Is minor post-op swelling normal 4 weeks after endovenous laser ablation?

I had EVLA on both legs 4 weeks ago and I'm thrilled with my results. I'm very happy with how much ligher and less achy my legs feel, but I still have a little tenderness and swelling in my thighs where the veins were lasered. Is this normal and how much longer is it likely to last?

Answers from doctors (2)


More About Doctor David Green, MD

Published on May 02, 2021

After EVLA there can be mild swelling and tenderness along the course of the treated vein. EVLA utilizes a laser (light) that heats the vein along its course, denaturing it so that it no longer can serve as a conduit for blood flow. The procedure and the heat generated does produce inflammation (that is swelling and associated pain and tenderness) in the structures surrounding the treated vein that can take weeks or longer to subside. You likely have follow-up visits after EVLA during which time the treated veins can be visualized by ultrasound to confirm that the procedure went as planned and that there are no other problems.

Answered by David Green, MD (View Profile)

After EVLA there can be mild swelling and tenderness along the course of the treated vein. EVLA utilizes a laser (light) that heats the vein along its course, denaturing it so that it no longer can serve as a conduit for blood flow. The procedure and the heat generated does produce inflammation (that is swelling and associated pain and tenderness) in the structures surrounding the treated vein that can take weeks or longer to subside. You likely have follow-up visits after EVLA during which time the treated veins can be visualized by ultrasound to confirm that the procedure went as planned and that there are no other problems.

Published on Jul 11, 2012


Vascular Institute of Chattanooga

Published on Aug 17, 2019

Yes, this can be normal. The healing process can take up to 3 months.

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Answered by Vascular Institute of Chattanooga

Yes, this can be normal. The healing process can take up to 3 months.

Published on Jul 11, 2012


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