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Can endovenous laser ablation treat my venous insufficiency?

Is Endovenous Laser Ablation or VNUS Closure Fast a more effective way to treat a dilated greater saphenous vein with gross incompetence from the saphenofemoral vein down the lower leg, contributing to superficial venous hypertension?

The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice, diagnosis or treatment by a qualified health care provider.

Answers


Replied on 10/8/2010

By: Vanish Vein and Laser Center  |  Dr. John Landi, FACS, RPVI, RPhS
Medical Director, Diplomate Am. Board of Phlebology

Naples, FL


Both procedures work equally well to treat reflux. The method used is usually dependent on physician reference.


Replied on 10/16/2009

By: General Vascular Surgery Group  |  Michael D. Ingegno, M.D.
Robert O’Neil Gingery, M.D.
Lamont D. Paxton, M.D.

San Ramon, CA


Yes this is an effective method of treating this disorder.



Replied on 10/16/2009

By: Bella MD Laser Vein and Aesthetic Center  |  David A. Engleman MD, FACC
Dallas, TX


Both EVLT (laser) and VNUS (radio frequency) are safe and effective methods of ablating the Greater saphenous vein.
The laser is slightly more effective but probably has a bit more discomfort on recovery. Small differences and either is a good treatment and the standard of care for the treatment of greater saphenous insufficiency causing symptoms.



Replied on 10/16/2009

By: Miller Vein  |  Jeffrey H. Miller, M.D.
Steven K. Wang, M.D.
Michael E. Lulenski, M.D.

Novi, MI


They are equally effective. The newer generation lasers (with longer wavelengths) cause much less bruising/pain than the older lasers. VNUS ClosurFast and the newer lasers are equal from a patients' perspective.


Replied on 10/15/2009

By: California Vein Specialists  |  J. Michael Leary M.D., FACEP
Newport Beach, CA


Endovenous laser ablation and vnus closure fast are both very effective ways to treat venous insufficiency. We use several different laser frequencies to treat venous disease at California Vein Specialists. In general all are effective and have similar success rates. The 810 and 940 lasers tend to have more post procedure pain and inflammation . The
1470 laser and the Vnus Closure fast are both very genital and have very little post op pain or bruising. Vnus Closure is very expensive to use, so may cost you more for the procedure.


Replied on 10/15/2009

By: The Kimmel Institute  |  Dr. Richard Kimmel
Boca Raton, FL


EVLA is a highly effective method to treat venous insufficiency. While there is some disagreement among practitioners, there is evidence to support the laser as a more effective tool for this treatment than the radiofrequency approach, with a higher safety and effectiveness rating.


Replied on 10/15/2009

By: Vein Specialists at Royal Palm Square  |  Joseph G. Magnant, M.D., F.A.C.S.
Fort Myers, FL


Both methods are highly effective in closing off the great saphenous veins. Assuming no other superficial or deep veins are insufficient, then this procedure on the great saphenous vein should resolve you signs and symptoms related to venous hypertension. Endovenous closure was introduced in 1999 with the radiofrequency closure Cather from VNUS medical technologies and LASER endovenous closure followed in 2001. Since then hundreds of thousands of patients have had successful, definitive treatment of their superficial
venous insufficiency. The most important consideration is the formal training background of your specialist and their volume of endovenous cases.



Replied on 10/15/2009

By: Angelo N. Makris MD   |  Angelo N. Makris, M.D. Interventional Radiology Center
Oak Brook, IL


Both Endovenous Laser and Closurefast are effective treatment options
for superficial venous insufficiency. They both have the same success
rate, but Closurefast causes less post-procedure pain and bruising.





Replied on 10/15/2009

By: Laser Vein Center  |  Thomas Wright, M.D., F.A.C.P., R.V.T.
O'Fallon, MO


Endovenous Laser Ablation and VNUS Closure Fast have similar effectiveness. Actually Endovenous Laser Ablation has a slightly better effectiveness. There is generally more discomfort with greatly dilated saphenous veins.



More Questions on Endovenous Laser Ablation

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I heard that spider veins cause leg ulcers and skin cancer. Is this true?

Does endovenous laser ablation remove veins? (19 answers)
Are the problem veins removed after ELA or are they just left there? Is that bad for the body to have dead tissue laying around?

