Please call your treating physician and report your concerns. You will need to be evaluated to determine if these are normal post-procedure findings. Bruising, pain, and some induration over the treated area are expected post-EVLT. A heat spot? I am not sure what you mean.

Published on Jul 11, 2012

Typically, the pain would subside 24-48 hours after the EVLT procedure. If you are still having pain after one week, it's best to visit your doctor and get a check-up. A thrombosed varicosity or a large saphenous vein that has been treated may contain trapped blood/clot, which can be aspirated under ultrasound guidance to relieve the pain. Additional help with anti-inflammatory drugs may be needed. Release of hemosiderin in the skin from decaying red blood cells can increase bruising at six days.

Published on Jul 11, 2012

It all depends. Have you discussed it with your doctor? /You should be seen for a follow up with the doctor who performed the EVLA. I would call right away and ask for the doctor to return your call ASAP. If you have a good doctor he would want to know. Good Luck.

Published on Jul 11, 2012

Everything that you describe is normal following a closure procedure. Bruising tends to occur 2 to 5 days after the procedure and the lumps are due to the vein contracting or to the areas of microphlebectomies. Ibuprofen and wet heat to the areas will help.

Published on Jul 11, 2012

Yes. It is not at all unusual to have significant bruising, especially with certain wavelength lasers. If radiofrequency energy were used, it would be more unusual, as it is a gentler technology. Assuming they are doing a routine follow-up ultrasound that shows you are negative for clot, I would not be concerned.

Published on Jul 11, 2012

Bruising and swelling after endovenous ablation depends on the size of the treated vein, the amount of energy used and the patient's own inflammatory response. The vein begins to undergo maximal inflammatory response during days 3 through 10. Swelling and a cord-like feeling will develop as the vein is attacked by your white blood cells. Deeper veins may slowly leak old blood to the surface and cause warmth (inflammation). Always show this to your surgeon for their evaluation.

Published on Jul 11, 2012

It's not unusual to have mild to moderate pain and bruising for anywhere from a few days to a couple of weeks after EVLA on the great saphenous vein. This can be caused by a deep bruise, an inflammatory reaction within the vein, or blood trapped within the vein that's starting to break down. However, if it is enough pain to be interfering with daily activities, if it is getting worse instead of better or if there seems to be a lot of redness in the skin, it would be best to see your doctor.

Published on Jul 11, 2012

This is not uncommon. With regards to the bruising, more than likely during the procedure there was a little bleeding deep in the thigh (which almost certainly stopped), and it just took a few days for the bruise to spread to the skin surface. As for the lump, this likely represents a clotted vein, either the great saphenous vein (or superficial anterior accessory great saphenous vein), or possibly a varicose vein. It is not dangerous, but may be warm and tender.

Published on Jul 11, 2012

It is possible to experience pain, bruising or tenderness after treatment. Many patients report minimal to no scarring, bruising or swelling following the procedure. Did you have an ultrasound following your procedure? Contact your surgeon with these concerns.

Published on Jul 11, 2012

Yes, quite normal. These signs will slowly disappear over the next 10 days or so. Take Advil.

Published on Jul 11, 2012

Those are all normal symptoms. The hot/warm places are just the inflammation, and some pain is normal due to the system still being open in some areas. The lumps can be closed vessels that are closer to the skin surface, so you are able to feel them more than other parts. Hope this helps!

Published on Jul 11, 2012