The Philadelphia Eagles quarterback has deep vein thrombosis (DVT) and bilateral pulmonary emboli, according to an Oct. 19 statement from the team. He is clinically stable and has no significant functional limitations, they said, but needs blood thinners—and can’t participate in contact activities, including football, while taking them.
The news raises questions beyond football: How do you recognize a blood clot? What does treatment involve? And why can some people stop blood thinners after a few months while others take them for life? We asked doctors who aren’t involved in Hurts’ care what everyone should know.
The distinction matters because deep-vein clots are more likely to break loose and travel through the heart into the lungs. Once a clot lodges in an artery there, it causes a pulmonary embolism.
An injury can make those symptoms easier to dismiss. “If you’re worried that you have a DVT, it’s important that you get medical care quickly,” Barnes says. Seek a same-day evaluation through your doctor, urgent care, or an emergency department rather than waiting to see whether it goes away.
Some pulmonary embolisms cause only mild symptoms—or none at all. People can mistake the discomfort for bronchitis, pneumonia, or a strained muscle, Moll says.
How doctors diagnose and treat blood clots
To check for a leg clot, doctors usually use ultrasound. They move a handheld device over the skin to get pictures of the veins underneath, gently pressing as they go. A normal vein should flatten under that pressure.
Doctors typically use a specialized CT scan to look for clots in the lungs. Finding them in both lungs doesn’t, by itself, establish how sick someone is, Barnes says. Doctors also check oxygen levels, blood pressure, and whether the heart is struggling to pump blood through the lungs.
Blood thinners help keep clots from growing and prevent new ones from forming. “They do not dissolve blood clots,” Moll says. Your body gradually breaks down the existing clot, though some people are left with scar tissue.
Treatment for DVT or pulmonary embolisms generally lasts at least three months. “For the first three months it’s uninterrupted blood thinners,” Moll says.
Having a scan that looks better doesn’t automatically mean it’s time to stop medication, Moll says. Doctors generally follow symptoms rather than ordering repeated scans to watch a clot disappear.
What recovery looks like
A blood-clot diagnosis doesn’t necessarily mean you need to stay on the couch.
Getting tackled is another matter. Blood thinners make bleeding harder to stop, so a collision or fall—especially one involving a head injury—can become much more dangerous. When it comes to contact sports like football, “I would not let an athlete play on blood thinners,” Moll says.
Keeping your legs moving can also help reduce the risk of future clots. On long flights, Barnes recommends getting up to walk every one to two hours. While you’re seated, pretend your big toe is a pen and trace the alphabet with it to get your ankle moving and help pump blood through your legs. “You can do that just sitting in your seat. Nobody knows,” he says. If you’ve recently had a clot, check with your doctor before flying.
Depending on what’s causing the symptoms, treatment might include compression stockings for leg swelling, specialized rehabilitation, or a procedure to address damaged veins or lingering clots. Tell your doctor if those symptoms linger. “We have treatments that we can offer to try and make that better,” Barnes says.
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