Is intense pain normal after laser ablation of great saphenous vein?

I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.

ANSWERS FROM DOCTORS (13)


5 years ago by Lafayette Regional Vein & Laser Center

Generally speaking, two weeks after a laser procedure, you should have limited discomfort. The reality is that there are certain patterns where discomfort might be expected. I would suggest following up with your physician to be certain that you do not have a superficial blood clot, a deep vein clot, or other uncommon problem that could be causing pain. Even with older laser devices, your discomfort should be better by now. Your best course of action is to call and follow up with your vein specialist.

5 years ago by Lafayette Regional Vein & Laser Center (View Profile)

Generally speaking, two weeks after a laser procedure, you should have limited discomfort. The reality is that there are certain patterns where discomfort might be expected. I would suggest following up with your physician to be certain that you do not have a superficial blood clot, a deep vein clot, or other uncommon problem that could be causing pain. Even with older laser devices, your discomfort should be better by now. Your best course of action is to call and follow up with your vein specialist.


5 years ago by Intermountain Vein Center

It would probably be a good idea to have another follow up with your provider, but it's probably just a little superficial clot, which is painful like you've said, but it is not a health risk. Your provider could possibly drain the area to help with some pain relief if the segment is lumpy under the skin.

5 years ago by Intermountain Vein Center

It would probably be a good idea to have another follow up with your provider, but it's probably just a little superficial clot, which is painful like you've said, but it is not a health risk. Your provider could possibly drain the area to help with some pain relief if the segment is lumpy under the skin.


5 years ago by The Sheen Vein Institute

Most patients who are two weeks out from an Endovenous laser ablation treatment can have some mild tightness and soreness/bruising in the proximity of the treated vein. If you are having intense pain in a specific location on your leg, I suspect that you are suffering from a feeder branch that is trying to pump blood into the vein that was treated. This can cause you to develop a pressure spot and, possibly, some trapped blood in that location. The result is a localized phlebitis causing tenderness in that location. Your options are simple. Either have your doctor treat the feeder with sclerotherapy and eliminate your pain within a day, or manage the discomfort until it goes away over the next 4-6 weeks.

5 years ago by The Sheen Vein Institute

Most patients who are two weeks out from an Endovenous laser ablation treatment can have some mild tightness and soreness/bruising in the proximity of the treated vein. If you are having intense pain in a specific location on your leg, I suspect that you are suffering from a feeder branch that is trying to pump blood into the vein that was treated. This can cause you to develop a pressure spot and, possibly, some trapped blood in that location. The result is a localized phlebitis causing tenderness in that location. Your options are simple. Either have your doctor treat the feeder with sclerotherapy and eliminate your pain within a day, or manage the discomfort until it goes away over the next 4-6 weeks.


5 years ago by The Vein Clinic

Sometimes it depends on the type of laser used. Lower wavelengths have more post procedure pain than higher wavelengths. It should improve soon. Keep up your walking.

5 years ago by The Vein Clinic

Sometimes it depends on the type of laser used. Lower wavelengths have more post procedure pain than higher wavelengths. It should improve soon. Keep up your walking.


5 years ago by Austin Vein Specialists

Most people have mild to moderate discomfort in the treated vein for a few days after laser ablation. Occasionally I have patients that report more intense discomfort such as you have, which is suspect is due to a more intense inflammatory reaction to the laser or some thermal injury to an adjacent nerve. The discomfort should still gradually resolve over times as the inflammation improves. Anti-inflammatories and warm heat to the area often help.

5 years ago by Austin Vein Specialists (View Profile)

Most people have mild to moderate discomfort in the treated vein for a few days after laser ablation. Occasionally I have patients that report more intense discomfort such as you have, which is suspect is due to a more intense inflammatory reaction to the laser or some thermal injury to an adjacent nerve. The discomfort should still gradually resolve over times as the inflammation improves. Anti-inflammatories and warm heat to the area often help.


5 years ago by Vein Specialties of St. Louis

Intense pain should not be experienced even immediately after endovenous laser ablation. I would recommend you see your surgeon and have an ultrasound examination. If this is okay, apply low heat to the area often for about 10-15 minutes and/or ice. This can relieve the discomfort. Our patients use Arnica cream gently massaged into the ablated area, which is soothing and promotes healing. If you are sensitive to NSAIDS, you should take them with a lot of food in your stomach and alternate with extra strength Tylenol. Your doctor can also prescribe something stronger to get you through this phase.

5 years ago by Vein Specialties of St. Louis (View Profile)

Intense pain should not be experienced even immediately after endovenous laser ablation. I would recommend you see your surgeon and have an ultrasound examination. If this is okay, apply low heat to the area often for about 10-15 minutes and/or ice. This can relieve the discomfort. Our patients use Arnica cream gently massaged into the ablated area, which is soothing and promotes healing. If you are sensitive to NSAIDS, you should take them with a lot of food in your stomach and alternate with extra strength Tylenol. Your doctor can also prescribe something stronger to get you through this phase.


5 years ago by Arizona Vein Specialists

Pain post endolaser ablation is most commonly due to post-laser inflammation. This is why the protocol has been to prescribe anti-inflammatory medicines routinely. As you have stomach issues, other methods of analgesia need to be considered or even cold laser treatments. I am surprised that you are not seeing your treating physician to address these issues, and have a recheck and ultrasound to exclude the possibility
of wound infection or thrombosis, which have different treatments. I encourage you to seek attention without delay.

