

Me: Looking up why my leg hurts
Also me: Finding this video and getting scared

[randyrogers]

I had back surgery (laminectomy) in May 2021. They gave me your test twice a day every day I was there for a week. Within hours of being discharged I was in an ambulance being rushed to the hospital with pulmonary embolisms. Ultrasound showed DVTs in both legs and CT scan showed multiple PEs in both lungs, There was a big investigation into it by both the state board of health and the hospital as to how this could happen. One nurse said in all her years I was the first patient with multiple DVTs with no symptoms.

[brandiemt]

I just found your page and I am loving it! I’m a paramedic in 911 response in a large metro area and we get everything from toe pain to strokes to my kid won’t go to school. Often we end up just assisting with med reconciliation or acting as a PCP and performing assessments and that’s all the patients want. Some of these in depth assessment findings are great for supporting a case for why a reluctant patient should go to the hospital vs pcp or “I’ll wait it out”. It’s always the ones we’re worried about who don’t want to go.

[BoogieBrando]

Great quick and simple practical explanation of your techniques.
As a nurse preparing for a grad program I highly appreciate your explanation for your assessment method, where Google was not able to do the trick for me.

[CodyKitty]

This actually reassured me a bit. I’ve been having pain in my calf, when I flex my own foot up towards me, and it made me think I had a blood clot. But knowing it could be due to tightness makes me feel reassured that I probably don’t have it. I have no swelling, no redness, or a warm feeling. I just have achy feelings in my legs.

[glengrimsdale]

Hi, thanks.
I was unable to leave a thumbs up from watching the youtube video via Safari, so I rewatched having opened Youtube directly on my phone.
That has allowed me to leave a big Thumbs Up.
Thanks for your video.
Let Safari know something is inhibiting your video.
👍🏼
My symptoms have been pain in the lower leg which started this last week during the
night only. Pain now moving up to near the hip, again during the night only. No redness visible. Left leg only.
My shins have been painful for decades.
H 1.83m, W 73.5kg, 62yrs male, non smoker.

[zapyawhereithurts]

I was taught the Homans Test and all the s/s you mentioned but I wasn’t told to squeeze the calf. That seems very important. Thank you for your video. I will be testing with your technique from now on.

[alexandrastevens]

Just remember also that not having redness and swelling isn't a guarantee that you don't have a clot as I went and was told muscle pain, next day took myself to walk in centre at my local hospital and had D dimer test which was positive, now on apixaban while I wait for my ultrasound Wednesday.
I'm not wanting to scare anyone just be mindful that you don't always have classic symptoms.
Stay safe and well 🙏

[carolmchale]

Sorry my husband had only calf pain no other symptoms no swelling, no redness no heat! Nearly died from a PE if you have any pain in your calf have a Doppler. Also if you ever have a blood clot, get generic testing! My husband ended up having Factor V Leiden. They blamed the clot on a trip we had but we were very active so I didn’t buy it! I pushed for genetic testing and sure enough he has a clotting disorder. All of our kids were then tested too! Clotting disorders are often missed and under diagnosis’s and have tragic outcomes. Better safe then sorry

[jayarajnandhu]

Thank u for ur best explanation sir .... continue this with many patients experimentally sir.. thank u so much

[NewAccountWhoDis]

I went on a road trip, and after calculating the time driving, it surpassed 36 hours. On the last leg (no pun intended), my left left leg started hurting. I put it up on the dash to fully stretch it and rub it. I felt swelling and a lump and immediately got concerned. I went to the doctor yesterday, three days after, and he performed this test. He started me on a blood thinner and sent me for an ultrasound. It is supposed to be rare to have it in both legs, but here I am. They skipped the blood test altogether. Two weeks ago, I purchased a machine that does decompression on my legs, randomly.

[chillibilli]

Thank you much. Im in nursing school and would like to see how to check for DVT. Very informative and easy to understand

[paulmartin]

Have pain in my thigh and my middle toes were numb for a bit. Had this about a month ago. Calf not warm and flexing ankle doesn’t make it hurt worse. Do stand a lot but moving back and forth while working.

[ElizaHicks-duiw]

This video is very helpful, but my husband’s dvt didn’t match these indicators. His PCP ordered a blood test which indicated that there were blood clots present. The Doppler Ultrasound confirmed the presence of blot clots.

[Rebecca-zrlu]

I pray for healing from all blood issues in Jesus name amen 🙏

[victoriaerickson]

I am a nursing student and I learned that we are not to palpate or squeeze the calf if we suspect a DVT so that the clot does not come loose and cause a PE. Is this something we should worry about when looking for the Homan's sign?

[JACQUESSIROIS-pi]

Great video! Thanks for sharing Paul Marquis PT

[azizp.t]

You are great sir Thinking you from Saudi Arabia

[oceanblueatmoonlightbeach]

Very helpful. Thanks for making such a clear and easy to follow video.

[zulenesimmons]

Best explanation and exhibit of Home s sign.