Homans Sign for Deep Vein Thrombosis 

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

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.

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.

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

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.

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

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.

Best explanation and exhibit of Home s sign.

Thank you. Very informative explanation.

Great man. Write a book with dvd and I will buy it immediatly....great.

Great video. Thanks for the explanation!

THANK YOU SIR FOR SHARING HOMANS SIGN

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

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

Great video! Thanks for sharing Paul Marquis PT

To the point, amazing 👍

Thank you will do if need to

Highly informative..thanks

What a great dr I wish you were local for me. Thanks for the video.🙂

Thanks for the video. Can you get a DVT on the side of the calf, or only in the back of the calf?

You are great sir Thinking you from Saudi Arabia

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.

How to confirm DVT with pitting oedema or bowman ' s test ? Which one is better

Hi, thanks. I was unable to leave a thumbs up from watching the youtube video via Safari, so I rewatched having opened RU-vid 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.

Was very helpful

I don't have redness or warmth, but I do have bruising that showed up a few days after the swelling in my leg started to go down. It mostly looks like yellowish and greenish old bruising as if it's old blood that took a while to reach the surface of my skin where I can see it. My calf isn't hurting as much as it was when flexing, stretching and squeezing the muscle, but it's aching when sitting or laying down at night, even though it doesn't hurt in my calf to exercise or walk around. I did also recently develop pain and swelling inside my knee joint while running, but that happened after the other symptoms (calf pain and swelling of my leg) had started. Also, think calf pain started as a result of a compression sleeve I was wearing while running for knee support. I think it was too tight and was causing poor circulation while exercising. I stopped wearing it when the swelling started. The swelling finally went down after several days, but now the other symptoms have been persisting for over a week. The thought of a blood clot had not even occurred to me until I talked to my sister and she was concerned, because she has had a PE after leg surgery to remove dysfunctional veins a few years ago.

Hi Doctor , so I am having pain cramp feeling going all over my leg it hurts when I walk I wake up at night in a lot of pain I don’t have redness I haven’t noticed , swelling . I do have herniated disc since 2019 due to a car accident in which I was impacted that caused meniscus tear I was getting therapy for it but I never finished so now I have herniated disc on my neck/ spine and meniscus tear untreated . Could this be the Cause of my leg cramping ? and what can I do to prevent it .

Thanks x) we studied it in the supine position and i thought it wasn't the best because of probable sciatica , keep up x)

I appreciate this information, thank you

Great vid!

Doc, after a fall my bike crash it in my calf and got a huge swelling in my front calf. Its almost like a cramp pain nonstop. Im afraid that a huge trauma like that increases the chances of blod clot right?

I have pain but it’s more in my upper thigh in front , can clot occur in that area? Thank you

I have pain in my calf up to my upper thigh of my left leg. No swelling nor any redness. I am hoping to see a doctor soon but I can't at the moment. I have no insurance and no money to afford it. Its been happening for a month now. I did the test and I don't have a deep pain in the center of my calf, just on the sides. I am pretty active, but I do vape (quitting soon). Any thoughts on this?

I've had DVT symptoms twice now. Both times were directly after long car rides. Both times, I had negative ultrasounds. I'm going back for a follow-up from my last ultrasound today. I have mild swelling, redness and a feeling of pressure/pain that improves dramatically, when I take aspirin and my preworkout drink. I have Ankylosing Spondylitis and have been on biologics for 20 years. Is there a chance an ultrasound can mis a DVT? Is there a such thing as a mild case of DVT?

i have a very visible vein on the top of my foot and when tired the veins get mad and also become visible in my legs. please answer sorry for the bad english thanks.

Can u get a dvt from sleeping/laying in bed for 12-15 hours straight? I have factor 5 liden and history of clots especially during pregnancy. I wanna know if I should be worried while having flu or covid (not sure) and spending most of several days in a row just laying/sleeping in bed...?

I have a question? I have had some swelling in my left leg mostly my ankle and foot, but I have a very Sharp pain in my upper thigh and it's very warm to the touch with some sharpness and numbness. Any ideas?

Great video it helped me out a lot and answered questions I had about my calf muscles hurting

Great Video. Pls do a video on Assessment of SCI, Thank you.

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 🙏

Dr often on my waking up from sleep my muscle on back of my leg stiffened / pain where I couldn't fold it ,, I have to let it stay in that position for minutes and relax it self !!

Have a pinching pain in front of my leg around same level near bottom of my calf. Redness and warmth no swelling that I can see and no pain in the back of my calf. I am high risk, But I have been working to change this by losing weight.

