Is the endovenous ablation a good alternative to correct poor circulation in the legs after having a DVT?

I am on Coumadin and since I had the DVT in June 09, my quality of life has diminished. If I sit down for an hour and intend to stand u I look like very old lady. It is painful and so tired of my legs and feet, the heel hurts very much.

Answers from doctors (9)


Vanish Vein and Laser Center

Published on Mar 25, 2011

EVLT is a treatment for venous insufficiency secondary to saphenous vein reflux. It is not a treatment for DVT. Compression stockings may help. You should be evaluated by a vascular surgeon as you may have other reasons for your symptoms.

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Answered by Vanish Vein and Laser Center

EVLT is a treatment for venous insufficiency secondary to saphenous vein reflux. It is not a treatment for DVT. Compression stockings may help. You should be evaluated by a vascular surgeon as you may have other reasons for your symptoms.

Published on Jul 11, 2012


Susan B Fox, D.O. RPVI, FSVM

Published on Mar 22, 2011

NO!!!! You need to see avascular specialist.
you should be in compression hose and elevate the legs at night. You probably have post-phlebitic syndrome.

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Answered by Susan B Fox, D.O. RPVI, FSVM

NO!!!! You need to see avascular specialist.
you should be in compression hose and elevate the legs at night. You probably have post-phlebitic syndrome.

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Mar 17, 2011

No, this is not a treatment for venous insufficiency of the deep venous system.

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Answered by Angelo N. Makris MD

No, this is not a treatment for venous insufficiency of the deep venous system.

Published on Jul 11, 2012


Heart and Vein Center

Published on Mar 14, 2011

I am sorry to hear you have so much limitation after your DVT. EVLT is used for the treatment of venous insufficiency on the superficial system. However, it is quite possible you still have some degree of obstruction on the deep ssytem. In this case you still need your superficial veins and therefore the ablation might be contraindicated.
You need to wear compression stockings daily. Take Coumadin every day. You should have a full examination including a Venous Doppler done by a Vein specialist before considering any further treatment.
Dr Farhy

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Answered by Heart and Vein Center

I am sorry to hear you have so much limitation after your DVT. EVLT is used for the treatment of venous insufficiency on the superficial system. However, it is quite possible you still have some degree of obstruction on the deep ssytem. In this case you still need your superficial veins and therefore the ablation might be contraindicated.
You need to wear compression stockings daily. Take Coumadin every day. You should have a full examination including a Venous Doppler done by a Vein specialist before considering any further treatment.
Dr Farhy

Published on Jul 11, 2012


Atlanta Access Care Vascular and Interventional Specialists

Published on Mar 12, 2011

In general, endovascular laser would not be helpful. Pain after DVT is usually do to obstruction from organized thrombus in the deep veins, or to damaged valves in the deep veins, leading to reflux.

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Answered by Atlanta Access Care Vascular and Interventional Specialists

In general, endovascular laser would not be helpful. Pain after DVT is usually do to obstruction from organized thrombus in the deep veins, or to damaged valves in the deep veins, leading to reflux.

Published on Jul 11, 2012


VeinCare Centers of Tennessee

Published on Mar 12, 2011

The question is whether your symptoms are due to venous insufficiency or due to obstruction of veins by the effects of the deep vein thrombosis or both. You need to see a physician experienced with management of both problems and you need a veery detailed colr duplex ultrasound study of your legs looking for reflux and obstruction. The study must define in detail where the problems are located. Also, some pateints who have leg pain or swelling after DVT have an obstruction of the veins in the pelvis. You need to see someone who can get a thorough evaluation of these issues for you.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

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Answered by VeinCare Centers of Tennessee

The question is whether your symptoms are due to venous insufficiency or due to obstruction of veins by the effects of the deep vein thrombosis or both. You need to see a physician experienced with management of both problems and you need a veery detailed colr duplex ultrasound study of your legs looking for reflux and obstruction. The study must define in detail where the problems are located. Also, some pateints who have leg pain or swelling after DVT have an obstruction of the veins in the pelvis. You need to see someone who can get a thorough evaluation of these issues for you.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 11, 2011

You should only be evaluated by an experienced surgeon. It is important to know the state of your deep veins by ultrasound examination both laying down and standing.
You should be wearing compression hose every day from early morning of at least 30 - 40mmHg compression. You should be measured early morning or fitted to the unaffected leg to ensure the correct fit.
Endovenous ablation is only for superficial venous reflux and only in the presence of a healthy deep system.
Post-Thrombotic Syndrome (PTS) can occur in people who have suffered from DVT. Compression is the best treatment at your stage and staying on Coumadin if your physican prescribes it.
If the blood clots extended above the knee, you should be in thigh length. If your symptoms are as severe as they sound, an evaluation by an experience vascular surgeon is advised.

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Answered by Vein Specialties of St. Louis

You should only be evaluated by an experienced surgeon. It is important to know the state of your deep veins by ultrasound examination both laying down and standing.
You should be wearing compression hose every day from early morning of at least 30 - 40mmHg compression. You should be measured early morning or fitted to the unaffected leg to ensure the correct fit.
Endovenous ablation is only for superficial venous reflux and only in the presence of a healthy deep system.
Post-Thrombotic Syndrome (PTS) can occur in people who have suffered from DVT. Compression is the best treatment at your stage and staying on Coumadin if your physican prescribes it.
If the blood clots extended above the knee, you should be in thigh length. If your symptoms are as severe as they sound, an evaluation by an experience vascular surgeon is advised.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Mar 11, 2011

Probably not different cause to these symptoms generally. See you provider.

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Answered by General Vascular Surgery Group

Probably not different cause to these symptoms generally. See you provider.

Published on Jul 11, 2012


Bailey Vein Institute

Published on Mar 11, 2011

This is impossible to answer without knowing your ultrasound findings.

Colin E. Bailey, MD, FACS

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Answered by Bailey Vein Institute

This is impossible to answer without knowing your ultrasound findings.

Colin E. Bailey, MD, FACS

Published on Jul 11, 2012


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