Is endovenous laser ablation more painful than radiofrequency occlusion? (18 answers)
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Can endovenous laser ablation treat spider and varicose veins? (18 answers)
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What kind of laser is used for endovenous laser ablation? (17 answers)
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Can endovenous laser ablation techniques be used on any vein? (16 answers)
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What can i do about difficulties associated with undergoing Endovenous Laser Ablation? (16 answers)
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Vein did not close after laser ablation - what are the consequences? (16 answers)
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What is the time-frame for DVT risk with laser ablation? (15 answers)
Is it true that blot clots relating to the endovenous laser ablation procedure are generally visible within the first 24 hours? Or, is this rather a long-term potential side-effect arising from the procedure? I am worried about this risk.

Can endovenous laser ablation give me deep vein thrombosis? (15 answers)
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?

Should I wait until after pregnancy to treat a venous insufficiency in the lower leg? (15 answers)
I have had two prior pregnancies but am planning another soon, so should I wait to have EVLT until after? My insufficiency is in a small saphonous vein in the left calf area. I have minor pain and varicose veins that actually bulge.

Laser Ablation vs Radiofrequency (15 answers)
What is the difference between Laser Ablation and Radiofrequency?Which one is better to have done?

Can this surgery be done without a catheter fast closure? (15 answers)
CATHETER FAST CLOSURE 7F 60CM. Can this surgery be done without a catheter fast closure? My medical aid will not pay for this item.

Does Endovenous Laser Ablation hurt? (14 answers)
Does this procedure hurt?

Is there an age restriction with endovenous laser ablation? (14 answers)
Is it better to get the procedure when you're young? I'm 68. Are there more risks involved as you get older?

Is it true that there is little pain associated with the Endovenous Laser Ablation procedure? (14 answers)
It seems like the laser would hurt.

Is there an age limit with Endovenous Laser Ablation? (14 answers)
My mother is 82 and she has varicose veins that have gotten progressively worse in the past 2 years. She complains that they are painful and make her legs feel heavy. She's in good health and active, but is there an upper age limit with ELA?

Should I take ibuprofen after Endovenous Laser Ablation, or not? (14 answers)
I’ve heard conflicting recommendations.

Why do I need to wear eye protection during Endovenous Laser Ablation? (14 answers)
They’re treating the veins on my legs, nowhere near my face. I have severe claustrophobia and am hoping they can treat me without my needing to wear anything on my face.

Is Endovenous Laser Ablation better long term than Radiofrequency Occlusion? (14 answers)
Is it true that radiofrequency occlusion is associated with a higher recurrence rate of varicose veins than endovenous laser ablation? I heard that there's a greater chance the vein would re-open with RO.

Does endovenous laser ablation require multiple treatments? (13 answers)
Or will just one treatment do the trick? Could the varicose veins come back?

Why doesn't Endovenous Laser Ablation laser the lower leg? (13 answers)
If the evlt procedure doesn't alleviate problems in the lower leg do /can you laser the lower leg?

Should I wait to have Endovenous Laser Ablation until I'm finished having kids? (13 answers)
I have varicose veins that get worse when I'm pregnant. I want to have endovenous ablation, but should I wait until I'm finished having children (my husband and I want at least one more)?

Is this varicose vein treatable? (13 answers)
I have nerve damage from endovenous ablation. Around my ankle is highly sensitive and it hurts to touch. I had this treatment in June 2010 and still having a lot of problems. Is this treatable?

Can you do both legs at the same time? Is it advised? Why? (13 answers)
My wife (age 26) has post pregnancy (1.5 years ago) bad veins with:
Rt leg:
great saphenous- moderate reflux
popliteal - light reflux
Lt leg:
great saphenous- Sever reflux
Superficial Femoral - light reflux
Can you do both legs at same time?

Is intense pain normal after laser ablation of great saphenous vein? (13 answers)
I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.

When can I start Bikram yoga again after endovenous laser ablation? (13 answers)
I am going to have endoVenous laser ablation treatment. I go to Bikram yoga where room temperature is 105 degrees. When can I start practicing again?

How many times does a physician have to do Endovenous Laser to be proficient? (13 answers)
I am trying to decide between a vascular surgeon within my insurance group who has done about 100-200 endovenous laser treatments versus paying cash for a well-known vein specialist who has done this thousands of times.

