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I went to get a laser treatment, but the doctor said it was too painful and that I should have sclerotherapy instead. Two days after the procedure, my legs began hurting everywhere, especially in my ankles. It has been a week and my legs still hurt. Is this normal?
There can occasionally be some achiness and swelling after sclerotherapy. Sclerotherapy is still the gold standard of treatment for spider veins. If your symptoms persist you should go back and see the doctor.
Endovenous laser ablation would certainly be very painful, indeed - if local anesthetic was not used; when local anesthesia is used, it is nearly painless. Most people experience varying degrees if discomfort after
sclerotherapy will usually respond to OTC Advil or Tylenol. Notify your physician if you are experiencing more than mild discomfort.
No, that is not usual for sclerotherapy. You should follow up with your MD to make sure there is no complication.
It is normal for your legs to hurt after any procedure, but the pain you are having could very well be from untreated sources. The sclerotherapy is only between 70-80% effective and you might very well need sclerotherapy to close down all those veins. You should be having a follow-up visit with your doctor within 2 weeks of your procedure for an evaluation.
No, it is not typical for your legs to hurt after sclerotherapy. You are having an atypical symptom and should go see your doctor for reassessment.
I would discuss these symptoms with the treating physician.
It would be highly unusual for there to be the level of discomfort you are experiencing. We do a combination of laser and sclerotherapy at most treatments (if the candidates are suitable). Our laser doesn't produce that level of discomfort nor do the sclerotherapy treatments. I would see your treating physician and recommend an ultrasound examination. Failing that, I would seek a second opinion from an experienced board certified surgeon who is experienced in these treatments.
Yes, it is expected. However, if there is too much pain, swelling or redness, you need to contact our doctor.
Normally after a sclerotherapy treatment, patients can have a generalized aching to their legs for about 24 hrs. This aching is typically very tolerable and can be minimized by taking something like Tylenol or ibuprofen. If you find that your legs are hurting a week after the treatment, it generally means that something else is wrong. You could have anything from a vein that was closed incorrectly to having a blood clot. I would have a trained vein treatment physician look into your leg.
It is not unusual for the legs to hurt after sclerotherapy. Wearing compression stockings, walking exercises and the use of OTC anti-inflammatory (i.e. ibuprofen or naproxen) will help. There is an inflammatory reaction in the veins and that explains the symptoms. It will subside after few days.
You seem to be having more discomfort than I would expect. Have you called your doctor? An ultrasound may be helpful to rule out clotting in your deeper veins. I would give your doctor a call if you haven't already.
It is not normal for your legs to hurt this long after sclerotherapy. Usually sclerotherapy has no post procedure discomfort and most people return to all normal activities very quickly. I would recommend following up with your treating physician.
The treatment of choice for spider veins is sclerotherapy. Although laser is approved for treatment of spider veins, sclerotherapy is the standard. Common side effects from sclerotherapy include bruising, redness at injection site, and mild tenderness on areas with trapped blood in the veins. It is recommended for you to get an evaluation by your provider to see what is going on.