The Atlantic

When a Cramp Is Actually a Clot

Deep-vein thrombosis is often mistaken by both patients and doctors for something else. I was suspicious of what I thought was a runner's cramp, and got lucky.
Source: Eryn Vorn/flickr

A glutton for good running weather, I could not resist the Thanksgiving-weekend weather. It was pitch-perfect: cloudless, warm, a cool breeze. The month before I had run my fastest marathon: just under four hours at the 2012 Marine Corps Marathon. So, I should have been recovering with light, slow, shallow runs. But several hours on a cramped five-hour flight the night before had me buzzing with pent-up energy. So, I ran. Probably too far, probably too fast. Sitting at a table in Starbucks on Saturday, Sunday, and Monday, plugging away all day on a project, time slipped by. It felt good to focus, all that energy cleared from my metabolic cache. When I stood to go home Monday night, my calves immediately tightened. The pain in the right calf eased, but the pain in the left calf did not. I rested, iced, elevated the leg, and doubled up on liquids and bananas, but the pain did not subside. On Wednesday, I limped to work and trolled sports-medicine web pages. One website after another said generally the same thing: A deep-vein thrombosis (DVT), or blood clot, can closely resemble a leg cramp or a muscle tear. My stomach clenched. Recent long travel; a prolonged period of remaining in the same position; and red, painful, The emergency room’s ultrasound technician’s questions turned to silence as she tapped buttons on a keyboard and stared at the images on her screen, rarely looking up as she moved her wand over the clear jelly-like coating she’d smeared on my leg. When she stepped out of the room, I peeked at the images on her computer screen. I saw blue and grey shapes and a small red mound, like an ant hill.

You’re reading a preview, subscribe to read more.

More from The Atlantic

The Atlantic5 min read
The Strangest Job in the World
This is an edition of the Books Briefing, our editors’ weekly guide to the best in books. Sign up for it here. The role of first lady couldn’t be stranger. You attain the position almost by accident, simply by virtue of being married to the president
The Atlantic8 min readAmerican Government
The Return of the John Birch Society
Michael Smart chuckled as he thought back to their banishment. Truthfully he couldn’t say for sure what the problem had been, why it was that in 2012, the John Birch Society—the far-right organization historically steeped in conspiracism and oppositi
The Atlantic3 min readDiscrimination & Race Relations
The Legacy of Charles V. Hamilton and Black Power
This is an edition of Time-Travel Thursdays, a journey through The Atlantic’s archives to contextualize the present and surface delightful treasures. Sign up here. This week, The New York Times published news of the death of Charles V. Hamilton, the

Related Books & Audiobooks