Am I at high risk for varicose veins because I work on my feet all day? Might I need an Endovenous Laser Ablation? (12 answers)
I work on my feet all day. They often ache (including my calves) at end of day. Am I at higher risk for developing vein disease/varicose veins? What recommendations do you have to prevent onset?

Foam Sclerotherapy vs EVLT? (12 answers)
I have a few visible spider veins on my lower leg, I wanted to do foam sclerotherapy, but the doctor wants me to do EVLT before the sclerotherapy, he says my vein is way to large & if I do the sclerotherapy first that they will reappear, is this true?

Is pain two weeks after Endovenous Laser Ablation normal? (12 answers)
I still have pain, cannot take anti-inflammatory medicines and I have a leg ulcer at the site of the surgery. Is this normal? Since I can't take those types of medications, how should I handle this two weeks post-treatment?

Can you suggest pain relief for foot pain after vein surgery? (12 answers)
I had bilateral RFA of both greater saphenous veins in 2007 and am on coumadin for continued LE ulceration. I have significant foot pain, particularly when I first stand. I wear compression hose. Ideas for relief?

My Dad is considering this procedure, but he is 87 yrs old. Should I be concerned with risks at his age? (12 answers)
My Dad is considering this procedure, but he is 87 yrs old. Should I be concerned with risks at his age?

Will skipping the 2nd ablation harm the work done on the 1st leg? (12 answers)
I had my ablation about 10 days ago and I'm still sore. I was scheduled to have the second ablation this week but it's too early for my taste. If I do not have the second one done, do I risk unravelling what I had done on the other leg? Bad idea?

Is Microphlebectomy always needed after EVLT ? (12 answers)
How long should I wait to see if the veins in my calf will diminish after EVLT? I would like to avoid Microphlebectomy if possible, but will have it done if necessary ?

Lasers for perforators? (12 answers)
Is it is possible for ablating perforators by endovenous lasers?

Do I need a general practitioner referral to have Endovenous Laser Ablation? (12 answers)
I'd like to have the treatment for my varicose veins. Will I need a referral? Will insurance cover the treatment if my GP isn't involved?

I have bruising from an EVLT treatment from a year ago, is this normal? (12 answers)
It's been a year since my surgery and I still have bruising. Does that mean it's permanent?

I have pain after EVLT, is that normal? (12 answers)
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?

How should I choose my Endovenous Laser Ablation provider? (12 answers)
I'm pretty sure I want to have my moderate varicose veins treated with ELA. What should I base my choice of a specialist on? Degrees earned, years of experience, before-and-after pictures, equipment used? What's truly important to a good result?

What kind of anesthesia is used during EVLT? (12 answers)
Is local, topical, or general anesthesia typically used during this procedure?

Will I be able to drive home after endovenous laser ablation? (12 answers)
What is recovery like for the first 24 hours after the procedure?

Will Endovenous Laser Ablation improve my circulation? (12 answers)
I have perpetually cold feet and occasional tingling in my feet and ankles. I also have a number of large varicose veins in each leg, so do you think that my circulation in my feet will improve if I have ELA?

Can endovenous laser ablation cause Leg Ulcers? (12 answers)
After having the endovenous laser ablation on both legs, I developed large ulcers on one of my legs.
What could have caused this? This has been a very long & painful experience.

What can be done to treat lipodermatosclerosis? (11 answers)
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.

Is vein mapping done with Endovenous Laser Ablation? (11 answers)
Is the vein mapping procedure done with Endovenous Laser Ablation?



Should I still have bruises (that never disappear) on the leg that had Endovenous Laser Ablation 10 months ago? (11 answers)
Is this normal?

How long before I will see an improvement in the ropey appearance of the treated varicose veins? (11 answers)
I have just had the endovenous laser ablation procedure. A lot of the leg discomfort I had before the procedure is gone. How long after treatment will I see an improvement in the ropey appearance of the varicose veins?

How do you treat perforator problems with Endovenous Laser Ablation? (11 answers)
I have distended, ropey veins on the anterior surface of my left calf and have been told that my problem involves the perforator veins. How would you treat this? Would you use traditional laser or "cold" laser?

Is EVLT or RFO the same as Vein Ligating? (11 answers)
I want to know if the 2 procedures listed above is technically the same as ligating?

