Activity and Fitness After a Blood Clot

Exercise after a blood clot

People who are diagnosed with a blood clot will each have a different level of physical ability and fitness during and after their recovery. Some people who experience a blood clot will return quickly to normal mobility and fitness routines – even vigorous exercise – while others may struggle to participate in normal daily activities and to regain their strength. Getting moving again after a blood is hard work and can be overwhelming to think about for some people. For other people, exercising after a blood clot can seem next to impossible.

Prior to my DVT and PE in June 2012, I ran half marathons (13.1 miles) and a marathon (26.2 miles) and was in good physical shape. After my blood clots, my physical activity and fitness was non-existent. I could barely do anything without pain, fatigue, trouble breathing or feeling like I set my healing progression back weeks or even months. Every time I tried to run or walk even short distances, I felt worse. My mind was in constant turmoil over the fact that being active would help to prevent future blood clots, but I couldn’t walk to the mailbox without huffing and puffing and aching somewhere on my body. Over the next few years, I gave up on fitness and physical activity. Those days, in my mind, were long gone. I focused on healing my body and my mind in other ways – taking time to rest, relax, laugh, decompress and nurture my spirit. I needed a break, so I took one. At that time, I had no idea how long my break would be or if I would ever return to an active lifestyle. 

Now, four years later, I am back to a regular physical fitness routine (much to my surprise) and that has helped me even more in my recovery from DVT and PE blood clots (much to my even greater surprise). In this post, I am going to share some tips and ideas with you to help you lead an activity, healthy life and get moving again after a blood clot.

Find an activity that motivates you.

In my opinion, this is by far the most important thing you can do when it comes to engaging in physical activity. You have to find something that you love. I used to love running and was really motivated to train for racing. After my blood clot, I was not motivated to run – at all – yet I kept trying to run. I hated every single step. I had to find something different. What motivates me now is short bursts the of cardio like running, walking, rowing and jumping jacks (not long distances or five hour training sessions) combined with strength training exercises using my body like squats, planks or push-ups or weights like deadlifts or shoulder presses. I usually spend about 25 or 30 minutes at most exercising. I don’t have the attention or the commitment right now to do anything physical for an hour or two.

Other things that might motivate you to move more: hiking, walking in the park, riding a bike, swimming, dancing, yoga, the elliptical, just to name a few.

Make a plan and set small goals.

If I don’t have a plan for my workouts, I won’t do them. At this time in my life, I am committed to five or six days of physical activity either outside or in the gym and I stick to that. I print out my workouts ahead of time and have a plan for the week ready. If you can’t write your own plan – or don’t want to – there are a variety of exercise and fitness programs you can join that will give you a plan. Or, you can search online for a multitude of free resources and plans.

I joined the My Peak Challenge Prep Program (a very scaled-down version of Crossfit-like exercises and workouts, focused on outdoor sports, created by Outlander series star Sam Heughan) in February and I am really enjoying the program. If you are looking to join a constructive fitness program, it is my advice that you run it by your physician first and that you pick a program that is scaleable to all fitness levels, has a flexible schedule, has options to work out at home or without gym equipment and has adaptations for participants who are overcoming injury or illness. This is why I have found MPC so rewarding and accessible for myself. I can do it at home, at the gym, for ten minutes or 45 minutes and I can select the activities and exercises that work for me or receive guidance to adapt the ones that won’t.

Following a program or plan – whether it is yours or someone else’s – helps you to set small goals, which are more attainable than setting one big goal. Some of my goals have included – working out more days than not in a week, spending more time being active outside, running a mile, and being able to do just one push-up. Your goals may include running a race, a triathlon, lifting soup cans during three of five commercial breaks, signing up for a water aerobics class or taking the stairs at work two days a week. Fitness doesn’t have to be hard or complicated – use the tools right in front of you. Walk up and down your stairs at home a certain number of times a day, walk for ten minutes in your neighborhood or do leg-lifts every night after dinner. The hardest part is starting something new.

