Is it normal to have a lot of discomfort and pain 7 days after EVLT?

I had EVLT 7 days ago. My job requires me to be standing up all day long; I just have 40 min to rest. The inside of my leg hurts and sometimes feels warm. It is annoying me. My doc prescribed Vicodin but the pain is still there. Is this normal?

Answers from doctors (8)


Intermountain Vein Center

Published on Jun 09, 2014

Seven days out, yes it is normal to have moderate discomfort after these procedures. Take some ibuprofen for the inflammation for awhile, that Vicodin isn't going to do much with inflammation and that is probably the source of your pain. Ibuprofen on the other hand, does wonders for inflammation. We always recommend people after a laser ablation to make sure they wear their compression stocking for the 7 days and take up to 2400mg of ibuprofen per day for 7 days as well.

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Answered by Intermountain Vein Center

Seven days out, yes it is normal to have moderate discomfort after these procedures. Take some ibuprofen for the inflammation for awhile, that Vicodin isn't going to do much with inflammation and that is probably the source of your pain. Ibuprofen on the other hand, does wonders for inflammation. We always recommend people after a laser ablation to make sure they wear their compression stocking for the 7 days and take up to 2400mg of ibuprofen per day for 7 days as well.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Jun 09, 2014

Give it another few days and take 3-4 Ibuprofen tablets three times a day for a few days.

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Answered by Cosmetic Vein Centers of Texas

Give it another few days and take 3-4 Ibuprofen tablets three times a day for a few days.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jun 09, 2014

In my clinic we do not prescribe me Vicodin. My patients take prescription strength ibuprofen twice a day for 7-8 days, wear their chose for a week. In the first 24 hours I have them apply cold packs. Local inflammation inside the thigh is a normal part of the process but symptoms are reduced with my regime above.

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Answered by Vein Specialties of St. Louis

In my clinic we do not prescribe me Vicodin. My patients take prescription strength ibuprofen twice a day for 7-8 days, wear their chose for a week. In the first 24 hours I have them apply cold packs. Local inflammation inside the thigh is a normal part of the process but symptoms are reduced with my regime above.

Published on Jul 11, 2012


Heart and Vein Center

Published on Jun 08, 2014

It is not unusual for some patients to have some discomfort in the area of the treated vein. Many factors influence having more or less discomfort i.e.: the size of the treated vein (the larger the vein more discomfort), the closeness of the vein to the skin, the amount of energy delivered during the procedure, etc.
Vicodin is usually not better than using non-steroidal anti-inflammatories (ibuprofen, naproxen) with or without Tylenol. Compression stockings help to alleviate some of the pain, sometimes local ice might be helpful.

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Answered by Heart and Vein Center

It is not unusual for some patients to have some discomfort in the area of the treated vein. Many factors influence having more or less discomfort i.e.: the size of the treated vein (the larger the vein more discomfort), the closeness of the vein to the skin, the amount of energy delivered during the procedure, etc.
Vicodin is usually not better than using non-steroidal anti-inflammatories (ibuprofen, naproxen) with or without Tylenol. Compression stockings help to alleviate some of the pain, sometimes local ice might be helpful.

Published on Jul 11, 2012


Lone Star Vein Center

Published on Jun 08, 2014

Yes this is normal as long as your follow up ultrasounds are normal. You should also continue to avoid standing in one place. Hopefully not the case for you. You should also be wearing compression, elevating, and walking as much as possible. If pain is severe, you need an ultrasound to rule out a blood clot.

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Answered by Lone Star Vein Center

Yes this is normal as long as your follow up ultrasounds are normal. You should also continue to avoid standing in one place. Hopefully not the case for you. You should also be wearing compression, elevating, and walking as much as possible. If pain is severe, you need an ultrasound to rule out a blood clot.

Published on Jul 11, 2012


Center for Interventional Medicine, LLC

Published on Jun 07, 2014

Yes, this is common. It probably is due to inflammation of the treated vein, which is the normal response after the procedure. This should improve within 2 weeks. Try 600 mg ibuprofen up to 4 times a day.



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Answered by Center for Interventional Medicine, LLC

Yes, this is common. It probably is due to inflammation of the treated vein, which is the normal response after the procedure. This should improve within 2 weeks. Try 600 mg ibuprofen up to 4 times a day.



Published on Jul 11, 2012


Aluna Vein Centers

Published on Jun 07, 2014

Stretching exercises and anti-inflammatory medication should help.

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Answered by Aluna Vein Centers

Stretching exercises and anti-inflammatory medication should help.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jun 06, 2014

Everyone's pain tolerance varies and it is not unusual to feel more discomfort 5 to 10 days following a closure procedure. This is due to the tumescent anesthesia now being out of your system and the treated vein now contracting. As the vein contracts it will become hard then soft. During this process your pain may increase. Wet heat to the area and ibuprofen may help.

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Answered by Vanish Vein and Laser Center

Everyone's pain tolerance varies and it is not unusual to feel more discomfort 5 to 10 days following a closure procedure. This is due to the tumescent anesthesia now being out of your system and the treated vein now contracting. As the vein contracts it will become hard then soft. During this process your pain may increase. Wet heat to the area and ibuprofen may help.

Published on Jul 11, 2012


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