Can one have EVLT done while pregnant or trying to get pregnant? (11 answers)
Is it possible to have my veins treated with EVLT and phlebectomies and possible foam sclerotherapy now if I am planning to get pregnant again in the future? Do I have to wait until I decide not to have more children?

Can veins come back after Endovenous Laser Ablation? (11 answers)
I had a prominent but otherwise normal blue vein under my right eye removed, and the results were great. I only got one treatment, and then a few weeks later it seems like the blue vein is getting darker, as I can see it again. Is it coming back?

How long does pain after EVLT last? (11 answers)
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?

Can Endovenous Laser Ablation be used on a Vulvar Vericosity? (11 answers)
Can Endovenous Laser Ablation be used on a Vulvar Vericosity?

How much bleeding is expected after ELA? (11 answers)
I just had Endovenous laser ablation and some of my bandages are blood soaked. Is this normal or is something wrong?

I had EVLT nearly 2 yrs ago on my left GSV. I now have pain & swelling in my left calf. Why? (11 answers)
Could my surgeon have performed surgery on the wrong vein, or has it reopened or do I now have a new insuff.? I am 44, active, slender, healthy, and lately my left calf has begun to swell toward the end of the day. It causes brief stabbing pain occasionally.

Post Surgery (11 answers)
Is it OK to take Levitra after having this surgery?

How many hours a day do I have to wear a compression stocking after EVLT? (11 answers)
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?

Is my ELA medically necessary? Cosmetically, I do not need it. (11 answers)
The duplex scan on both legs revealed a poor return of blood to the heart in one leg, but my doctor has recommended and scheduled ELA on both legs. I do not have any symptoms. Should I have ELA?

I had ablation surgery 3 weeks ago on my right leg, am I okay to use the tanning bed? (11 answers)
I had ablation surgery 3 weeks ago on my right leg, am I okay to use the tanning bed?

Is swelling normal after closing veins with endovenous laser ablation? (11 answers)
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?

Does EVLT reduce the chance of a future clot? (11 answers)
I developed clots due to the birth control pill and from a Factor V mutation (blood clotting disorder). Developed reflux as a consequence, and performed 4 EVLTs to treat the veins. Does EVLT reduce my chance of getting another clot in the future?

What can I do about a DVT after endovenous surgery? (10 answers)
My surgery was one month ago. I now have a large clinging DVT. I went yesterday for another ultrasound and it is larger and moving. I am taking aspirin as instructed. Too early for blood thinners. When can I expect to get rid of it?

Is there a stem cell treatment for veins after EVLT? (10 answers)
I had gotten EVLT done on my right and left great saphenous veins. This was in 2009, and since then I am having so much pain on my lower calves and ankles, and i started to see some skin discoloration as well. is there a stem cell treatment for veins?

Do I need an Endovenous Vein Ablation for severe edema? (10 answers)
I went to my doctor for severe edema, and after a duplex screen, he suggested I have an edovenous vein ablation. Is this necessary? He stated I had reflux that was causing the swelling. I don't have varicose veins, but he is concerned about clots.

Should I get a second opinion? (10 answers)
I have spider veins, but no bulging varicose veins whatsoever. Was told that I have 4 incompetent veins and need the laser treatment. Orig went for the spider veins. Is this necessary? Is there another option other than the laser ablation?

How long will I have scar tissue after Endovenous Laser Ablation? (10 answers)
I've read that after EVLT, the vein turns into fibrous scar tissue. How bad will it look and how long until my body absorbs it?

should I have muscular pain in my thight in the leg that I had the ablation done on and is there need to call my doctor? (10 answers)
should I have muscular pain in the thigh that I had my ablation done. Is there a need to call my doctor?

Is surgery going to help? (10 answers)
I have severe reflux on both saphenous veins and Femoral vein. Doctor says surgery on saphenous veins is going to help but I don't see how since I still have valve problem on femoral vein, and blood is still going to leak down. Please help me understand.

Vein removal with EVLA? (10 answers)
I have a bulging vein around my knee, and I have a beauty on my calf, plus a another around my groin area, can they be removed with EVLA?