5 years ago by Arizona Vein Specialists

Pain post endolaser ablation is most commonly due to post-laser inflammation. This is why the protocol has been to prescribe anti-inflammatory medicines routinely. As you have stomach issues, other methods of analgesia need to be considered or even cold laser treatments. I am surprised that you are not seeing your treating physician to address these issues, and have a recheck and ultrasound to exclude the possibility
of wound infection or thrombosis, which have different treatments. I encourage you to seek attention without delay.


5 years ago by Cosmetic Vein Centers of Texas

Not usually.

5 years ago by Cosmetic Vein Centers of Texas

Not usually.


5 years ago by Heart and Vein Center

Some patients might occasionally experience pain several days after EVLT, more commonly if the vein is too superficial, too large or they did not take anti-inflammatories. Wearing compression stockings, ambulation and use of acetaminophen (if NSAIDs cannot be used) will help.

5 years ago by Heart and Vein Center

Some patients might occasionally experience pain several days after EVLT, more commonly if the vein is too superficial, too large or they did not take anti-inflammatories. Wearing compression stockings, ambulation and use of acetaminophen (if NSAIDs cannot be used) will help.


5 years ago by General Vascular Surgery Group

This is not usual, please see your MD.

5 years ago by General Vascular Surgery Group

This is not usual, please see your MD.


5 years ago by Advanced Vein Center

Patients typically report pain from 0-2 on a 10 point scale so your situation seems unusual, especially at two weeks post treatment. You should probably have your doctor ultrasound your leg again.

5 years ago by Advanced Vein Center

Patients typically report pain from 0-2 on a 10 point scale so your situation seems unusual, especially at two weeks post treatment. You should probably have your doctor ultrasound your leg again.


5 years ago by Vein Specialists

The great saphenous vein in this area may be very superficial (without much fat around it and close to the skin) so it is not unusual this early after the procedure to have fairly intense inflammation (and pain) directly over the vein. It should be in a line directly over the vein. Warm soaks, high dose anti-inflammatories (ibuprofen 8600-800 mg 3-4 x per day with food), and patience are the mainstays of treatment. The cord underlying the inflammation may remain for months as the acute pain and inflammation slowly and gradually resolve. Be patient.

5 years ago by Vein Specialists

The great saphenous vein in this area may be very superficial (without much fat around it and close to the skin) so it is not unusual this early after the procedure to have fairly intense inflammation (and pain) directly over the vein. It should be in a line directly over the vein. Warm soaks, high dose anti-inflammatories (ibuprofen 8600-800 mg 3-4 x per day with food), and patience are the mainstays of treatment. The cord underlying the inflammation may remain for months as the acute pain and inflammation slowly and gradually resolve. Be patient.


5 years ago by Vanish Vein and Laser Center

What you describe is common after venous ablation. This is due to the heat of the laser and the contraction of the vein from the treatment. The discomfort is usually worse the second week after the procedure and lasts about one to two weeks. Wet heat to the area helps. NSAIDS are recommended, but if you cannot tolerate them, then try extra strength Tylenol.

5 years ago by Vanish Vein and Laser Center (View Profile)

What you describe is common after venous ablation. This is due to the heat of the laser and the contraction of the vein from the treatment. The discomfort is usually worse the second week after the procedure and lasts about one to two weeks. Wet heat to the area helps. NSAIDS are recommended, but if you cannot tolerate them, then try extra strength Tylenol.


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation - 7 years ago10 answers
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
See More
Endovenous Laser Ablation - 8 years ago8 answers
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?
See More
Endovenous Laser Ablation - 7 years ago7 answers
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation - 6 years ago10 answers
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
See More
Endovenous Laser Ablation - 5 years ago8 answers
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?
See More
Endovenous Laser Ablation - 5 years ago11 answers
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?
See More
Endovenous Laser Ablation - 4 years ago10 answers
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
See More
Endovenous Laser Ablation - 7 years ago6 answers
Or does the treatment permanently remove them?
See More
Endovenous Laser Ablation - 8 years ago6 answers
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
See More
Endovenous Laser Ablation - 8 years ago5 answers
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
See More
Endovenous Laser Ablation - 4 years ago6 answers
I had endovenous laser treatment and sclerotherapy performed on both the greater and lessor saphenous veins of my legs. It was done on the same day. After a couple of weeks I started feeling numbness and tingling in my legs, mostly below the knee and through my feet. Will the feelings ever go away?
See More
Endovenous Laser Ablation - 8 years ago9 answers
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?
See More
Endovenous Laser Ablation - 5 years ago7 answers
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?
See More
Endovenous Laser Ablation - 8 years ago5 answers
I've heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?
See More
Endovenous Laser Ablation - 6 years ago4 answers
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
See More
Endovenous Laser Ablation - 7 years ago12 answers
Does this procedure hurt?
See More
Endovenous Laser Ablation - 7 years ago10 answers
It's been a year since my surgery and I still have bruising. Does that mean it's permanent?
See More
Endovenous Laser Ablation - 6 years ago5 answers
What are the side effects of drinking alcohol after my evla?
See More
Have specific questions?
ASK A DOCTOR

Suggested Doctors

Sorry, there are no matching doctors in your area
Please choose a different location

,

,

See more Suggested Doctors

Related Articles