Background: The encouragement of early ambulation with compression rather than bed-rest becomes a matter of controversy. Aim: To evaluate the benefits of compression and walking exercises in comparison with bed rest in the acute stage of distal deep venous thrombosis. Methods: Twenty-eight patients with distal DVT that were randomized into 2 groups. The first group: 14 patients received low-molecular-weight heparin (LMWH) associated  with bed rest & leg elevation for 7-10 days. The second group: 14 patients received LMWH and were allowed to be ambulant  after 1-2 days with elastic compression  stocks. Patients • assessment was essentially concerning with the reduction of leg pain & swelling and also checking out the propagation                           of    thrombosis  and/or  development  of    pulmonary  embolism. Results: Leg pain was reduced or abolished in 12/14 patients in the ambulant group compared to 10/14 patients in the bed-rest group. Also; the reduction  of limb swelling in the ambulant group was better than that of the bed-rest one.Furthermore; propagation of thrombus was more in the bed-rest group (2/14) compared to the ambulant one (1/14). Conclusion:  Patients with acute distal DVT treated with LMWH should be encouraged  to walk with medical compression stockings.