Can EVLT cause nerve damage?

Endovenous Laser Ablation . 5 answers . 4 years ago

I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?

ANSWERS FROM DOCTORS


4 years ago by General Vascular Surgery Group

It is theoretically possible to have neuralgia after a procedure, but usually this resolves spontaneously. This is generally very rare however. Contact your surgeon for further information.

4 years ago by General Vascular Surgery Group (View Profile)

It is theoretically possible to have neuralgia after a procedure, but usually this resolves spontaneously. This is generally very rare however. Contact your surgeon for further information.


4 years ago by Laser Vein Center

EVLT can be the cause of nerve damage, especially of the small sensation nerves. If this occurs, healing can be expected, however patience is required as nerve tissue is the slowest type of human tissue to heal. It can take up to a year for nerve damage to heal.
The sensory nerve is particularly close to the greater as well as the short saphenous veins at the ankle level. Thus, if the vein is treated this far down the leg, the incidence increases.
The fact that your discomfort is worsening may actually not be a negative factor. As sensory nerves regenerate, they can create uncomfortable sensations but may represent healing.

4 years ago by Laser Vein Center (View Profile)

EVLT can be the cause of nerve damage, especially of the small sensation nerves. If this occurs, healing can be expected, however patience is required as nerve tissue is the slowest type of human tissue to heal. It can take up to a year for nerve damage to heal.
The sensory nerve is particularly close to the greater as well as the short saphenous veins at the ankle level. Thus, if the vein is treated this far down the leg, the incidence increases.
The fact that your discomfort is worsening may actually not be a negative factor. As sensory nerves regenerate, they can create uncomfortable sensations but may represent healing.


4 years ago by Angelo N. Makris MD

EVLT can cause thermal injury to nervers. Most commonly the injury is to small cutaneous sensory nerves that can cause skin numbness in a small area overlying the area of vein that was ablated. Injury to motor nerves is much less common, but can occur. However, the pain in your ankle is likely due to an altered gait related to the post-procedure soreness and pain and less likely a nerve injury. In either case, you should f/u with your treating physician.

4 years ago by Angelo N. Makris MD (View Profile)

EVLT can cause thermal injury to nervers. Most commonly the injury is to small cutaneous sensory nerves that can cause skin numbness in a small area overlying the area of vein that was ablated. Injury to motor nerves is much less common, but can occur. However, the pain in your ankle is likely due to an altered gait related to the post-procedure soreness and pain and less likely a nerve injury. In either case, you should f/u with your treating physician.


4 years ago by Miller Vein

Nerve damage is a possible complication of EVLT. Usually it resolves by 6 months. I do recommend that you discuss it with your treating physician however.

4 years ago by Miller Vein (View Profile)

Nerve damage is a possible complication of EVLT. Usually it resolves by 6 months. I do recommend that you discuss it with your treating physician however.


4 years ago by Vanish Vein and Laser Center

EVLT can result in nerve irritation. There are nerves that run close to the greater and smaller saphenous veins which can be heated by the laser catheter. Usually over 6 months to 1 year these symptoms will resolve. I would recommend that you follow up with your treating physician and allow time for this to resolve.

4 years ago by Vanish Vein and Laser Center (View Profile)

EVLT can result in nerve irritation. There are nerves that run close to the greater and smaller saphenous veins which can be heated by the laser catheter. Usually over 6 months to 1 year these symptoms will resolve. I would recommend that you follow up with your treating physician and allow time for this to resolve.


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