Do DVT pain go away or it's consistent?

Whats for contraindications?

how can i tell if i have a dvt or a muscle strain

Very very informative. I‘ve been worried my spontaneously sore calf was a clot, but no redness, warmth, or discomfort from this test... What a relief! Still, I’ll leave it to my doctor to decide. I’ll be seeing them this coming month, would ordering a blood test be a safe way to ensure it’s not a clot?

Hi think I might have it

I have pain in my thigh, knee and shin, my calf hurts slightly feels like it's pulling when I walk but there is no swelling, redness, warmth or discolouration can that be a sign of dvt

Hi,. I was on a flight for 19 hours.ended up after the flight my ankles swollen and difficult to walk for three days is this DVT? I I kept walking in the flight but ended up swollen and walking problem

thank you , understandable

A better question is where do you get this tested obviously not the ER but no one talks about how people get to a doctor I genuinely don’t know.

Thank you I have been have Nocturnal calf muscle pain..as in pulling my calf muscle...That is extremely painful it wakes me right out of a sound sleep...I can relate it to when I was pregnant years ago.....So far I have had three incidents of this....I have chronic migraines and have late stage Lyme disease..so I do tend to rest for long lengths of time when experiencing a migraine...I have not traveled.....I treated this with heat, then ice then toe point stretches to the ceiling...Because after the calf muscle pull I was unable to walk properly with my foot 🦶🏻 flat on the floor...I could only tip toe.which after two days of walking in that manner my shin began to ache.... I performed your test... I’m not sure of a blood clot...However my leg is very warm to touch compared to other leg..

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

Do various versions cause it

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.

its it possible to have one is both legs or one in the arms and neck? Ive had off and on pain in both my calves then my arms and neck since July the pain was first in my calves, then in August or September my shoulder hurt and I popped it which immediatly made me have neck pain in the center of the right side.

Calf pain on squeezing calf muscle is MOSE's sign. HOMAN's sign is resistance to dorsiflexion of foot.

Is there a test for thigh clot

Hey Doc, I have an issue in my Thigh but there is no redness but my major problem is that I feel some kind of liquid in my thigh. what is this and is this any symptoms of DVT?

thank you for the very professional video. I have a question about DVT. I just had hip replacement R hip, 2 days ago, and my thigh is swollen and tight. Not much bruising or discoloration. The calf seems unaffected, no edema or swelling , no change.. I think my thigh is tight due to soft tissue trauma ( I have thick leg muscles)...but should I worry?

A few weeks ago, I climbed some stairs and as I reached the last step, my calf just wouldn't or couldn't take it anymore. Since then, I've had a painful calf, especially after a long day. It's not the whole length of the calf, more like only a spot. I don't have anyone to help me with this test, I don't think it's warmer than the other leg, not swollen that I can see. Should I be concerned? Our doctors are VERY expensive and forking out food money to be told it's just sprained, will give me a heart attach 🤣

I have the same pain but it's not swollen

What if I am experiencing calf spasms or cramps in my calf’s and I have no obvious swelling or redness or warmth but the pain is there, it comes and goes and when it comes it is very painful, but it goes away as my day goes on

Can I give a mild exercise movement after diagnosed dvt patient?

Complications of dvt?

Girl and leg are very beautiful ❤️❤️

hi ....that was a good one..thank you...i have one question....is it possible for DVT to occur simultaneously on both legs? or else...if similar symptoms appear on both legs, could it be indicating something else?

I have pain every once in awhile right behind the knee so would I use the same technique to see if I have a dvt right behind the knee I was just at a music festival so It could’ve be a muscular thing

I doubt you'll see this now but I started mma and spared my coach 3 times in one week and that last time he landed kicks my left leg on the upper left side of my calf below the knee. Since then I've had sharp pain in my calf when there's too much pressure on my left foot or when I rotate it outward and inward, I don't have swelling anymore and it isn't red but I was wondering if my situation could result in a dvt ?

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?

I have all the symptons of dvt, all the swelling, lumpy vein in my thighs, been a week, only just realised it may be this, will go hosp

But what about when the thrombosis is behind the knee or above the knee or in the thigh or groin?

I had ankle surgery six weeks ago and my calf hurts slightly when I walk and when I press on my calf 😔

What about if I have a warm feeling on both my calves, it started on my one calf and now its both, its not hot when I touch it, but it feels like my legs have fever.

What if there's no redness, no hot feeling on the leg, and just a muscle soreness? What would it be?

