I have pain after EVLT, is that normal?

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?

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.


Replied on 10/5/2010

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

Naples, FL

All of the things you describe can occur after EVLT. Once the tumescent anesthesia wears off, it is common to have discomfort along the course of the treated vein as well as hard lumps. The lumps are due to clotting of the lasered vein as well as residual hematomas from the microphlebectomies. Discomfort across the knee joint is usually for the same reasons. Anti-inflammatory meds and warm compresses can help at this point. You should follow with your physician.

Replied on 1/28/2010

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

Novi, MI

Post procedural pain like this can occur. You should however follow-up with your vein doctor and get an ultrasound.

Replied on 1/25/2010

By: Innovative Vein  |  Paul Cheatum, M.D.
Wichita, KS

The know could be a closed, hard vessel. This is expected. Without seeing your leg directly, that would be my best guess. But this needs to be evaluated by ultrasound before a determination can be made. Pain after the procedure is usually mild, but some people do have enough that normal activity is more difficult. Again, this likely is all expected, but should be confirmed with an exam.

Replied on 1/25/2010

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

San Ramon, CA

Contact your surgeon for this although all this may be normal.

Replied on 1/25/2010

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

You may have experienced a post-procedure phlebitis. You should return to your vascular surgeon for evaluation. This should get better within a few weeks, but you need to make sure that you don't have a DVT (deep vein thrombosis).

Replied on 1/25/2010

By: Vein Specialty Medical Clinic, Inc.  |  Khalil Fattahi M.D.
Board Certified, American Board of Phlebology

Campbell, CA

Around days 3 to 8 after EVLT/ELVeS and any other endovenous transcatheter heat generating technique, patients can feel tightness, and some pain on medial aspect of thigh.
Usually, the discomfort subsides after a couple of days. Most cases need only regular over the counter medication for those 2 days.

Replied on 1/25/2010

By: Vein Center Houston  |  Mario O. Kapusta, M.D., RVS, RPVI, ABPh
Houston, TX

Pain after ELVT occurs and is related to the type of laser used, the size of the vein, the amount of energy used and the performance of any other procedures (Phlebectomy).
The big knot may be a hematoma, a blood clot or the residue of a Phlebectomy.
If the vein was closed below the knee, pain and inability to bend the knee joint are common.

I suggest you see your surgeon at your earliest convenience.

Replied on 1/25/2010

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

This is not abnormal. Pain varies between patients as a function of depth of the vein, patient anxiety and pain perception. The tenderness over the inner thigh is related to the "cooked" vein and the body responded by sending inflammation cells to the area around the vein. This should respond to warm soaks and anti-inflammatory meds like Motrin or Advil for the next 2
weeks or so. Consult with your MD to see what dose they would prescribe, but as a general rule 600-800 mg of ibuprofen 3 times per day with food is adequate. If you note any blister formation or increase in calf swelling you should seek medical attention.

Replied on 1/25/2010

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

This may be an area of thrombophlebitis or a hematoma. Either way, it is not unusual but you should contact your treating physician and let him/her know.

Replied on 1/22/2010

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

Tenderness is very common after an EVLT and it usually last a week or two but can last for a month. A knot in on your inner thigh is also common and usually last for a month. The pain to the point of not being able to bend your leg the day after the procedure seems unusually severe.

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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?

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?

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?

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

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?

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