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I had VNUS surgery 3 years ago on my left leg. I have a dull ache in my leg that I never had before surgery. I especially notice it at night in bed. It often bothers me enough to wake me up. I never had the ache before surgery. What causes this?
Adequate use of tumescent anesthesia (dilute numbing medicine injected
around the treated vein) during the VNUS procedure should help protect you
from nerve damage. Nevertheless, ttemporary sensory nerve damage may still
occur with any needle based and heat based technique, but typically resolve
within months.A physical exam will be needed to find the most probably cause.
Dificult to say. Not usual after this procedure see your provider, it may be something else.
Michael D. Ingegno, MD
If you have already seen your vein doctor and not had a repeat scan get a
second opinion with ultrasound for residual venous insufficiency and make
sure all the other saphenous veins are inspected. If the pain is not
localized over the closed vein or not numbness around the ankle or distal
calf, you might have other veins that have opened up.
I doubt that this discomfort is due to your VNUS surgery. There is a nerve in the vicinity of the vein that can be heated by the RF catheter but your symptoms are not typical of vein related problems. I would recommend that you follow up with a neurologist as an initial evaluation.