Sir I actually wanted to ask that is it safe to massage the legs in DVT because my mom feels a little better after massaging tha calves . We haven't actually medically tested it to assure that she has dvt but the symptoms that I see in her are exactly the same. Please reply sir🙏or can it be the pain because she has a spondylitis

Interesting thing. (24m) I've been doing these at home for myself after a health scare when, during a panic attack with severe but temporary hypertension , I felt tingling in my left leg and still feel that sensation from time to time. No redness, warmth or pain. Could tingling be a symptom of DVT?

Hi... How to treat thrombotic occlusion in home.... My mom facing this issue Pl guide

I HAVE BEEN IN THE BIRTH CONTROL PATCH FOR A WEEK AND NOW I FEEL MY LEGS HEAVY AND TINGLING.3DAYS A GO I TRAVEL FROM SAN DIEGO TO LOS ANGELES IN A BUS ITS LIKE 2 HOURS SITTING I DON'T IF MY SYMPTOMS ARE FROM THE PATCH OR TRAVELING.NEED HELP.

It's contraindicated in acute DVT = risk of pulmonary embolism

sir, I am in pastor, i have DVT inmy right leg. please tell me what i have to do.

Hmm the homans test actually makes my pain go away.

I have a brother who's 61 years old , He was having constant back pain and then hip pain off and on , (could be back issues but he feels it in his hip ) . He lost his job of 23 years and the insurance was cancelled . I got him signed up for new health insurance , but it wont be activated for a couple of weeks . He was in so much pain with his back he has not been able to work , so no income at all . He is taking Nuerontin and Tramadol for pain but they don't help with this new issue . It got worse to the point where he was in bed a lot . He refuses to go to the hospital , because of no insurance . I looked at His legs and one ( Right ) is more reddish pink while the other is normal . It is also swollen and warmer than the other . The leg feels tight in the calf area , and is bigger than the other , even in his thigh area . He has bad pain when I try to move that leg at all . So far I can get him to at least get out of bed several times a day to watch movies instead of laying down all the time . I also started getting him to take 1/2 an aspirin 2 times a day since I read they will put him on blood thinners to correct this . I don't know if the aspirin is a waste of time or can it help ? He knows the Doc will tell Him to go to the E.R. , which he will not do yet . I am worried that having to wait a couple of weeks is too risky but he wont budge without insurance . He does not qualify for medicare , so I don't know what else to do ? What can I do to help him with this ? heat or ice ? do either help ?

My wife complain of pain at the both lower leg and swelling after four months of C-section and the pain is still there after two weeks but the swelling has gone down a bit. What could be the cause sir

Very helpful. I've been struggling to sleep for 2 months due to calf pain, which is now radiating into my foot and causing numbness. I haven't had an injury or actual muscle pain as such but its causing real discomfort when I'm not moving. No redness, heat or swelling so I'm hoping it isn't a serious issue

I have a pain in the front of my calf. On the bone you could say. No pain whatsoever on the back of the calf. It hurts when I'm walking, but not when I'm sitting down. There is no warm feeling. Can it be a blood clot if the pain is only in the front of the calf?

Hi Dr. If there is swelling but no heat and there is a nickle size bump or hardness on the lateral side of the right calve..would this be a sign if clotting?

Pls disntiguish between DVT in ankle and varicose veins

Is there a homans test for your arm?

My calfs are soiling no pains but feeling tideness I'm very upset so i want to see doctor. Which doctor i need plz tell me anyone 😥

I have been having pain on my left thighs all the way to the back of my legs and struggling with my breathing.. could this DVT which now affected my lungs

Hello sir my dad is having swelling in their leg but he didn't have any pain and I do MRI And Doppler test as well so getting DVT IN reports Could you please suggest the better' option what I have to do Plz reply plz 😢😢😢😢

You look like Dr. Strange!

does absence of pain mean no DVT?

I am 100% sure they don’t recommend this test anymore, because the clot can dislodge and travel upwards..Wells score is likely the recommended test..

What if the DVT is in the thigh? How do we know

goin' bananas

Take her socks off and look at the veins in the top of her feet. My veins were not visible in the leg with DVT-too puffy. After two DVTs and a PE I am paranoid and check my feet veins when I get up every morning. Even tho I am on thinners

I’m very fit and very active. I thought I had cramped, as I often. However, I never hurt after my cramps. I take no meds and work out daily. I weigh 174 avid am 59. I am 4 days status post the event and it hurts less. It was never swollen or red.

is it possible for the thrombus to dislodge by squeezing the calf ?