subject: Top Causes of the Thrombosed External Hemorrhoid [print this page] The final cause of thrombosed external hemorrhoids we will discuss is lack of exercise. You should always have a daily exercise routine. If you work in an office and spend a lot of time parked behind a desk it is important to get up and walk around at least once every couple of hours. Get up, get a drink of water, and head back to your desk. A good exercise routine increases circulation eliminating the risk of developing blood clots.