Can Endovenous Laser Ablation be done after a knee replacement?

My husband had 2 knee replacements and gets frequent cellulitis in his leg that has poor circulation. Is the Edovenous Laser Ablation procedure safe in these circumstances? Will it help reduce getting cellulitis?

Answers from doctors (19)


More About Doctor Laser Vein Center

Published on Dec 10, 2018

The cellulitis is the result of interruption of the lymphatic channel from the knee replacement surgeries. Compression stockings, lymphatic massage, and pumps help keep the skin healthy and prevent cellulitis. If there are large varicose veins in the lower leg and darkened or hardened skin on the leg from varicose veins, treating them will help.

Answered by Laser Vein Center (View Profile)

The cellulitis is the result of interruption of the lymphatic channel from the knee replacement surgeries. Compression stockings, lymphatic massage, and pumps help keep the skin healthy and prevent cellulitis. If there are large varicose veins in the lower leg and darkened or hardened skin on the leg from varicose veins, treating them will help.

Published on Jul 11, 2012


Ozark Regional Vein Center

Published on Dec 26, 2012

I would wonder if his cellulitis is instead thrombophlebitis. EVLT is typically safe after knee replacements.

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Answered by Ozark Regional Vein Center

I would wonder if his cellulitis is instead thrombophlebitis. EVLT is typically safe after knee replacements.

Published on Jul 11, 2012


North Shore Vein Center

Published on Dec 26, 2012

EVLT is used to treat venous insufficiency, which can only be accurately diagnosed by sonography. It is not used to treat cellulitis.

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Answered by North Shore Vein Center

EVLT is used to treat venous insufficiency, which can only be accurately diagnosed by sonography. It is not used to treat cellulitis.

Published on Jul 11, 2012


Vein Treatment and Aesthetic Center

Published on Dec 20, 2012

What is causing the celluitis? If due to an incompetent large varicose vein, an endovenous laser ablation may be very helpful. However, there is always a risk when performing any treatment while infection is present. Be sure to have a vein specialist evaluate his legs before making any decision. Cellulitis may be caused by an arterial insufficiency, and needs a complete evaluation by a vascular specialist.

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Answered by Vein Treatment and Aesthetic Center

What is causing the celluitis? If due to an incompetent large varicose vein, an endovenous laser ablation may be very helpful. However, there is always a risk when performing any treatment while infection is present. Be sure to have a vein specialist evaluate his legs before making any decision. Cellulitis may be caused by an arterial insufficiency, and needs a complete evaluation by a vascular specialist.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Dec 12, 2012

The procedure will be beneficial regardless of the cellulitis, but the cellulitis could potentially become better after the procedure. Make sure the procedure is done by an Interventional Radiologist.

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Answered by Intermountain Vein Center

The procedure will be beneficial regardless of the cellulitis, but the cellulitis could potentially become better after the procedure. Make sure the procedure is done by an Interventional Radiologist.

Published on Jul 11, 2012


Vein Center of Orange County

Published on Dec 07, 2012

If the cellulitis is really stasis dermatitis due to venous insufficiency, EVLA may be appropriate. If the cellulitis is non-venous, EVLA won't help.

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Answered by Vein Center of Orange County

If the cellulitis is really stasis dermatitis due to venous insufficiency, EVLA may be appropriate. If the cellulitis is non-venous, EVLA won't help.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Dec 05, 2012

Could be possible. Depends on exact nature of current circulation issues.

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Answered by Bella MD Laser Vein and Aesthetic Center

Could be possible. Depends on exact nature of current circulation issues.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Dec 04, 2012

I hope your husband is doing well from knee replacement surgeries. The first thing your husband needs is an appointment with an ultrasound to determine the cause of the cellulitis. Pending the results of the
ultrasound, a treatment plan will be determined.

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Answered by Vein Clinic of North Carolina

I hope your husband is doing well from knee replacement surgeries. The first thing your husband needs is an appointment with an ultrasound to determine the cause of the cellulitis. Pending the results of the
ultrasound, a treatment plan will be determined.

Published on Jul 11, 2012


Advanced Vein Center

Published on Dec 04, 2012

It might help reduce cellulitis. It may not be possible if the arterial circulation is very poor. The joint replacement is not an issue but the procedure should be deferred in the presence of infection.

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Answered by Advanced Vein Center

It might help reduce cellulitis. It may not be possible if the arterial circulation is very poor. The joint replacement is not an issue but the procedure should be deferred in the presence of infection.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Dec 04, 2012

Cellulitis is not normally caused by saphenous reflux. It is advisable for your husband to be evaluated by a board certified surgeon to diagnose the underlying cause. Ablations should not be done in the presence of undiagnosed cellulits.

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Answered by Vein Specialties of St. Louis

Cellulitis is not normally caused by saphenous reflux. It is advisable for your husband to be evaluated by a board certified surgeon to diagnose the underlying cause. Ablations should not be done in the presence of undiagnosed cellulits.

Published on Jul 11, 2012


Americas Vein Centers - Southborough

Published on Dec 04, 2012

It is a safe procedure. As to the cellulitis, we need to first find out what is causing it.

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Answered by Americas Vein Centers - Southborough

It is a safe procedure. As to the cellulitis, we need to first find out what is causing it.

