I'm having severe pain following an endovenous laser ablation, is this normal?

I had the endovenous laser ablation procedure 10 days ago. Last night I got a stabbing pain and it felt like my skin tore from the inside. I thought after a night of sleep the pain would go away, but it hasn't. Is this something to be concerned about?

Answers from doctors (13)


Intermountain Vein Center

Published on Mar 04, 2013

Did you have a follow-up appointment with your physician? It is very important to have these follow up appointments to determine if the treatment was successful. Some people can experience pain for up to a few months, but a follow-up is always recommended.

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Answered by Intermountain Vein Center

Did you have a follow-up appointment with your physician? It is very important to have these follow up appointments to determine if the treatment was successful. Some people can experience pain for up to a few months, but a follow-up is always recommended.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Feb 26, 2013

We do not use laser in our practice. Severe pain should be evaluated by the physician that did the laser
treatment. Having some discomfort is normal, but it should not be severe.

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Answered by Vein Clinic of North Carolina

We do not use laser in our practice. Severe pain should be evaluated by the physician that did the laser
treatment. Having some discomfort is normal, but it should not be severe.

Published on Jul 11, 2012


Advanced Vein Center

Published on Feb 26, 2013

Yes, this seems unusual. You should probably be rechecked by your doctor.

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Answered by Advanced Vein Center

Yes, this seems unusual. You should probably be rechecked by your doctor.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Feb 25, 2013

Obviously, you should contact your doctor. It is unusual to have such severe pain that far post-procedure. An exam and ultrasound are indicated. Try compression with a stocking and ace wrap until seen, which should be in 1 day.

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Answered by Arizona Vein Specialists

Obviously, you should contact your doctor. It is unusual to have such severe pain that far post-procedure. An exam and ultrasound are indicated. Try compression with a stocking and ace wrap until seen, which should be in 1 day.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Feb 25, 2013

Doesn't sound unusual but you should contact your treating MD's office.

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Answered by Bella MD Laser Vein and Aesthetic Center

Doesn't sound unusual but you should contact your treating MD's office.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Feb 25, 2013

It is unusual to experience such discomfort after laser ablation. You should see your treating physician to rule out any underlying problem. We typically have our patients on an anti-inflammatory medication for 8 days and have them use cold packs for the first couple of days. Doing this, they tend to have very few problems. It isn't unusual to get a slight increase in discomfort about 10-14 days out. The thought is that the deeper tissue swelling is resolving and the small nerve endings are "waking up." This usually goes away quickly (either alone or with the help of Advil or Tylenol). I recommend you see your doctor.

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Answered by Vein Specialties of St. Louis

It is unusual to experience such discomfort after laser ablation. You should see your treating physician to rule out any underlying problem. We typically have our patients on an anti-inflammatory medication for 8 days and have them use cold packs for the first couple of days. Doing this, they tend to have very few problems. It isn't unusual to get a slight increase in discomfort about 10-14 days out. The thought is that the deeper tissue swelling is resolving and the small nerve endings are "waking up." This usually goes away quickly (either alone or with the help of Advil or Tylenol). I recommend you see your doctor.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Feb 25, 2013

This is not the usual course post-endovenous laser ablation. See your treating MD.

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Answered by General Vascular Surgery Group

This is not the usual course post-endovenous laser ablation. See your treating MD.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Feb 25, 2013

Your symptoms are quite unusual. Consult with your surgeon and have an ultrasound.

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Answered by Cosmetic Vein Centers of Texas

Your symptoms are quite unusual. Consult with your surgeon and have an ultrasound.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Feb 25, 2013

The pain you are describing is much more than is normally reported. I would recommend you call and follow up with your surgeon.

Answered by Laser Vein Center (View Profile)

The pain you are describing is much more than is normally reported. I would recommend you call and follow up with your surgeon.

Published on Jul 11, 2012


Advanced Vein & Laser Centre, Ltd.

Published on Feb 25, 2013

This is not uncommon, but I'd recommend calling the physician who treated you.

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Answered by Advanced Vein & Laser Centre, Ltd.

This is not uncommon, but I'd recommend calling the physician who treated you.

Published on Jul 11, 2012


Vein 911

Published on Feb 25, 2013

Severe pain after EVLT is not normal, especially 10 days out. Contact your vein doctor immediately.

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Answered by Vein 911

Severe pain after EVLT is not normal, especially 10 days out. Contact your vein doctor immediately.

Published on Jul 11, 2012


Heart and Vein Center

Published on Feb 25, 2013

Your best option is to have the treated leg checked with an ultrasound as soon as possible.

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Answered by Heart and Vein Center

Your best option is to have the treated leg checked with an ultrasound as soon as possible.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Feb 25, 2013

It is impossible to make an exact diagnosis without seeing you. However, it is not uncommon to have discomfort along the areas where the vein was lasered. This is usually along the inner side of the leg, especially in the thigh. Pain can also occur along the middle posterior portion of the calf. Often, discomfort arises days after the procedure because by this time the tumescent anesthesia has worn off. I have seen patients have discomfort more than a week later, as may be your case. Most likely your symptoms are a normal variation, but I would recommend that you follow up with your treating physician.

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Answered by Vanish Vein and Laser Center

It is impossible to make an exact diagnosis without seeing you. However, it is not uncommon to have discomfort along the areas where the vein was lasered. This is usually along the inner side of the leg, especially in the thigh. Pain can also occur along the middle posterior portion of the calf. Often, discomfort arises days after the procedure because by this time the tumescent anesthesia has worn off. I have seen patients have discomfort more than a week later, as may be your case. Most likely your symptoms are a normal variation, but I would recommend that you follow up with your treating physician.

Published on Jul 11, 2012


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