# Travel and circulation: what vascular problems can appear and how to prevent them

**URL:** https://clinicadrmolina.es/en/vascular-problems-travel-prevention/

## Frequently asked questions

### Is it normal for ankles to swell after a long trip?

It can happen, especially after many hours sitting, in heat or with little movement. If the swelling is mild, affects both sides and improves when you walk or elevate your legs, it is usually less concerning. If it is intense, appears only in one leg or is accompanied by pain, warmth or redness, you should consult your vascular surgeon.

### Do varicose veins increase the risk during a trip?

Varicose veins may favour discomfort, heaviness, swelling and, in some cases, superficial phlebitis. Individual risk depends on each person’s venous situation and other associated factors. If you have symptomatic varicose veins or a history of phlebitis, it is advisable to seek advice before long journeys.

### Are compression stockings recommended for all travellers?

It is a common recommendation in international guidelines for the prevention of deep vein thrombosis that all people taking a flight lasting more than 4 hours should use appropriate compression stockings in order to prevent the possibility of venous thrombosis during the flight. On top of this recommendation, on any type of long journey compression stockings will help prevent swelling or heaviness in the legs during or after the trip, so they are generally recommended for everyone unless there is a clear contraindication.

### Does walking during the trip really help?

Yes. Contraction of the calf muscles supports venous return. That is why walking for a few minutes and doing ankle exercises during the journey are simple and useful measures.

### Can I travel if I have had a thrombosis?

It depends on when it happened, the treatment, the progress and the type of trip. There is no single answer. If you have had a recent thrombosis or are on anticoagulant treatment, consult your doctor before arranging a long journey.

### What should I do if I have lymphoedema and I am going to fly?

Plan the trip in advance. Use the compression garments indicated if they have been prescribed, take care of your skin, avoid knocks or friction, move during the journey and seek advice if the volume of the limb clearly increases or inflammatory signs appear.


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**About the clinic: Dr. Jorge Molina – Clínica de varices en Valencia**

Hospital LA SALUD, Consultas Externas, Planta 2ª, Consultas 211-212. Calle Dr. Manuel Candela, 41, 46021 Valencia, España.

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