Need to decide between VNUS closure and Endo Laser Ablation (10 answers)
I had my large saphenous vein removed and now I need my smaller saphenous vein removed in R/L and large saphenous in L/L. I Have 2 good doctors and have read that vnus has less bruising. Is it better than ELT?

Is the endovenous ablation a good alternative to correct poor circulation in the legs after having a DVT? (10 answers)
I am on Coumadin and since I had the DVT in June 09, my quality of life has diminished. If I sit down for an hour and intend to stand u I look like very old lady. It is painful and so tired of my legs and feet, the heel hurts very much.

Will vein reappear with a second pregnancy? (10 answers)
After my first child, I suffered from varicose veins. I didn't gain much weight during the pregnancy, but it was mostly due to hormones.
After having EVLA and sclero treatment, I am afraid to have a second child. Will my varicose veins reappear?

Is it safe to have VNUS surgery if there is a blockage in the groin area? (10 answers)
Is it adviseable to have VNUS surgery when there is blockage in the groin area? I am very healthy, not overweight & not diabetic.

How long should I wait after the procedure before I start lifting weights and running? (10 answers)
I had the procedure done on one leg 2 weeks ago and the other leg 1 week ago. I usually go to the gym 3 times a week but I haven't gone since I had the 1st procedure done. When is it safe to begin heavy exercising again?

Is Endovenous Laser Ablation effective in treating lipodermatosclerosis? (10 answers)
Is EVLT recommended for lipodermatosclerosis (LDS)?

What is the recurrence rate of varicose veins after endovenous laser ablation? (10 answers)
What are the odds the veins will come back after treatment?

Is there a risk to the fetus if we did endovenous ablation while patient was 4-5 weeks pregnant? (10 answers)
The patient was unaware she was pregnant. Also is it protocol to do pregnancy tests on everyone prior to laser?

What complications are involved with Endovenous Laser Ablation? (10 answers)
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?

Can EVLT make your legs look worse? (9 answers)
Is it possible for EVLT to make your legs look worse after the procedure?

Can EVLT cause nerve damage? (9 answers)
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?

Can varicose veins come back after endovenous laser ablation? (9 answers)
Or does the treatment permanently remove them?

Will endovenous laser ablation really destroy the greater saphenous vein? (9 answers)
Is that going to affect my circulation?

Is it safe to have endovenous laser ablation and foam sclerotherapy on the same leg on the same day? (9 answers)
Is it safe to have endovenous laser ablation and foam sclerotherapy on the same leg on the same day?

Do two procedures carry more risk if carried out on the same day?

EVLA during pregnancy (9 answers)
What is the risk of performing the procedure while pregnant. I am a surgeon pregnant (2nd tri) with my second. The pain is so great from LSV reflux that I cannot stand or operate. I am looking for answers as to what has been reported about complications.

Enlarged greater saphenous around ankle, is EVLT a good option? (9 answers)
I have a painful/enlarged greater saphenous vein along its course to my groin, however most painful near my ankle bone, does EVLT take care of this distal location since the procedure is only done from the knee to the groin for this vein?

Double Saphenous Vein and EVLT. (9 answers)
I had EVLT done in March. I have a double great saphenous vein. They only did one of them. Now my legs feel (and look) worse than they did before the EVLT. I'm switching docs, but what are the chances of EVLT working on the other vein in that leg?

When can I start running after I have this procedure? (9 answers)
I am 52 and 130 lbs. I have been running 2-3 times a week since 2006. I run between 5-26.2 miles at a time. I am healthy otherwise besides being on medication for high blood pressure.

ELA with Factor V Leiden disorder (9 answers)
Are there higher risks for a patient with Factor V Leiden during the endovenous laser ablation procedure?

what is considered 'normal' bruising 5 days post EVLT (9 answers)
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?

Are long periods of standing after EVLA safe? (9 answers)
My job (bar manager) requires me to stand for long periods of time and occasionally lift heavy objects (but not for sustained periods.) I am 25 and in good shape, leg is healing with no pain after 2 days. Is it safe to return to work on the 4th day?

Is Endovenous Laser Ablation necessary? (8 answers)
Originally went to get checked out about my spider veins & was told that I have 4 incompetent veins & need the laser treatment. Didn't give me any info/explanation of their findings. Not even sure what they mean. I'm completely lost, please help! (27 and never had kids)

Why has EVLT not improved my chronic leg swelling? (8 answers)
It's been 4 wks since I had EVLT and Phlebectomy of my left leg. I continue to have the same chronic, daily leg swelling that I did before treatment. I have a follow-up appt in 3 mths but I am less than optimistic. What should I expect next?

