what is considered 'normal' bruising 5 days post EVLT

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?

Answers from doctors (7)


Vein Specialties of St. Louis

Published on Jan 10, 2012

I have my patients massage with Dermaka cream with a little pressure to move the deeper bruising. They wear hose for 7 days, removing at night after 2 days. 5 days is early in the healing process along with some tenderness. After a couple weeks of improving you may experience a day or so of increased discomfort as the deeper swelling and inflammation resolve with tiny nerve endings “waking up”. It's quite normal.

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

I have my patients massage with Dermaka cream with a little pressure to move the deeper bruising. They wear hose for 7 days, removing at night after 2 days. 5 days is early in the healing process along with some tenderness. After a couple weeks of improving you may experience a day or so of increased discomfort as the deeper swelling and inflammation resolve with tiny nerve endings “waking up”. It's quite normal.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Jan 10, 2012

Significant bruising can be normal and does not mean anything bad. Will just take time to gradually resolve. Not much to do.
David A. Engleman M.D.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/772_1408044077.jpg
Answered by Bella MD Laser Vein and Aesthetic Center

Significant bruising can be normal and does not mean anything bad. Will just take time to gradually resolve. Not much to do.
David A. Engleman M.D.

Published on Jul 11, 2012


Heart and Vein Center

Published on Jan 10, 2012

The bruising is very common. The heat or the cold will not help. Just wear your compression stockings daily and only take them off to sleep. Try to walk and do normal activities. If you do not have pain 5 days post procedure, you most probably will not have any pain. The bruising will disipate and resolve spontaneously in 7-10 days.
Rodolfo D. Farhy, MD, FACC, FAHA

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

The bruising is very common. The heat or the cold will not help. Just wear your compression stockings daily and only take them off to sleep. Try to walk and do normal activities. If you do not have pain 5 days post procedure, you most probably will not have any pain. The bruising will disipate and resolve spontaneously in 7-10 days.
Rodolfo D. Farhy, MD, FACC, FAHA

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Jan 10, 2012

A great deal of bruising can happen, and is generally not a problem. See your provider.
Michael D Ingegno

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

A great deal of bruising can happen, and is generally not a problem. See your provider.
Michael D Ingegno

Published on Jul 11, 2012


Vein Specialists

Published on Jan 10, 2012

Warm soaks at this point. The degree of bruising appears to be dependent on
the type of laser used, the "cool" lasers target the water and cause less
vein wall disruption and attendant bruising.

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

Warm soaks at this point. The degree of bruising appears to be dependent on
the type of laser used, the "cool" lasers target the water and cause less
vein wall disruption and attendant bruising.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Dec 20, 2011

Each person will bruise differently. I recommend warm moist compresses for excessive bruising. Most patients find this helpful. Some have also tried arnica or bromine. Fortunately, all bruising will eventually resolve.

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

Each person will bruise differently. I recommend warm moist compresses for excessive bruising. Most patients find this helpful. Some have also tried arnica or bromine. Fortunately, all bruising will eventually resolve.

Published on Jul 11, 2012


Miller Vein

Published on Dec 20, 2011

It is normal to have some bruising for a couple of weeks. I would not recommend using a heating pad. Ibuprofen should help with the pain and taken with food or milk. If the pain continues, I would suggest calling your treating physician.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/873_1500663762.jpg
Answered by Miller Vein

It is normal to have some bruising for a couple of weeks. I would not recommend using a heating pad. Ibuprofen should help with the pain and taken with food or milk. If the pain continues, I would suggest calling your treating physician.

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
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
Get answers from our experienced doctors.
How it works
Endovenous Laser Ablation -6 answers
Or does the treatment permanently remove them?
See More
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 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 -5 answers
What are the side effects of drinking alcohol after my evla?
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 -10 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 -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