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EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
A great deal of bruising can happen, and is generally not a problem. See your provider.
Michael D Ingegno
Significant bruising can be normal and does not mean anything bad. Will just take time to gradually resolve. Not much to do.
David A. Engleman M.D.
Bruising post EVLT can vary for many reasons. However the upper thigh generally can have more due to the "softness" of the tissue there and the fact that most of the laser energy is given there.
We give all our patients Arnica cream which they massage firmly but gently into the thigh area even if there is no bruising. Our patient feedback is that the bruising resolves faster and any discomfort is decreased.
We advise our patients that at about 10-14 days post treatment, there may be a couple days of increased discomfort. This is only the deeper tissue inflammation and swelling resolving and small nerve endings are "waking up".
You can wear stockings for a longer period if it increases your comfort level by supporting the thighs. We only advise a heating pad if there is a lot of inflammation as can be seen when treating larger veins. 10minutes on low and often.
Norman N. Bein MD FACS RVT
It is normal to have some bruising for a couple of weeks. I would not recommend using a heating pad. Ibuprofen should help with the pain and taken with food or milk. If the pain continues, I would suggest calling your treating physician.
The bruising is very common. The heat or the cold will not help. Just wear your compression stockings daily and only take them off to sleep. Try to walk and do normal activities. If you do not have pain 5 days post procedure, you most probably will not have any pain. The bruising will disipate and resolve spontaneously in 7-10 days.
Rodolfo D. Farhy, MD, FACC, FAHA
Warm soaks at this point. The degree of bruising appears to be dependent on
the type of laser used, the "cool" lasers target the water and cause less
vein wall disruption and attendant bruising.
Each person will bruise differently. I recommend warm moist compresses for excessive bruising. Most patients find this helpful. Some have also tried arnica or bromine. Fortunately, all bruising will eventually resolve.