Are bulging veins at the knee after GSV normal and will they go away? (8 answers)
I had GSV laser done eight days ago. Now there are bulging veins at the knee and below. Will these go away? I am scheduled for the lower SAF procedure as well.

After 2 weeks post EVLT, the doctor said I needed to redo the procedure? (8 answers)
I had EVLT preformed 3 weeks ago. When I went for the 2 week follow-up ultrasound it showed that the vein was still open and doctor said he needed to redo the procedure. Please advise - I thought this was a one-time procedure.

EVT after varicose vein surgery (8 answers)
I had varicose vein surgery (ligation and stripping) 10 years ago. My problems came back and I've had many rounds of sclerotherapy. Now my doctor recommends EVT. Is that OK?

Karate & kickboxing after EVLA and Sclerotherapy (8 answers)
I had EVLA done on 3 veins recently. I know 1 was the small saph., the other two names I am not sure. Also had sclerotherapy on both legs. When can I go back to karate and kickboxing. We do kick pads pretty hard. Training for my black belt!

What are the short & long term risks of this procedure? (8 answers)
I had the Endovenous laser treatment on my upper leg,(long Saph?)Doctor wants me to do all four, I'm questioning if I really need all of that done. Can this cause me harm in the short or long term?

Driving after having endovenous laser ablation? (8 answers)
When may I start driving after my venous procedure? I had ELA 10 days ago on right leg.

Is it possible to only do a partial ablation of the greater saphenous vein? (8 answers)
Is it possible to only do a partial ablation of the greater saphenous vein?

Is thera any chance of getting traveling blood clots after this procedure?? (8 answers)
Is there any chance of getting traveling blood clots after this procedure??

I had this procedure done in March. My leg feels better, even though I know I'm still healing. But the past couple of days I haven't been feeling well....tired, and my chest is achy..just afraid the pain may be the result of a traveling clot..


Thoughts on going to the tanning salon before this procedure? (8 answers)
Is it ok to go to a tanning salon before this procedure? I use the stand up bed, I have arthritis, and find that the tanning makes me feel a lot better.

Confused, not noticing improvement (8 answers)
I had minor reflux, but my reticular leg veins swell especially late in the day. I had 4 EVLTs, and the swelling is still there. The doc said I don't need sclero because the branches aren't open and don't need treatment. Why am I not seeing results?

Can you get bone irritation after the Endovenous Laser Ablation? (8 answers)
Is this a normal side-effect?

Is it normal for new veins to appear in my leg after endovenous laser ablation and foam sclerotherapy? (8 answers)
I had endovenous laser ablation and foam sclerotherapy but I keep spotting new veins appearing in my leg. Is this normal?

I should mention that I suffered from phlebitis in this leg following surgery and it has never felt the same since as it aches and feels heavy. I have new veins in my upper thigh and calf. What should I do?

Sapheno Femoral Junction? (8 answers)
Can a laser effectively occlude an incompetent Sapheno femoral Junction? If it does, which modality is better; Diode or NdYag?

What qualifications are required for a specialist performing endovenous laser ablation? (8 answers)
I'm interested in having the procedure done. What should I look for in a specialist? What kind of training and/or degrees are required to be qualified to perform vein procedures?

How is veinwave different from endovenous ablation? (8 answers)
What makes this product unique?

Is surgery really necessary for varicose veins? (8 answers)
Are endovenous laser ablation and radiofrequency ablation suitable for varicose veins in the upper part of the thigh? I consulted my surgeon for alternative techniques, he said sclerotherapy would not work. Would these other two methods be suitable?

Does endovenous laser ablation damage the saphenous vein? (7 answers)
I’ve heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?

Are risks of complications during pregnancy higher after having endovenous laser ablation? (7 answers)
I had this surgery a year ago, then again 4 days ago because the first one was not successful. I would like to get pregnant in the next could of months, but an worried about clots. Should I be, or are there other risks?