Record your progress. 

I have a regular pen and paper notebook that I write something in every day pertaining to my fitness journey. I either record what I have done that day – distance run or walked in a certain amount of time, sets or weights lifted and how I felt. On the days I don’t workout, I write that down too. What I don’t write down is how long it took me to do the entire workout or what went wrong with it. I also write down small goals (the perfect opportunity to record what you hope to do next time) or revelations I have about something not related to fitness. I give my workouts a star rating. One star is not so great and five stars is a great workout. I never give myself zero stars – even on the days I don’t workout because those are the days I have committed to letting my body rest and heal.

Be consistent.

Similar to following a plan, being consistent in your activity is important. I have a pretty consistent schedule I maintain and after just a few months, that schedule has become routine for me. I workout (lifting and cardio) on Mondays, Wednesdays and Fridays. On Tuesdays, Thursdays and Saturdays I do something less strenuous like a slow run, a walk in the park or a walk with my dogs. I do vary my days/exercises if I need to based on what else is going on in my life; but overall, my workouts stay consistent. Your schedule can be what you want it to be. You can take a walk two days a week or go to an exercise class one day a week and do stretching at home one day a week. 

Vary your activities and intensity.

As your activity schedule becomes routine, you will find it is helpful to refresh or revitalize your plans by varying what you are doing. For example, don’t always swim – take a walk outside one day. I don’t always work my legs and my core. I mix it up with my arms and my cardio. When I am just not feeling the treadmill, I do jumping jacks. When I don’t want to stay indoors, I go for a walk outside. When I don’t feel like I can lift, I add in another cardio or rest day. If I need to rest another day or feel worn down, I do.

Do what you can – and don’t worry about the rest.

It is true that experts suggest after suffering a blood clot, people should resume routine activities slowly and at a pace they are comfortable with. Physical activity is after a blood clot in your leg or lung is safe, but it’s really important to listen to your body and pace yourself accordingly. If you experience pain, swelling or trouble catching your breath as a result of physical activity, take a step back, evaluate your activity level and take some more time to heal. Remember, healing times are different for everyone. I took four years to heal before I could workout again – someone else might take four days, four weeks or four months. There is no schedule that you must stick to that is worth sacrificing your overall health and recovery. And there is no exercise worth harming yourself for. For example, there is one leg exercise that always brings pain to my leg where I had my DVT, but not the other leg. I have eliminated that exercise from my routine all together. 

Remember: Any activity is better than no activity.

Over time, as you regain your strength and mobility, you can benefit from physical activity or exercise that will help you maintain a healthy weight and offset symptoms associated with post-thrombotic syndrome or longterm complications from DVT. Remember, talk to your physician before starting something new – or, better yet – ask your physician what workout plan might be right for you and tackle that task together.

I have noticed that being active on a regular basis has greatly improved not only my physical health (a decrease leg pain and swelling and a decrease feeling over-exertion during normal activities like climbing the stairs), but my emotional health as well. I am not as sad as I once as and worry less, most of the time. I feel confident in my activities and workouts and most of all, I feel happy about what I am able to do. I rarely suffer physical symptoms in my leg since I began engaging in regular activity. I use my time at the gym or outside to burn off the stress I accumulate during the day and end each day feeling refreshed and energized instead of defeated and depressed.

Find support.

Just like nutrition, don’t do fitness alone. I use My Fitness Pal to keep track of my workouts and I like the community there, which is structured a lot like Facebook. My Fitness Pal allows you to keep track of your progress and share that progress with others. You can also join a multitude of fitness groups on Facebook and online. You can join a gym and meet people in exercise classes or even in the locker room. If you’re not comfortable joining a gym, I encourage you to find a community recreating center, that’s what I did. It’s a lot more welcoming and less intimidating that a traditional gym environment, but still offers the benefits of available equipment, personal instruction, a pool and a variety of classes and programs.

You can also meet up with friends to take a walk or hike. Having people to enjoy activities with holds you accountable to your plan as well as your goals and serves as motivation on the days when staying active is hard.

