Can cold plunges be used to prevent Deep Vein Thrombosis (DVT)?

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Last updated: June 9, 2025View editorial policy

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From the Guidelines

Cold plunges are not recommended to prevent Deep Vein Thrombosis (DVT). There is no scientific evidence supporting cold water immersion as an effective preventive measure for DVT. In fact, exposure to cold can potentially cause vasoconstriction (narrowing of blood vessels), which might theoretically increase rather than decrease clotting risk in some individuals. For DVT prevention, established methods include:

  • Regular movement (especially during long periods of sitting)
  • Staying hydrated
  • Wearingling compression stockings when appropriate, as shown in a systematic review of 11 randomized trials that included 2,906 individuals, which revealed the benefits of compression stockings (15–30 mmHg) on reducing the incidence of asymptomatic DVT 1
  • Taking prescribed anticoagulant medications if you're at high risk, such as low-molecular-weight heparin, which was shown to be effective in the LONFLIT-3 study 1. DVT prevention works by either keeping blood flowing normally through the veins (through movement and hydration) or by directly reducing blood's ability to clot excessively (through medication). If you're concerned about DVT risk, particularly before long flights or periods of immobility, consult with a healthcare provider for personalized prevention strategies rather than attempting cold plunges.

From the Research

Cold Plunges for DVT Prevention

  • There is no direct evidence in the provided studies to support the use of cold plunges for Deep Vein Thrombosis (DVT) prevention 2, 3, 4, 5, 6.
  • The studies focus on the use of graduated compression stockings, anticoagulation, and other methods for DVT prevention, but do not mention cold plunges as a preventive measure.
  • DVT prevention methods mentioned in the studies include:
    • Graduated compression stockings 3, 4, 6
    • Anticoagulation 2, 5
    • Mobilization 5
    • Intermittent pneumatic compression 5
    • Foot and leg exercises 5
  • The effectiveness of these methods in preventing DVT is supported by the studies, but the use of cold plunges is not addressed 2, 3, 4, 5, 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Deep vein thrombosis: update on diagnosis and management.

The Medical journal of Australia, 2019

Research

Deep vein thrombosis prophylaxis: the effectiveness and implications of using below-knee or thigh-length graduated compression stockings.

Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing, 2002

Research

Deep vein thrombosis risk and preventive nursing practices in surgical patients: A descriptive cross-sectional study.

Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing, 2025

Research

Graduated compression stockings for prevention of deep vein thrombosis.

The Cochrane database of systematic reviews, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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