How many times can you do EVLT on same leg? (7 answers)
I had 3 laser surgeries done on left leg in 2006.It helped tremendously.I had much pain swelling etc. off and on for years until I did this.Well now I have some new vein problem in same leg.Right now I have superficial phlebitis in the left leg

What are the resrictions after Endovenous Laser Ablation? (7 answers)
Can you please detail some of the restrictions after EVLT?

Is numbness in both feet caused by ELT and how long will this last? (7 answers)
I had ELT done on my left leg. At first it was quite painful for about 2 weeks post procedure a month later had the Right leg done 2 days after pocedure I developed numbness in buttocks that radiates down both legs into my feet, it is very annoying feeling.

Sciatic issues? (7 answers)
Someone posted about buttock/leg/foot numbness after EVLT. In someone with venous hypertension is it possible that removing superf. veins can increase vein pressure in the deep veins, causing pressure against the sciatic nerve and numbness?

Endovenous Ablation and subsequent pregnancies. (7 answers)
I developed varicose veins during my 2nd pregnancy and have consulted with a physician regarding endovenous laser ablation. We would like to try for another baby after the procedure. How long should I wait to get pregnant after the procedure?

Is it possible the procedure would fail because the vein is thin or curved? (7 answers)
Could it be possible to not get through the vein because of it being thin or curved?

Proceedure affected my large saphenus vein (7 answers)
I have the laser proceedure done on my small saphenus vein. The Ultrasound results shows there is reflux in my large saphenus vein which was not there prior to the proceedure. Should i have my large saphenus vein treated also. Is there a risk?

What's the maxium size vien allowed for this procedure? Using the laser at 12 watts. (7 answers)
Should we increase the watts to compensate for a big vien?

Will the general anesthesia used in laser vein surgery hurt my fetus? (7 answers)
I had a laser treatment done on a deep vein when I was 4 weeks pregnant and did not know I was. I am now 23 weeks and am nervous that the general anesthesia at such a early time in gestation will cause long term effects.

Dimpling after EVLT (7 answers)
I noticed a large dimple on my leg after deep EVLT. Is this common and will it go away? The Dr. had a difficult time with the vein because it was so deep, and he struggled getting me numb. I bruised severely.

Could I have endovenous laser ablation? (6 answers)
I recently had massive blood clots in the left leg, becasue of inactivity in the other leg, it was in cast. My body has now absorbed the blood clots and i am still on comadine/warfin until December 2011 this year.

Post-Thrombotic Syndrome (6 answers)
Does EVLT for superficial phlebitis also help with post-thrombotic syndrome in a deep vein? Is ultrasound of deep and superficial systems routinely performed before deciding on EVLT? Thanks.

Sclerotherapy post ELA (6 answers)
I had endovenous laser ablation of saphenous vein, and now I'm told I need 3 sclerotherapy sessions. is this so? only one is covered by my insurance. I was told that only having 1 could be harmfull, is this true?

Does having EVLT for leg veins make dorsal superficial foot veins disappear as well? (6 answers)
Just wondering about this, since the greater and lesser saphenous veins seem to receive the superficial foot veins on top of the foot, and I have enlarged ones.Thank you!

Serious problems associated with EVLA (6 answers)
I recently have EVLA done 3 times and have had serious side effects and want to know is this normal? I had a hematoma on one leg and excessive swelling on the other leg and extreme pain in both and really need your advice?

How long before you see the results with ELA? (6 answers)
Had the procedure Friday. Removed the stocking Monday evening. I still see bumps in my leg. Will that get better?

Ankle redness and pain after EVLT (6 answers)
I had an ablation done on my right gr. saph. vein 1 month ago. Symptoms before were swelling with the gr.saph. vein and others. After having the ablation, I still have some swelling, pain, and also redness around the ankle upon standing I've never had before.

Ankle swelling and numbness (6 answers)
I had endovenous laser of my lower right leg on 4/28 and still have significant pain and swelling in my ankle. I also have the numbness, but I understand that the nerve is involved and hopefully it will heal.

Can you explain the cause of two phenomena that occur during the endovenous laser procedure? (6 answers)
What causes the "garlic taste" in your mouth during the endovenous laser ablation? What causes the "water dripping sensation" when the doctor is doing the tumescence?

Sharp stabbing pains in my leg! (6 answers)
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?