Published on Jul 11, 2012


Vein Specialists

Published on Dec 04, 2012

If he has significant superficial venous insufficiency then by all means endovenous ablation may offer him significant relief from his swelling and recurrent bouts of redness or cellulitis. Often times the "cellulitis" is
actually stasis dermatitis which has flared up. Increased leg swelling after knee replacements is not infrequently encountered, and may be related to an exacerbation of venous insufficiency caused by decreased muscle contraction of the affected leg which is usually observed after replacement of a knee joint. Less activity, less muscle pumping, more pressure in the veins below the knee, and more liquid (water and albumin, serum) leaks out of the walled veins into the surrounding soft tissue. Get a reputable vein specialist to perform a thorough evaluation and assess your husband for deep and superficial insufficiency.

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Answered by Vein Specialists

If he has significant superficial venous insufficiency then by all means endovenous ablation may offer him significant relief from his swelling and recurrent bouts of redness or cellulitis. Often times the "cellulitis" is
actually stasis dermatitis which has flared up. Increased leg swelling after knee replacements is not infrequently encountered, and may be related to an exacerbation of venous insufficiency caused by decreased muscle contraction of the affected leg which is usually observed after replacement of a knee joint. Less activity, less muscle pumping, more pressure in the veins below the knee, and more liquid (water and albumin, serum) leaks out of the walled veins into the surrounding soft tissue. Get a reputable vein specialist to perform a thorough evaluation and assess your husband for deep and superficial insufficiency.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Dec 04, 2012

It can be done, and may help these episodes. It depends on the cause of the cellilitis. See a vein MD for further evaluation.

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Answered by General Vascular Surgery Group

It can be done, and may help these episodes. It depends on the cause of the cellilitis. See a vein MD for further evaluation.

Published on Jul 11, 2012


VeinCare Centers of Tennessee

Published on Dec 04, 2012

Lower extremity cellulitis can be due to many causes, but swelling in the soft tissues (edema) is a common cause of cellulitis. The swelling causes microscopic cracks in the skin which allow bacteria to enter the skin. The swelling also makes it more difficult for the body's defenses to fight infection. The most common causes of lower extremity edema in North America are venous insufficiency and obesity. If the lower extremity swelling is due to venous insufficiency, treatment of the venous insufficiency will reduce the risk of recurrent cellulitis. The appropriate procedure can only be determined by a knowledgeable physician after a physical exam and a thorough venous duplex ultrasound exam. We try to educate physicians and patients that the edema should be treated and controlled as much as possible BEFORE a knee replacement since a surgical wound will heal with fewer complications if the edema is controlled before surgery.

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Answered by VeinCare Centers of Tennessee

Lower extremity cellulitis can be due to many causes, but swelling in the soft tissues (edema) is a common cause of cellulitis. The swelling causes microscopic cracks in the skin which allow bacteria to enter the skin. The swelling also makes it more difficult for the body's defenses to fight infection. The most common causes of lower extremity edema in North America are venous insufficiency and obesity. If the lower extremity swelling is due to venous insufficiency, treatment of the venous insufficiency will reduce the risk of recurrent cellulitis. The appropriate procedure can only be determined by a knowledgeable physician after a physical exam and a thorough venous duplex ultrasound exam. We try to educate physicians and patients that the edema should be treated and controlled as much as possible BEFORE a knee replacement since a surgical wound will heal with fewer complications if the edema is controlled before surgery.

Published on Jul 11, 2012


I'd recommend waiting on Endovenous Laser Ablation until your orthopedic surgeon gives the green light. Will it help reduce getting cellulitis? Difficult to predict without a thorough history and examination.

Answered by Advanced Vein & Laser Centre, Ltd. (View Profile)

I'd recommend waiting on Endovenous Laser Ablation until your orthopedic surgeon gives the green light. Will it help reduce getting cellulitis? Difficult to predict without a thorough history and examination.

Published on Jul 11, 2012


Heart and Vein Center

Published on Dec 04, 2012

He needs an evaluation to determine how severe is his venous insufficiency. Certainly based on your description he will benefit by having the venous circulation improved. There is no contraindication to do EVLT after knee replacement.

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Answered by Heart and Vein Center

He needs an evaluation to determine how severe is his venous insufficiency. Certainly based on your description he will benefit by having the venous circulation improved. There is no contraindication to do EVLT after knee replacement.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Dec 04, 2012

If poor circulation means arterial insufficiency, he may not tolerate compression hosiery needed post EVLT.
If it means superficial venous insufficiency, this might contribute to the dermatitis if severe and improve after EVLT. If cellulitis related to the TKR surgery, ask the ortho his opinion also.

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Answered by Arizona Vein Specialists

If poor circulation means arterial insufficiency, he may not tolerate compression hosiery needed post EVLT.
If it means superficial venous insufficiency, this might contribute to the dermatitis if severe and improve after EVLT. If cellulitis related to the TKR surgery, ask the ortho his opinion also.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Dec 04, 2012

Yes, if he needs it.

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Answered by Cosmetic Vein Centers of Texas

Yes, if he needs it.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Dec 04, 2012

There is no contraindication to an ablation procedure in a leg that has had a TKR. Before an ablation, if your husband has poor circulation, he should have an arterial evaluation. If this is OK, then he can proceed with the ablation. There is no guarantee that an ablation will prevent cellulitis, but if he has underlying chronic venous insufficiency, most likely an ablation will improve the cellulitis.

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Answered by Vanish Vein and Laser Center

There is no contraindication to an ablation procedure in a leg that has had a TKR. Before an ablation, if your husband has poor circulation, he should have an arterial evaluation. If this is OK, then he can proceed with the ablation. There is no guarantee that an ablation will prevent cellulitis, but if he has underlying chronic venous insufficiency, most likely an ablation will improve the cellulitis.

Published on Jul 11, 2012


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