Plantar vein thrombosis as the etiology of acute foot pain in a marathon runner; a case report

Abstract

We present a case report of a 48-year-old male marathon runner who was seen for initial evaluation in August of 2022 with a 3-day history of significant right arch pain limiting ambulation without a history of a traumatic event or inciting incident. Subsequent work-up with magnetic resonance imaging [MRI] without contrast revealed a plantar vein thrombosis [PVT]. The patient was placed on Eliquis [Apixaban] 5mg for 4 months with full resolution of his symptoms. With the use of oral anticoagulant therapy, the patient was able to compete in and complete 5 marathons over an 18-month period without return of the PVT.