Is it possible to reverse endovenous laser treatment?

I had both saphenous veins in my right leg treated with EVLT and sclerotherapy 6 months ago. The pain and discomfort has increased and are constant post-treatment. Is it possible to reverse treatment and go back to where I was which was better than now? If not, what are my options?

Answers from doctors (12)


Artery and Vein Specialists of Idaho

Published on Apr 17, 2014

No

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Answered by Artery and Vein Specialists of Idaho

No

Published on Jul 11, 2012


Intermountain Vein Center

Published on Mar 18, 2014

It is possible that parts of the vein might reopen simply due to not wearing the stocking during the 1st week post-treatment, but no, it is not possible. Once the vein is damaged, it is damaged. Did you have the greater saph veins or the smaller saph veins treated? Have you been in for a follow-up ultrasound? Typically a 1-2 wk post-treatment follow-up ultrasound is required to make sure the vein is closed and that there are no complications. Make sure your physician is accredited.

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Answered by Intermountain Vein Center

It is possible that parts of the vein might reopen simply due to not wearing the stocking during the 1st week post-treatment, but no, it is not possible. Once the vein is damaged, it is damaged. Did you have the greater saph veins or the smaller saph veins treated? Have you been in for a follow-up ultrasound? Typically a 1-2 wk post-treatment follow-up ultrasound is required to make sure the vein is closed and that there are no complications. Make sure your physician is accredited.

Published on Jul 11, 2012


Finesse Surgical Solutions

Published on Mar 17, 2014

You cannot reverse a closure procedure if it was successful. If you are continuing to have discomfort, your pain may be caused by other problems. Go back and be re-evaluated.

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Answered by Finesse Surgical Solutions

You cannot reverse a closure procedure if it was successful. If you are continuing to have discomfort, your pain may be caused by other problems. Go back and be re-evaluated.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Mar 06, 2014

Hi,
The laser ablation user dependent(meaning that the clinician that is doing
the treatment controls the rate in which the laser catheter is being moved
and not at a continuous temperature) on laser vein treatments. We do not
use laser in our office. We use radiofrequency ablation which is a
controlled temperature and more precise treatment segments when moving the
catheter during the heat treatment. Statics indicate that with
radiofrequency ablation, there is a 95% success rate of permanent closure.
And to answer your question, yes the saphenous veins can open back up and
cause the same symptoms as prior to treatment

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Answered by Vein Clinic of North Carolina

Hi,
The laser ablation user dependent(meaning that the clinician that is doing
the treatment controls the rate in which the laser catheter is being moved
and not at a continuous temperature) on laser vein treatments. We do not
use laser in our office. We use radiofrequency ablation which is a
controlled temperature and more precise treatment segments when moving the
catheter during the heat treatment. Statics indicate that with
radiofrequency ablation, there is a 95% success rate of permanent closure.
And to answer your question, yes the saphenous veins can open back up and
cause the same symptoms as prior to treatment

Published on Jul 11, 2012


Vein Center of Orange County

Published on Mar 06, 2014

Several new catheter-based methods now exist to open up blocked deep veins that are critical for proper circulation, but these have not been applied to the treatment of superficial veins. Leg symptoms should not worsen after appropriate successful vein treatment, so I suggest you see your physician or get a second opinion from a qualified vein doctor for a proper evaluation, although there are methods for unblocking clogged arteries which could theoretically be applied to blocked veins

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Answered by Vein Center of Orange County

Several new catheter-based methods now exist to open up blocked deep veins that are critical for proper circulation, but these have not been applied to the treatment of superficial veins. Leg symptoms should not worsen after appropriate successful vein treatment, so I suggest you see your physician or get a second opinion from a qualified vein doctor for a proper evaluation, although there are methods for unblocking clogged arteries which could theoretically be applied to blocked veins

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Mar 05, 2014

No, the endovenous laser treatment procedure cant be reversed.

Answered by Laser Vein Center (View Profile)

No, the endovenous laser treatment procedure cant be reversed.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Mar 05, 2014

EVLT cannot be reversed. If you're experiencing pain and discomfort 6 months out, you need to be evaluated. It is better that you get a second opinion from a certified specialist who is skilled in venous and lymphatic medicine.



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Answered by Cosmetic Vein Centers of Texas

EVLT cannot be reversed. If you're experiencing pain and discomfort 6 months out, you need to be evaluated. It is better that you get a second opinion from a certified specialist who is skilled in venous and lymphatic medicine.



Published on Jul 11, 2012


Veins etc. at Comprehensive Cardiovascular Consultants

Published on Mar 05, 2014

No, EVLT cannot be reversed, but the procedure fails on its own about 1/100.

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Answered by Veins etc. at Comprehensive Cardiovascular Consultants

No, EVLT cannot be reversed, but the procedure fails on its own about 1/100.

Published on Jul 11, 2012


Miller Vein

Published on Mar 05, 2014

Endovenous laser treatment cannot be reversed. It is possible you experienced nerve damage from laser heat affecting nerves surrounding the vein. The good news is that this is usually temporary. Another possibility is that the treatment failed. A follow-up ultrasound can answer this question. A visit to your treating physician is recommended to ask his or her opinion as to what is happening. I hope this helps.

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Answered by Miller Vein

Endovenous laser treatment cannot be reversed. It is possible you experienced nerve damage from laser heat affecting nerves surrounding the vein. The good news is that this is usually temporary. Another possibility is that the treatment failed. A follow-up ultrasound can answer this question. A visit to your treating physician is recommended to ask his or her opinion as to what is happening. I hope this helps.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Mar 05, 2014

Endovenous laser ablation is not reversible. You should return to your treating physician or obtain a second opinion to determine the cause of your leg discomfort. There may be other reasons than veins contributing to your pain.

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Answered by Vanish Vein and Laser Center

Endovenous laser ablation is not reversible. You should return to your treating physician or obtain a second opinion to determine the cause of your leg discomfort. There may be other reasons than veins contributing to your pain.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 05, 2014

No, it is not possible to reverse the procedure, and not all leg symptoms are caused by venous reflux. This is the reason most insurance companies have a period of conservative therapy, including compression hose. The hose typically will give you some relief from your symptoms. If hose give you relief now, that is your option. I recommend a second opinion form a board certified surgeon/vascular surgeon to rule out any other problems.

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Answered by Vein Specialties of St. Louis

No, it is not possible to reverse the procedure, and not all leg symptoms are caused by venous reflux. This is the reason most insurance companies have a period of conservative therapy, including compression hose. The hose typically will give you some relief from your symptoms. If hose give you relief now, that is your option. I recommend a second opinion form a board certified surgeon/vascular surgeon to rule out any other problems.

Published on Jul 11, 2012


Heart and Vein Center

Published on Mar 04, 2014

If the veins are occluded 6 months after EVLT, then they will remain closed, no reversal. As to why you still have pain, that's something for you to discuss with your medical professional. An examination will likely tell you and your doctor what the source of your pain is. Get a second opinion.

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Answered by Heart and Vein Center

If the veins are occluded 6 months after EVLT, then they will remain closed, no reversal. As to why you still have pain, that's something for you to discuss with your medical professional. An examination will likely tell you and your doctor what the source of your pain is. Get a second opinion.

Published on Jul 11, 2012


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