Why am I having pain one year after endovenous laser ablation and phlebectomy?
I had endovenous laser ablation and phlebectomy 1 year ago due to a collapsed vein in my calf. I started having pain that concentrates in the calf but shoots up along my leg into the groin area with no redness or bumps. What could be causing this?
Answers from doctors (8)
The fact that you only had an endovenous laser ablation and phlebectomy performed suggests that you probably only had 5-10 % of your abnormal vein structure addressed. That remaining 90-95% of your abnormal vein structure is probably the source of you pain because that remaining abnormal vein structure could very well have reopened your lasered vein. The result can be the discomfort that you are describing. Consult with the physician who treated you, or find another board-certified vein specialist.
Published on Jul 11, 2012
Did you have your greater saphenous vein ablated? It could be something new that needs to be treated. Did you have a follow-up ultrasound after your procedure? This is a hard question to answer without knowing more details, including procedure notes and ultrasound images. I would follow up again with your doctor and make sure that your physician is accredited by the American College of Phlebology.
Published on Jul 11, 2012
You may have either a reopened saphenous vein or a new vein, neither of
which is evident on the surface. An ultrasound exam will give you the
answer.
Published on Jul 11, 2012
It is unusual to have such symptoms. We see many people from other centers where the local anesthetic was inadequate and there is nerve involvement. The local also acts as a buffer to the heat from the laser.
Published on Jul 11, 2012
You need a physical exam and might also need an ultrasound. Speak to your doctor about this.
Published on Jul 11, 2012
In order to determine this, you will need to be examined by your primary care physician or another medical professional.
Published on Jul 11, 2012
It may not be due to the procedures at all. Rather, your pain could be attributed to an underlying source, such as varicose veins.
Published on Jul 11, 2012
It would be unusual for your symptoms to be due to the endovenous ablation and phlebotomy done one year prior. I would start with a new venous ultrasound to look at the area treated, and to see if there is any cause for your symptoms. If the ultrasound doesn't help, then look for another cause of the problem. You may want to see a vein specialist who can direct your care. Make sure he or she is accredited by the American College of Phlebology.
Published on Jul 11, 2012
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