Why am I still in pain after endovenous laser ablation?

I am a 16-year-old who had both GSV veins lasered this year because the veins had no valves in them. This procedure was to help with my pain, but it hasn't. I have severe cramping and pain in both legs from thighs to feet.

Answers from doctors (9)


Intermountain Vein Center

Published on Apr 01, 2014

You probably just have more veins that need to be treated. Did they say you had any deep vein reflux? I would go in for a follow-up ultrasound and see what is left to do. Rarely does one laser fix everything in the leg. There is almost always something more that needs to be done.

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Answered by Intermountain Vein Center

You probably just have more veins that need to be treated. Did they say you had any deep vein reflux? I would go in for a follow-up ultrasound and see what is left to do. Rarely does one laser fix everything in the leg. There is almost always something more that needs to be done.

Published on Jul 11, 2012


The Sheen Vein Institute

Published on Mar 28, 2014

The question that I have for you is whether the doc did anything else a side from the laser ablations. People who suffer from cramping and aching and other vein symptoms do not always see resolution of their symptoms with only treating the saphenous veins. The reason for this is because a person's symptoms are not only due to the saphenous vein issues. They are in fact the direct result of all of the abnormal veins present in the legs which give rise to a circulatory defect. Thus giving rise to your cramping among other potential symptoms. In order to eliminate your complaints, you need to have all off your abnormal vein structure addressed and treated. This in turn helps to improve your venous circulation and thus eliminate your symptoms. If your doc can not help you, give us a call and come in for a free consult. We can see what we can do for you.

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Answered by The Sheen Vein Institute

The question that I have for you is whether the doc did anything else a side from the laser ablations. People who suffer from cramping and aching and other vein symptoms do not always see resolution of their symptoms with only treating the saphenous veins. The reason for this is because a person's symptoms are not only due to the saphenous vein issues. They are in fact the direct result of all of the abnormal veins present in the legs which give rise to a circulatory defect. Thus giving rise to your cramping among other potential symptoms. In order to eliminate your complaints, you need to have all off your abnormal vein structure addressed and treated. This in turn helps to improve your venous circulation and thus eliminate your symptoms. If your doc can not help you, give us a call and come in for a free consult. We can see what we can do for you.

Published on Jul 11, 2012


Vein Center of Orange County

Published on Mar 20, 2014

It is a simple matter to determine whether your persistent leg pain has a venous cause or other cause. An ultrasound will show if your treated vein is successfully closed; if not, maybe that is the problem. If so, you must
look elsewhere for the source of pain.

Incidentally, it is a bit unusual although possible for diffuse leg pain including thighs, calves, and feet to derive from a venous origin. Either way, make sure you consult with a knowledgeable vein specialist and have a STANDING ultrasound examination (since reflux must be sought in the
standing position).

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Answered by Vein Center of Orange County

It is a simple matter to determine whether your persistent leg pain has a venous cause or other cause. An ultrasound will show if your treated vein is successfully closed; if not, maybe that is the problem. If so, you must
look elsewhere for the source of pain.

Incidentally, it is a bit unusual although possible for diffuse leg pain including thighs, calves, and feet to derive from a venous origin. Either way, make sure you consult with a knowledgeable vein specialist and have a STANDING ultrasound examination (since reflux must be sought in the
standing position).

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 19, 2014

I would recommend you be evaluated by a Board Certified Vascular trained surgeon. Not all pain is vascular, especially in someone so young. If you had other symptoms such as heaviness, varicose veins, aching and fatigue, and your saphenous veins were on the large side, it may be an indication to treat. Did you do a trial of medical grade thigh-length compression stockings prior to treatment and did this alleviate your symptoms? A university based vascular surgeon may be able to direct you to a specialist if he is not able to offer any advice. I wish you well.

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Answered by Vein Specialties of St. Louis

I would recommend you be evaluated by a Board Certified Vascular trained surgeon. Not all pain is vascular, especially in someone so young. If you had other symptoms such as heaviness, varicose veins, aching and fatigue, and your saphenous veins were on the large side, it may be an indication to treat. Did you do a trial of medical grade thigh-length compression stockings prior to treatment and did this alleviate your symptoms? A university based vascular surgeon may be able to direct you to a specialist if he is not able to offer any advice. I wish you well.

Published on Jul 11, 2012


Ozark Regional Vein Center

Published on Mar 19, 2014

In the majority of cases, you will need 10 days to 2 weeks to be ready for those types of events. If the phlebectomy is more extensive, you might need more.

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Answered by Ozark Regional Vein Center

In the majority of cases, you will need 10 days to 2 weeks to be ready for those types of events. If the phlebectomy is more extensive, you might need more.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Mar 19, 2014

Something else is wrong. You need to be evaluated.



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Answered by Cosmetic Vein Centers of Texas

Something else is wrong. You need to be evaluated.



Published on Jul 11, 2012


Vein Care of New Mexico

Published on Mar 18, 2014

It is very possible that the pain is related to some other cause. Performance of a duplex ultrasound examination should help to determine the status of the veins that you cannot see on the surface.

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Answered by Vein Care of New Mexico

It is very possible that the pain is related to some other cause. Performance of a duplex ultrasound examination should help to determine the status of the veins that you cannot see on the surface.

Published on Jul 11, 2012


Veins etc. at Comprehensive Cardiovascular Consultants

Published on Mar 18, 2014

It takes several weeks for swelling and inflammation to subside. But there may be other veins or other non-vein related issues like arthritis,nerve issues etc

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Answered by Veins etc. at Comprehensive Cardiovascular Consultants

It takes several weeks for swelling and inflammation to subside. But there may be other veins or other non-vein related issues like arthritis,nerve issues etc

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Mar 18, 2014

It could be that your symptoms were not due to your veins. You need to follow up with your treating physician, or obtain a second opinion from a vein specialist.

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Answered by Vanish Vein and Laser Center

It could be that your symptoms were not due to your veins. You need to follow up with your treating physician, or obtain a second opinion from a vein specialist.

Published on Jul 11, 2012


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