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You’ve heard that you should take measures to prevent dvt in flight. You’re smart to think about preventing deep vein thrombosis or DVT in your legs during a long flight and dangers of a clot traveling and becoming a pulmonary embolism. Do you have an upcoming flight that is longer, and is there anything you can do to minimize your chances of getting a potentially life-threatening blot clot? Reduce your fears and chances of DVT with the following advice.

What is Deep Vein Thrombosis

DVT can be a life-threatening blood clot that develops in a leg vein and then travels through your bloodstream to your lungs causing a pulmonary embolism. A pulmonary embolism can block blood flow and be fatal. In general, the longer the flight, the greater the risk with flights lasting more than 8 hours posing the most risk.

Signs of potential DVT include:

swelling of the ankles and/or legs
extreme pain and usually only in one leg
worsening pain
the skin over the clot may feel warmer to the touch
the skin may turn a reddish or bluish color

Your symptoms will chiefly depend on the size of the clot in your leg. The symptoms may barely be noticeable if you only have a small clot or even not at all. If the clot is large you could experience extreme pain and leg swelling symptoms, or you might only have minor calf swelling without a lot of pain. If the clot is large, your entire leg could become swollen with extensive pain.

Some travelers will already be more predisposed to developing DVT. The risk factors include:

  • being over 50
  • being overweight
  • smoking
  • having varicose veins in your legs
  • undergoing hormone therapy
  • having a family history of DVT

Preventing DVT on a Plane

The good news is you have a few things you can do to ward off a DVT event when traveling. The idea is to keep your blood flowing and circulate the blood that can pool in your lower let back up through your body.

1. Exercise in your seat
The objective is to keep your blood circulating up from your legs while sitting for a prolonged period of time.  Therefore, a good habit to get in to is doing foot and leg exercises at your seat. A few exercises you can do is to stretch out your legs in front of you and turn your feet in a clockwise circle ten times and then ten times in a counterclockwise rotation. Another good exercise is to sit upright, lift your feet off the ground and run or pedal in place. Lastly, try pushing up your knees by leaving your toes on the ground and pushing up your heels.

2. Get up every hour
Walk the length of the plane or to the lavatory once every hour or an hour and a half if you can. This alone is why an aisle seat is the best seat as you won’t have to disturb your seatmates to get to the aisle. Walking will get the blood flowing. Also, try not to cross your legs which exerts pressure on the lower leg and may hamper the blood flow in that lower leg.

3. Stay hydrated
Drink plenty of water during your flight. It’s important that you stay well hydrated as dehydration can lead to thick blood that doesn’t move through the veins as easily as thin blood and can be more prone to clotting. Avoid coffee, soda, caffeinated tea and alcohol which all act like mild diuretics and therefore would add to your risk of dehydration.

4. Research if a supplement may be right for you
Taking an over-the-counter supplement can go a long way to preventing swelling and reducing leg pain.  The supplement is Pycnogenol. Pycnogenol is an herbal supplement and a registered trademark for an extract from the bark of the French maritime pine. Fred Pescatore, MD was interviewed by Bottom Line Personal and shared the results of a study that compared the antioxidant Pycnogenol to compression stockings (which aid with circulation) and a control group that did nothing special on a flight of over 8 hours and while sitting in economy.

Test results: Pycnogenol performed better than the stockings and the control group according to this study. Pycnogenol seems to make sense as a blood-clot preventive on long trips­—even long car rides. The test result showed that the pycnogenol group had the least leg/ankle swelling of the three groups and the least amount of pain. There were two incidents of thrombosis in the control group but none in the Pycnogenol or stocking groups.

Dr. Pescatore recommends taking 100 milligrams of Pycnogenol twice a day for one week before a long flight, on the day of the flight and for one week afterward. While Pycnogenol generally is considered safe with few side effects, as with any supplement, consult your physician to make sure that it’s right for you. For more information read the Bottom Line Article.

Another supplement formulated to help guard against DVT during flights longer than 6 hours is Flight Tabs. This formula includes pycnogenol and nattokinase to promote vein health. Each bottle is designed for one round trip flight.Flight tabs, prevent dvt in flight5. Compression stockings
If you can’t take pycnogenol or don’t wish to, consider wearing compression stockings designed for air travel on your next long flight. Compression stockings designed for women and compression stockings designed for men gently squeeze your legs to move blood up your legs. This helps prevent leg swelling and, to a lesser extent, blood clots. If you have varicose veins, spider veins, or have just had surgery, your health care provider may prescribe compression stockings. Compression stockings also help with aching and heavy feelings in the legs, swelling, preventing blood clots. If you’re a diabetic, discuss the use of compression stockings with your doctor. Knee-length stockings may be just as effective as thigh-length and are easier to wear.

compression stocking to prevent dvt in flightcompression stockings for men, prevent dvt in flight

6. Elevate your feet while in flight
Finally to help prevent dvt in flight, to relieve pressure on your thighs and to help elevate your feet use an airplane hammock style footrest. This style of in-flight footrest attaches to the arms of the tray table in front of you. When done elevating your legs the item folds ups small and light for placement in your carry-on bag.prevent dvt in flight with foot rest hammock

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How to Sleep on a Plane, prevent dvt in flight

Travel Tips and Advice - Premium Economy Seats, prevent dvt in flight

Sleeping onboard an aircraft is tough but following the advice of seasoned travelers on how to sleep on a plane is a good start to getting the rest you crave. Selecting the right seat can make a difference, some seats are better than others if you want to sleep.  Read on to learn how to avoid noisy passengers and other annoyances of a red-eye flight. These are the top hints we found to ensure you get rest while en route.

