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I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
Around days 3 to 8 after EVLT/ELVeS and any other endovenous transcatheter heat generating technique, patients can feel tightness, and some pain on medial aspect of thigh.
Usually, the discomfort subsides after a couple of days. Most cases need only regular over the counter medication for those 2 days.
Contact your surgeon for this although all this may be normal.
The know could be a closed, hard vessel. This is expected. Without seeing your leg directly, that would be my best guess. But this needs to be evaluated by ultrasound before a determination can be made. Pain after the procedure is usually mild, but some people do have enough that normal activity is more difficult. Again, this likely is all expected, but should be confirmed with an exam.
Pain after ELVT occurs and is related to the type of laser used, the size of the vein, the amount of energy used and the performance of any other procedures (Phlebectomy).
The big knot may be a hematoma, a blood clot or the residue of a Phlebectomy.
If the vein was closed below the knee, pain and inability to bend the knee joint are common.
I suggest you see your surgeon at your earliest convenience.
This may be an area of thrombophlebitis or a hematoma. Either way, it is not unusual but you should contact your treating physician and let him/her know.
Post procedural pain like this can occur. You should however follow-up with your vein doctor and get an ultrasound.
This is not abnormal. Pain varies between patients as a function of depth of the vein, patient anxiety and pain perception. The tenderness over the inner thigh is related to the "cooked" vein and the body responded by sending inflammation cells to the area around the vein. This should respond to warm soaks and anti-inflammatory meds like Motrin or Advil for the next 2
weeks or so. Consult with your MD to see what dose they would prescribe, but as a general rule 600-800 mg of ibuprofen 3 times per day with food is adequate. If you note any blister formation or increase in calf swelling you should seek medical attention.
All of the things you describe can occur after EVLT. Once the tumescent anesthesia wears off, it is common to have discomfort along the course of the treated vein as well as hard lumps. The lumps are due to clotting of the lasered vein as well as residual hematomas from the microphlebectomies. Discomfort across the knee joint is usually for the same reasons. Anti-inflammatory meds and warm compresses can help at this point. You should follow with your physician.
You may have experienced a post-procedure phlebitis. You should return to your vascular surgeon for evaluation. This should get better within a few weeks, but you need to make sure that you don't have a DVT (deep vein thrombosis).
Tenderness is very common after an EVLT and it usually last a week or two but can last for a month. A knot in on your inner thigh is also common and usually last for a month. The pain to the point of not being able to bend your leg the day after the procedure seems unusually severe.