Is throbbing pain normal 10 weeks after EVL Ablation?

I had 2 separate EVL Ablations 10 weeks ago. I am now having the original achy/throbbing pain resuming in the back of my leg behind my knee. It's the same discomfort that the MD diagnosed as valvular incompetence requiring the EVL ablation. What's happening?

Answers from doctors (16)


Ozark Regional Vein Center

Published on Dec 26, 2012

The leg should be rechecked to see if the vein has remained closed.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1075_1499983011.jpg
Answered by Ozark Regional Vein Center

The leg should be rechecked to see if the vein has remained closed.

Published on Jul 11, 2012


North Shore Vein Center

Published on Dec 26, 2012

Go back and get a recheck from your practitioner, or get a second opinion. There may be many reasons for your discomfort.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1044_1410305618.jpg
Answered by North Shore Vein Center

Go back and get a recheck from your practitioner, or get a second opinion. There may be many reasons for your discomfort.

Published on Jul 11, 2012


Vein Treatment and Aesthetic Center

Published on Dec 20, 2012

The EVLT that you had may not have destroyed the vein completely, and some of the branches still exist. You may have a clot in a branch off of the vein treated, or the original vein has a clot in the painful area. Usually this is not a long-term problem, but the treating doctor needs to evaluate you again to see exactly what the issue is. More treatment may be necessary.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1433_1408044095.jpg
Answered by Vein Treatment and Aesthetic Center

The EVLT that you had may not have destroyed the vein completely, and some of the branches still exist. You may have a clot in a branch off of the vein treated, or the original vein has a clot in the painful area. Usually this is not a long-term problem, but the treating doctor needs to evaluate you again to see exactly what the issue is. More treatment may be necessary.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Dec 12, 2012

I would recommend a follow up appt with your physician. At 10 weeks post procedure your pain level should be very minimal.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1153_1408044089.jpg
Answered by Intermountain Vein Center

I would recommend a follow up appt with your physician. At 10 weeks post procedure your pain level should be very minimal.

Published on Jul 11, 2012


Vein Center of Orange County

Published on Dec 07, 2012

An ultrasound can usually answer your question. It will show either a successfully closed vein or an open vein. If closed, your pain is due to something else; if open, your original problem persists.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1015_1408044084.jpg
Answered by Vein Center of Orange County

An ultrasound can usually answer your question. It will show either a successfully closed vein or an open vein. If closed, your pain is due to something else; if open, your original problem persists.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Dec 04, 2012

Healing time can be different for everyone having vein treatment. Without knowing what veins were treated, it is hard to give advice as to "what's happening." In our practice, we have follow-up appointments post treatment to determine how each patient is healing and any concerns for each patient. I would recommend a follow up appointment since you are having symptoms.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1172_1408044089.jpg
Answered by Vein Clinic of North Carolina

Healing time can be different for everyone having vein treatment. Without knowing what veins were treated, it is hard to give advice as to "what's happening." In our practice, we have follow-up appointments post treatment to determine how each patient is healing and any concerns for each patient. I would recommend a follow up appointment since you are having symptoms.

Published on Jul 11, 2012


Advanced Vein Center

Published on Dec 04, 2012

Throbbing pain is not normal this long after treatment. You should see your doctor.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/464_1408044069.jpg
Answered by Advanced Vein Center

Throbbing pain is not normal this long after treatment. You should see your doctor.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Dec 04, 2012

It is unusual to continue to experience the same symptoms after ablation if reflux was the cause. You didn't mention which veins were sealed. I would recommend you see your treating physician. If you are still concerned, a second opinion from a board certified vascular surgeon experienced in these procedures may be helpful.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/623_1499902138.jpg
Answered by Vein Specialties of St. Louis

It is unusual to continue to experience the same symptoms after ablation if reflux was the cause. You didn't mention which veins were sealed. I would recommend you see your treating physician. If you are still concerned, a second opinion from a board certified vascular surgeon experienced in these procedures may be helpful.

