Three weeks ago I had endovenous laser ablation of the saphenous vein. I have a pulling sensation. Is this normal? How long with the feeling last?
It is not uncommon for people to feel a pulling sensation post-endovenous laser ablation. This sensation is due to the EVLA causing the treated vein to form with scar tissue. Fresh scar tissue does not stretch well initially. The result is every time you flex your knee, you feel a pull. For most people, this sensation resolves within 3-4 weeks.
Published on Jul 11, 2012
I have used both laser and radiofrequency to ablate the greater saphenous vein. That pulling sensation is occasionally seen with both laser and radiofrequency, but I see it MUCH more frequently with laser. It typically starts about 4 or 5 days after the ablation and may last several days, but typically will get better slowly. However, 3 weeks is longer than most I have seen. Exercise, such as walking, typically helps with it and it typically resolves over a few weeks. Has your doctor ruled out a clot with an ultrasound? Is the sensation less intense than 2 weeks ago?
Published on Jul 11, 2012
A "pulling" sensation is quite normal after EVLA and can take up to 8-12 weeks to resolve. This is common and no cause for concern. However, if you still feel uneasy, speak with the specialist who treated you.
Published on Jul 11, 2012
After the vein is ablated it tightens like a cord. This is what you are feeling inside of your leg - a tight, cord-like sensation that tugs and pulls. It is normal and may still happen for a few more weeks.
Published on Jul 11, 2012
I would suggest you follow up with the treating physician. An appropriate answer should be given to you, but not without a thorough physical examination and ultrasound evaluation.
Published on Jul 11, 2012
This is normal. It may take 2-4 weeks before the pulling sensation is gone.
Published on Jul 11, 2012
The "pulling" sensation you are describing is most likely the saphenous vein which was, by way of the laser ablation procedure, closed and converted to what could be described as a very compact and totally occluded thrombus. As time progresses, the thrombus (or closed vein) begins to slowly turn into scar tissue. Scar tissue contracts and can, in some cases, cause a tightening or pulling sensation in the patient's leg. It should be nothing to worry about and you might want to try some gentle stretching. Also, applying very mild heat to the area can ease irritation. If it continues to trouble you though, a visit to your venous practitioner is probably in order.
Published on Jul 11, 2012
Yes, this is very common. Most people experience a pulling sensation or tightness in the inner thigh for 3 - 6 months.
Published on Jul 11, 2012
The pulling sensation is common and disappears over 4 - 8 weeks.
Published on Jul 11, 2012
The pulling sensation is normal. It indicates the vein is scarring down and closing off. It is a good sign and will resolve itself over time.
Published on Jul 11, 2012
Yes, that's very "normal." You are probably feeling the saphenous vein pulling as it shrinks.
Published on Jul 11, 2012
Yes, that pulling sensation is normal. The vein is contracting as it heals. Eventually, the vein will completely scar over and you will no longer feel this sensation. Healing takes between 6 months to a year. Most patients' symptoms disappear in 4 months.
Published on Jul 11, 2012
It is VERY normal to have a pulling sensation following endovenous laser ablation. The symptom should begin to ease within 1-2 weeks.
Published on Jul 11, 2012
A pulling sensation is fairly common from one to several weeks after EVLA and is normal. The patient may feel like a "puppet" whose leg string is being pulled. The pulling sensation is the result of the saphenous vein shortening as part of the normal healing response after EVLA. It is hard to say exactly how long the sensation may last, but it does improve with walking and exercise.
Published on Jul 11, 2012
A pulling sensation is common after endovenous laser ablation. This can last for 1-2 months and generally is not worrisome. However, if you are still concerned, see your doctor.
Published on Jul 11, 2012
The sensation you are feeling sounds pretty normal.
Published on Jul 11, 2012
A pulling sensation is normal after EVLA. There is localized inflammation in the area, as well as the sealed vein. We recommend our patients massage the length of the treated vein with Arnica cream several times per day until this passes. The inflammation will resolve faster, as will this pulling sensation.
Published on Jul 11, 2012
It is normal to feel a pulling sensation after EVLA since the vein has become shorter and narrower. It may last up to a few months, gradually fading.
Published on Jul 11, 2012
The pulling sensation you are experiencing is perfectly normal. It is a result of the vein constricting from the laser. You may also feel hard areas along the vein that was lasered. These symptoms usually take 4 to 6 weeks to resolve. Warm compresses and anti-inflammatory agents typically help.
Published on Jul 11, 2012