Should I still have pain one year after endovenous laser ablation?

I have a heavy feeling in my groin and legs since the endovenous laser ablation surgery I had a year ago. The pain can be severe on days where I am on my feet a lot. My feet also hurt. All symptoms started right after the ablation. I have been doctoring to find a conclusion. Do you know what's wrong? Are these symptoms normal?

Answers from doctors (11)


Vein 911

Published on Feb 20, 2013

These symptoms are not normal. Almost all patients see their symptoms improve after endovenous laser ablation (EVLT). You may have residual or incompletely treated veins. It is also possible that your symptoms are unrelated to veins. Too many vein care practitioners only perform the laser procedure, despite the fact that most patients require ancillary procedures like ultrasound-guided sclerotherapy or microphlebectomy after EVLT. You should find the most experienced vein care doctor and obtain a baseline ultrasound exam to search for residual abnormal veins.

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Answered by Vein 911

These symptoms are not normal. Almost all patients see their symptoms improve after endovenous laser ablation (EVLT). You may have residual or incompletely treated veins. It is also possible that your symptoms are unrelated to veins. Too many vein care practitioners only perform the laser procedure, despite the fact that most patients require ancillary procedures like ultrasound-guided sclerotherapy or microphlebectomy after EVLT. You should find the most experienced vein care doctor and obtain a baseline ultrasound exam to search for residual abnormal veins.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Jan 21, 2013

I am sorry you are having so much pain. We do not use laser ablation in our office due to the pain that can
persist. I would recommend a follow-up visit with the physician that did the procedure or get a second opinion.
An ultrasound could explain your symptoms and help the doctor determine the most effective treatment plan.

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Answered by Vein Clinic of North Carolina

I am sorry you are having so much pain. We do not use laser ablation in our office due to the pain that can
persist. I would recommend a follow-up visit with the physician that did the procedure or get a second opinion.
An ultrasound could explain your symptoms and help the doctor determine the most effective treatment plan.

Published on Jul 11, 2012


Vein Treatment and Aesthetic Center

Published on Jan 21, 2013

These symptoms are not normal. You must still have some residual problem veins and will need further treatment. Return to your personal vein speciaist or another specialist for a second opinion.

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Answered by Vein Treatment and Aesthetic Center

These symptoms are not normal. You must still have some residual problem veins and will need further treatment. Return to your personal vein speciaist or another specialist for a second opinion.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Jan 21, 2013

There could be a pelvic source to those veins that might be giving you pain. Find a clinic with an interventional radiologist who can perform a pelvic ultrasound. That would be the first step to determine if there is a source in the pelvis.

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Answered by Intermountain Vein Center

There could be a pelvic source to those veins that might be giving you pain. Find a clinic with an interventional radiologist who can perform a pelvic ultrasound. That would be the first step to determine if there is a source in the pelvis.

Published on Jul 11, 2012


NE Laser Vein Institute LLC

Published on Jan 20, 2013

These symptoms after a year are not normal. Consult a neurologist to see if there was damage to the nerves.

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Answered by NE Laser Vein Institute LLC

These symptoms after a year are not normal. Consult a neurologist to see if there was damage to the nerves.

Published on Jul 11, 2012


Advanced Vein Center

Published on Jan 20, 2013

If you have been "doctoring," what have the doctors said? It is not normal and if you haven't had a follow up ultrasound, then I think that's the first step.

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Answered by Advanced Vein Center

If you have been "doctoring," what have the doctors said? It is not normal and if you haven't had a follow up ultrasound, then I think that's the first step.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Jan 19, 2013

See a vein specialist for an ultrasound and exam. Both will shed light on your symptoms and reveal to the specialist which treatment is best for your condition.

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Answered by Arizona Vein Specialists

See a vein specialist for an ultrasound and exam. Both will shed light on your symptoms and reveal to the specialist which treatment is best for your condition.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jan 19, 2013

The symptoms you describe are not "normal" post-endovenous laser ablation (EVLA). I would recommend a consultation and evaluation by a board certified vascular surgeon who can examine you, perform ultrasound and any other testing needed. It may or may not be related but if you state the pain can be severe, then you should be evaluated.

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Answered by Vein Specialties of St. Louis

The symptoms you describe are not "normal" post-endovenous laser ablation (EVLA). I would recommend a consultation and evaluation by a board certified vascular surgeon who can examine you, perform ultrasound and any other testing needed. It may or may not be related but if you state the pain can be severe, then you should be evaluated.

Published on Jul 11, 2012


Advanced Vein & Laser Centre, Ltd.

Published on Jan 18, 2013

Your experience is certainly not typical. I'd suggest returning to the treating physician. If you're still not satisfied, I'd suggest getting a second opinion.

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Answered by Advanced Vein & Laser Centre, Ltd.

Your experience is certainly not typical. I'd suggest returning to the treating physician. If you're still not satisfied, I'd suggest getting a second opinion.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Jan 18, 2013

Possible deep venous valvular insufficiency? See an experienced vein MD and perhaps have a repeat ultrasound.

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Answered by General Vascular Surgery Group

Possible deep venous valvular insufficiency? See an experienced vein MD and perhaps have a repeat ultrasound.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jan 18, 2013

These symptoms are not normal one year after endovenous laser ablation. You should have a follow-up venous ultrasound to evaluate both your superficial and deep venous systems. If these are normal, then you will need a full evaluation to look for causes of your problem. I would recommend seeing a vascular surgeon.

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Answered by Vanish Vein and Laser Center

These symptoms are not normal one year after endovenous laser ablation. You should have a follow-up venous ultrasound to evaluate both your superficial and deep venous systems. If these are normal, then you will need a full evaluation to look for causes of your problem. I would recommend seeing a vascular surgeon.

Published on Jul 11, 2012


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