Tips for ecercise after a blood clot

Fitness and activity is just as individual as the recovery periods we each go through. Beginning, resuming or maintaining an active lifestyle – be it leg exercises at your desk or swimming laps – can help us lead a healthier, happier lifestyle and helps also to prevent blood clots.

Reader Writes In: How has a blood clot impacted your physical fitness? What are you favorite activities or fitness routines?

There is hope for healing and you are not alone,





More information to share:BCRN Awareness Matters

The Invisible DVT Symptoms: My Story by Sam DeBrule

sam debrule

None of the doctors or ultrasound technicians saw my DVT symptoms coming.

I was the only one who felt the pain.

I was a 15 year old football player in peak physical condition. The typical blood clot symptoms just weren’t there. My leg wasn’t swollen. It didn’t turn red, or even feel hot to the touch.

As I went undiagnosed for 6 weeks, my legs took a beating on the football field. The doctors would eventually find what my family had told them was there all along: a chronic deep vein thrombosis that stretched from my ankle to my hip.

My diagnosis came just in time. I’m sharing my story so you never find yourself, or anyone you love, in the same position I found myself. You must advocate for yourself, or risk doctors being blind to your DVT symptoms.

Refuse to take no for an answer

It took 4 trips to the emergency room before I was properly treated for my blood clot.

My clot started with a small muscle pull in my right calf. The pain initially felt no worse than a typical running injury, but quickly morphed into an intense aching pain that I hope to never experience again.

I have a history of blood clots in my family. My father had 2 DVTs and a pulmonary embolism before his 40th birthday. As soon as I told my mother that I was experiencing pain in my calf she took me to a medical imaging office to be scanned for a blood clot. The results appeared negative, and so to did the next 2 ultrasound scans over as many weeks.

Fortunately, my mom refused to take no for an answer. She took me to various hematologists and vascular surgeons, but everyone was thrown off by my unique DVT symptoms. It wasn’t until many weeks later, a 104 degree fever, and a complete inability to walk that doctors took me seriously and discovered the clot.

Had my mother been satisfied with the first or even 4th ‘no’ she heard, I wouldn’t be here today. My clot could just as easily have broken off and traveled to my lungs.

Don’t ignore your pain

Pain was the only DVT symptom I experienced with my first clot.

I was an athletic 15 year old in top physical shape, so doctors quickly shot down the idea that I had a blood clot. I was far from fitting the profile of a sedentary, elderly, post-surgery patient they are used to seeing.

You are the only one who knows your body, and knows how much pain you can tolerate. If any doctor tells you that “you would be in far worse pain if you had a blood clot,” leave the office immediately and find a doctor who takes his/her patients seriously.

Stupidly, I continued to play football with each mis-diagnosis from doctors. I tried to fight through the pain. I am incredibly lucky that my story didn’t end tragically. Don’t be too tough for your own good, or try to find excuses to not make that trip a doctor’s office.

Find the experts

I have permanent vascular damage in my right leg that causes me pain and discomfort every single day.

Had my DVT symptoms been addressed more quickly, I would be pain free. If you begin experiencing DVT symptoms, you will likely be fixated on your pain, or finding treatment as quickly as possible.

Be sure to ask around to make certain the doctor you visit has a better track record than anyone in the area at properly diagnosing and treating blood clots. You’ll save yourself from a life of discomfort.

Editor’s Notes:
Thank you, Sam, for sharing your story with Blood Clot Recovery Network.
Catch up with Sam on Twitter @SamDeBrule. Sam has created a workout program to help others who are looking to get in shape for the first time or maybe get back in shape after a debilitating illness or injury. Sam’s fitness plan is free, completely customizable, you don’t need any equipment or gym memberships and for me, it’s just the step I needed to take with the start of 2015 to take control of my health! All you need to sign up is an email address so check it out today or click below. 
Click here to sign up for Sam's workouts.

Click here to sign up for Sam’s workouts.