What is the primary treatment for superficial thrombophlebitis?

The primary treatment for superficial thrombophlebitis is local heat and elevation of the extremity. This approach is effective because it helps reduce inflammation and improve blood flow in the affected area. The application of heat dilates blood vessels, which can alleviate pain and facilitate the absorption of the thrombus. Elevation of the limb can also help decrease swelling and promote venous return, both of which contribute to symptomatic relief.

Other treatment options, while possibly applicable in certain scenarios, do not serve as the primary management. Antibiotics are indicated when there is a concern for infection, but they do not address the underlying thrombus itself. Surgical intervention is generally reserved for severe cases or complications such as abscess formation or significant recurrent thrombophlebitis. Compression therapy might be helpful in the management of chronic venous insufficiency or post-thrombotic syndrome but is not the first line for superficial thrombophlebitis. Thus, local heat application and elevation remain the cornerstone of treatment aimed at resolving symptoms and facilitating healing.