Different causes for bulging veins? (5 answers)
I had minor vein reflux. My veins stand out at the end of the day in several spots in front of thighs (look like cellulite but are not) After 4 EVLTs two months ago on both legs, the swelling is still there. What can cause them to swell other than reflux?

Outcomes with Microphlebectomy/EVLT? (5 answers)
I have dorsal foot varicosities, as well as varicose GSV and LSV's receiving these veins. Has anyone done microphlebectomy of the foot veins (with/out EVLT) and had more good than bad experiences with this procedure here? Thank you!

I had a large vein in my leg ablated 8 months ago and it still is ropey and painful. Is this normal? (5 answers)
It hurts when I sit or stand and is tender to touch. I had a blood clot in the vein when the procedure was done.

Side effects of drinking after EVLA? (5 answers)
What are the side effects of drinking alcohol after my evla?

Numbness and Pain (4 answers)
I have pain in my calf ,numbness in my ankle, and also get sharp elecrical-like pains down my achilles tendon when I kick my leg. I had the procedure 3 weeks ago. I also have horrible discoloration on my calf, which resulted after post-injecions

What is the relationship between high blood pressure and endovenous laser ablation? (4 answers)
My blood pressure was normal until the endovenous procedure. Immediately following the procedure my blood pressure became very elevatated. My blood pressure has remained high ever since. Now taking high blood pressure medication since this procedure.

Can vena saphena magna and parva be ablated in one procedure? (4 answers)
can vena saphena magna and parva be ablated in one procedure? Or do they need to be treated separately?

Is this pain normal after EVLA and sclerotherapy? I have not been able to resume what I would consider normal activities. (4 answers)
Had EVLA on my right saphenous vein 3 1/2 weeks ago. After 1 week it started to feel good, then hurt for 2-3 days, then started to feel good again.I had foam sclerotherapy performed on the same leg/thigh 9 days ago and it's hurt on/off ever since.

Tendon pain after ablation. (4 answers)
I've had ELA on both legs. I have some tendon pain on going up from my feet to the insides of each leg. Is this a side effect?

Is an interventional radiologist ok in my case? (4 answers)
I am a 54 year old female approximately 75 pounds overweight. Had a spontaneous dvt in my left leg 16 years ago. I had knee surgery to repair a torn meniscus 1.5 yrs ago in my right leg, after that I had a small pulmonary embolism in my right lung. Now I am a "lifer" on Coumadin. Is it ok to have EVLA while on meds?

A lot of pain after surgery on my calf. (3 answers)
I had my treatment done last week, and I have a lot of pain on my calf and tingling feeling from my lower calf to my ankle. Is this normal?

flight after surgery (3 answers)
Can i fly on plane for 2.5 hours three days after I've had endovenous laser ablation?

All Procedures

Ambulatory Phlebectomy (23 questions, 31 answers)
Asclera (7 questions, 1 answer)
Compression Stockings (104 questions, 960 answers)
ELVeS (Endo Laser Vein System) (16 questions, 41 answers)
Endovenous Laser Ablation (144 questions, 1445 answers)
EVLT (51 questions, 69 answers)
Foam Sclerotherapy (44 questions, 171 answers)
Intense Pulse Light Therapy (27 questions, 65 answers)
Laser Light Therapy (44 questions, 237 answers)
Microphlebectomy (24 questions, 185 answers)
Natural Varicose Vein Remedies (2 questions, 0 answers)
Pelvic Congestion Syndrome (92 questions, 149 answers)
Pharmacomechanical Thrombolysis (6 questions, 0 answers)

Radiofrequency Occlusion (22 questions, 81 answers)
Sclerotherapy (149 questions, 1476 answers)
Stenting (4 questions, 4 answers)
Transilluminated Powered Phlebectomy (3 questions, 0 answers)
Ultrasound Guided Sclerofoam (4 questions, 24 answers)
Ultrasound Guided Sclerotherapy (7 questions, 60 answers)
Varicose Vein Home Treatments (13 questions, 0 answers)
Varicose Vein Surgery (87 questions, 709 answers)
Vein Ligation and Stripping (18 questions, 3 answers)
Veinwave (31 questions, 30 answers)
Venous Reflux Exams (24 questions, 203 answers)
VNUS (43 questions, 222 answers)
Wound Care (9 questions, 3 answers)

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