After having endovenous laser ablation performed on both legs, the skin on the arches of my feet feel tingly. Why is this happening? What can I do about it?
Which veins did you have ablated? It is possible that some of the nerves were irritated during the procedure, which is not uncommon. It will just take time for them to heal. There have been studies done on this, and at 6 months close to 95% of patients had full feeling come back. We say usually if you go 1 yr without change, it is probably permanent. Have you had a follow-up appointment yet? A follow-up appt is always done about 1-2wks after ablations.
Published on Jul 11, 2012
That is not a typical complaint following laser ablation. It may be coincidental that it started after your procedures. I would consider other sources of the problem and discuss with your primary care provider.
Published on Jul 11, 2012
There are two possibilities, both involving nerve irritation. The first is due to compression stockings often worn after EVLA, and would improve
within a few weeks after discontinuing wearing the stockings. The second is due to inflammation affecting nerves adjacent to the treated vein
following EVLA and can take months to improve. Both causes are usually temporary, unlike damaged nerves following older vein stripping
surgery which can be permanent.
Published on Jul 11, 2012
It is not unusual to have some nerve type symptoms after EVLA, as the saphenous nerve or it beaches often travel along side the saphenous vein. Most of time this is temporary and should resolve on it own. Usually takes 3-6 months. If the nerve symptoms do not get better or worsen, please seek out a neurologist to do a nerve evaluation.
Published on Jul 11, 2012
The tingling can be due to a few things assuming that you did not already have the tingling prior to the start of your treatment and assuming you do not have any other pre-existing conditions that may give you a peripheral neuropathy (ie. Diabetes, back problems, etc.). If your tingling started after the laser, it is probably due to a localized irritation of a cutaneous skin nerve that just happens to run in the proximity of the saphenous vein that was just lasered. Depending on where and which vessels were lasered, could help explain your symptoms and whether or not the tingling will go away. Some physicians will start their lasers at the ankle. Unfortunately, starting here can often result in a potentially permanent numbness to the foot/ankle due to damage done to the Saphenous nerve which just happens to run in and around the ankle. This is why it is never advisable to enter at that level.
Published on Jul 11, 2012
It is possible that a nerve was injured in the procedure, or it could be
from the compression stocking. I would check with your surgeon.
Published on Jul 11, 2012
Following endovenous ablation there can be nerve irritation along the course of the greater or lesser saphenous veins as a result of transfer of heat from the laser to the surrounding nerves. This can result in the saphenous or sural nerve going into spasm and causing tingling. Fortunately, this is usually transient and should resolve over several months.
Published on Jul 11, 2012
There is a sensory nerve that runs along the saphenous vein. Sometimes this nerve can be irritated or injured during the laser treatment or related to the anesthesia used. In most cases, this should go away once healing has occurred. In a small number of cases, the tingling is permanent.
Published on Jul 11, 2012
Could be the stockings if you are still wearing them.
Published on Jul 11, 2012
You need to talk to your treating physician since he or she treated you and is in charge of your care.
Published on Jul 11, 2012