1. Book Your Flight Just Right

The first choice is to pick a nonstop flight. If you must have a connection try to break it up into a long and short leg rather than two legs of the same length. You’ll have more time for uninterrupted sleep on the longer leg.

 how to sleep on a plane, airline seats

Regular airplane seats don’t recline much, you’ll need a few tricks to get the sleep you crave. Read on

2. Select Your Seat Wisely

Choose a window seat for less interruption from seat-mates who need to pass in front of you as they make their way to the aisle. If you sleep on your right side choose a seat on the right side of the plane. That way when you turn you’ll be facing the window not the traveler in the seat next to you. Same idea if you sleep on your left side, select a seat on the left side of the plane to maximize privacy. Back sleepers, either side of the aircraft is fine.  For all try to select a seat not directly across from the galley or near the lavatories for maximum quiet.

When looking at the seat map pay attention if the bulkhead or exit row seats that offer more legroom also recline, many do not. Pass on the legroom they offer and opt for a seat that reclines. A reclining seat with less legroom is better for sleeping than a seat that doesn’t recline and offers more legroom.

3. Dress for Comfort and Sleep

Wear loose clothing for comfort. If you have to arrive wearing business attire, pack it in your carry-on and change just prior to arrival, you’ll look freshener. We recommend bringing a large wrap or shawl it can act a blanket (do this even in the summer when air conditioning can be particularly strong and uncomfortable) plus it looks fashionable draped around your neck. Men should opt for loose or stretchy pants. Many jeans today are made with a hint of lycra for comfort.

4. Bring Your Own Pillow

Airlines don’t have enough pillows on board for everyone, and the style they offer is not necessarily the best for sleeping while sitting upright.  Fortunately, there are several styles of travel pillows, designed especially for sleeping on board so you’re sure to find one that’ll give you the support and comfort you need for sleeping in an airplane seat.  We like inflatable neck pillows that help keep your head from flopping over to one side or onto your chest. If you’re concerned about the bulkiness of bringing your own pillow, select an inflatable one you only blow up when flying and then deflate to store in your carry on bag.

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5.  Stay Warm

Cabin temps can fluctuate and you won’t be able to sleep if you’re cold, so bring your own blanket. The blankets on-board have usually been used by previous passengers and may be of questionable cleanliness. If you board late you may miss out on finding one altogether. This clever blanket rolls up to about the size of a soda can and can be stowed in your carry-on bag.  

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6. Use an Anti-Jet Lag Remedy

A homeopathic version (non-drug) is safe and yes, it really works. Avoid alcohol. Even if wine can make you sleepy while you’re earth-bound, in an aircraft it accelerates dehydration. You will only need this if you’re passing through multiple time zones and primarily going overseas.

7. Try a Sleep Aid

There are several over the counter options for you to consider to help you sleep on a flight. Dramamine, which helps with motion sickness can make you drowsy. Unisom and ZzzQuil are designed to help with insomnia so can help you sleep on a flight. Melatonin is a hormone. Discuss these sleep aids with your doctor for advice on which is best for you. Hint: Store your sleep aid in your toiletry bag at home so you don’t forget to pack it.

8. Block-out Noise

There are several alternatives for getting for blocking out sound. Earplugs are a good way to block-out unwanted noise, they’re small and inexpensive.  If you like soothing music, make sure you pack your earbuds and phone/iPod.  Noise-canceling headphones are a great investment for quiet on board too. The idea is to re-create the sleeping environment you enjoy when not flying. If you get earaches while flying due to the change in cabin pressure, you will need pressure reducing ear filters, they are different from noise-blocking earplugs!

9. Stop the Light

Light, like noise, is a sleep disrupter. The sudden opening of a window shade or the flashing light of a screen whether it is a seatback screen or a seatmates laptop can disrupt your slumber. The solution is an eye mask. Find one with formed with contours. The contour feature is a little formed cavity so your eyelids won’t touch the mask. The bonus for women is that this style doesn’t smear makeup. So you won’t wake up looking like a raccoon.

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10. Buckle Up

To avoid being disturbed by the flight attendants during their safety checks make sure your seat belt is secured and visible (over the blanket.) That way the cabin attendants will pass you by.

Try out all or several of these suggestions for sleeping on a plane. A little pre-flight preparation can make your next flight pass quickly as you sleep peacefully and arrived refreshed at your destination.

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This supplement could save your life on your next flight, how to sleep on a planeWhat Frequent Flyers know, how to sleep on a plane