Why do I have severe pain 9 days after EVLT?

Could this be the nerves? I'm a 33-year-old and an athlete in good physical condition. I have been on Percocet since the procedure and want to stop, but the pain is severe in the upper thigh. Ultrasound was normal. What could this be?

Answers from doctors (6)


Vein Specialties of St. Louis

Published on Jul 03, 2017

This is very unusual to have severe pain, and certainly pain requiring percocet. My patients take prescription advil for 7 days to reduce inflammation caused by the laser which is usually minimal. If enough of the dilute local anesthetic was used to "cushion" the vein for the laser procedure this shouldn't happen. Try taking 600 - 800 mg of advil three times per day with food. Drink plenty of fluids, wear your thigh hose during the day, and get up and walk and move around. Also try low heat as often as you can and massage the area firmly with arnica or Dermaka cream. This should have you improving rapidly.

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Answered by Vein Specialties of St. Louis

This is very unusual to have severe pain, and certainly pain requiring percocet. My patients take prescription advil for 7 days to reduce inflammation caused by the laser which is usually minimal. If enough of the dilute local anesthetic was used to "cushion" the vein for the laser procedure this shouldn't happen. Try taking 600 - 800 mg of advil three times per day with food. Drink plenty of fluids, wear your thigh hose during the day, and get up and walk and move around. Also try low heat as often as you can and massage the area firmly with arnica or Dermaka cream. This should have you improving rapidly.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jul 03, 2017

The most discomfort following EVLT occurs usually 5 to10 days after the procedure because by this time the tumescent anesthesia has worn off and the vein is contracting from the procedure. The discomfort is greatest in the upper mid thigh where the vein is the largest. Wet heat to the area and ibuprofen will help. I would stop the percocet.

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Answered by Vanish Vein and Laser Center

The most discomfort following EVLT occurs usually 5 to10 days after the procedure because by this time the tumescent anesthesia has worn off and the vein is contracting from the procedure. The discomfort is greatest in the upper mid thigh where the vein is the largest. Wet heat to the area and ibuprofen will help. I would stop the percocet.

Published on Jul 11, 2012


Owensboro Heart & Vascular

Published on Jul 03, 2017

Yes nerves can be an issue, or if the GSV was too superficial then thermal injury to skin can cause pain.
Try applying Bengay or some asprecream two times a day.

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Answered by Owensboro Heart & Vascular

Yes nerves can be an issue, or if the GSV was too superficial then thermal injury to skin can cause pain.
Try applying Bengay or some asprecream two times a day.

Published on Jul 11, 2012


Vein Treatment and Aesthetic Center

Published on Dec 20, 2012

I have never had this happen to any of my patients, so I am not sure why you have severe pain. There are a few reasons but the most likely is that the tissues around the vein were also injured during the treatment and will take time to heal. Be sure to see the doctor who performed the treatment and he can give you a much better idea as to what is causing the pain and what else you can do to relieve the pain.

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Answered by Vein Treatment and Aesthetic Center

I have never had this happen to any of my patients, so I am not sure why you have severe pain. There are a few reasons but the most likely is that the tissues around the vein were also injured during the treatment and will take time to heal. Be sure to see the doctor who performed the treatment and he can give you a much better idea as to what is causing the pain and what else you can do to relieve the pain.

Published on Jul 11, 2012


Advanced Vein & Laser Centre, Ltd.

Published on Dec 13, 2012

This is not typical. You should be re-evaluated by your treating physician
immediately.

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Answered by Advanced Vein & Laser Centre, Ltd.

This is not typical. You should be re-evaluated by your treating physician
immediately.

Published on Jul 11, 2012


Advanced Vein Center

Published on Dec 13, 2012

This is not normal and I don't know. You should return to your doctor to discuss this.

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Answered by Advanced Vein Center

This is not normal and I don't know. You should return to your doctor to discuss this.

Published on Jul 11, 2012


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