This can easily be checked by ultrasound at a follow-up visit. You either have heat-related swelling just above the access point where the target vein is usually more superficial, or you have thrombus (blood clot) in the lower part of the treated GSV.

As for the former (first scenario), this will get better in 4-5 days with the help of Aleve (or any small dose NSAID). As for the latter (second scenario), this is not a dangerous condition. I usually would aspirate it using a 16G needle connected to a 5ml syringe, of course after giving local anesthesia. The discomfort associated with the thrombus is gone within an hour.

Published on Jul 11, 2012

This is consistent with superficial vein thrombophlebitis at the site of entry into the saphenous vein. It should be followed carefully. Rarely, there may be an infection at the site of entry requiring antibiotic therapy.

Published on Jul 11, 2012

Probably normal. If it gets more painful or red, or you get a fever, then see your doctor.

Published on Jul 11, 2012

This could be a normal localized inflammation from the laser energy. I recommend my patients wear their hose for 7 days, take an NSAID (advil or ibuprofen) 3 x day with food, massage the area with Dermaka/Arnica cream. Low heat often to the area may help speed up healing. Activity should be pretty much normal at this stage.

Published on Jul 11, 2012

It is normal to feel "lumps" and bumps where your leg was treated; this is to be expected due to the scarring under your skin. Make sure you are taking Ibuprofen, as it is very important to the healing process. Take 800mg 3 times a day for at least 10 days, unless you are taking another NSAID, which in that case just continue your current med regimen. Ibuprofen is an anti-inflammatory that helps alleviate redness, swelling, and tenderness associated with thermal ablation.

Published on Jul 11, 2012