Published on Jul 11, 2012


Americas Vein Centers - Southborough

Published on Dec 04, 2012

To give you a right answer, we would need to evaluate it.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/713_1408044075.jpg
Answered by Americas Vein Centers - Southborough

To give you a right answer, we would need to evaluate it.

Published on Jul 11, 2012


Vein Specialists

Published on Dec 04, 2012

It depends on what veins were closed. There is a vein in the posterior thigh which is not always considered as a potential source of venous insufficiency and the related discomfort. This vein is called the intersaphenous vein and it connects the small saphenous vein behind the knee in the crease to the
great saphenous vein in the groin region. The pain associated with intersaphenous insufficiency is usually in the posterior mid to distal thigh and is worse when sitting or standing and at the end of the day. Look at
your ultrasound report and see what was noted in this regard. If no mention is made of the competence of the intersaphenous vein, you should inquire.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/740_1408044075.jpg
Answered by Vein Specialists

It depends on what veins were closed. There is a vein in the posterior thigh which is not always considered as a potential source of venous insufficiency and the related discomfort. This vein is called the intersaphenous vein and it connects the small saphenous vein behind the knee in the crease to the
great saphenous vein in the groin region. The pain associated with intersaphenous insufficiency is usually in the posterior mid to distal thigh and is worse when sitting or standing and at the end of the day. Look at
your ultrasound report and see what was noted in this regard. If no mention is made of the competence of the intersaphenous vein, you should inquire.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Dec 04, 2012

See your provider for questions in the post operative period related to a procedure.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/922_1408044082.jpg
Answered by General Vascular Surgery Group

See your provider for questions in the post operative period related to a procedure.

Published on Jul 11, 2012


Throbbing pain is not typically normal 10 weeks after EVLT Ablation. I'd recommend seeing your treating physician and having him evaluate this.

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

Throbbing pain is not typically normal 10 weeks after EVLT Ablation. I'd recommend seeing your treating physician and having him evaluate this.

Published on Jul 11, 2012


Heart and Vein Center

Published on Dec 04, 2012

You need a re-evaluation. It is possible that the treated vein has re-canalized (re-opened) or that are other veins that need treatment.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/923_1408044082.jpg
Answered by Heart and Vein Center

You need a re-evaluation. It is possible that the treated vein has re-canalized (re-opened) or that are other veins that need treatment.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Dec 04, 2012

Get a duplex ultrasound or second opinion by a vein expert (phlebologist certified by the American Board of Phlebology). There might be another vein incompetence or a clot. Try compression hose or wrap to get temporary relief.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1365_1408044094.jpg
Answered by Arizona Vein Specialists

Get a duplex ultrasound or second opinion by a vein expert (phlebologist certified by the American Board of Phlebology). There might be another vein incompetence or a clot. Try compression hose or wrap to get temporary relief.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Dec 04, 2012

You need to be re-checked.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/554_1447800116.jpg
Answered by Cosmetic Vein Centers of Texas

You need to be re-checked.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Dec 04, 2012

Following ablation it is not uncommon to have discomfort along the course of the treated veins for as long as 4 to 6 weeks. I do not know if your symptoms are due to the ablation or to another underlying problem in your leg. You should have your treating physician re-evaluate you to see if there is another cause of your discomfort.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

Following ablation it is not uncommon to have discomfort along the course of the treated veins for as long as 4 to 6 weeks. I do not know if your symptoms are due to the ablation or to another underlying problem in your leg. You should have your treating physician re-evaluate you to see if there is another cause of your discomfort.

Published on Jul 11, 2012


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation -10 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 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 -9 answers
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation -10 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 -8 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 -11 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 -10 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 -6 answers
Or does the treatment permanently remove them?
See More
Get answers from our experienced doctors.
How it works
Endovenous Laser Ablation -5 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 -6 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 -6 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 -13 answers
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.
See More
Endovenous Laser Ablation -9 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 -7 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 -4 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 -5 answers
What are the side effects of drinking alcohol after my evla?
See More
Endovenous Laser Ablation -12 answers
Does this procedure hurt?
See More
Endovenous Laser Ablation -6 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
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR