Is recurrence after EVLA unavoidable? I am 30 and I had EVLT on both legs.

There are two methods that  utilize heat to close veins down. Laser therapy and radiofrequency ablation are these two methods. Both of these work extremely well and the recurrence rate should be less than 5% across-the-board.  If you are still having symptoms, the question is did any of your symptoms get better? If you noticed some improvement, you may have other vein’s that need to be addressed as well or if you have varicose vein‘s that persist, you may need a phlebectomy.  If you didn’t notice any improvement at all, your leg pain may be from something else as well. 

Once you are prone to varicose veins or venous insufficiency, I always explain to people that they can always get more veins over the years.  I always say that we can treat what you have now but cannot predict nor 100 percent prevent what you may develop in the future.  There is a prescription medicine called Vasculera which can be taken once daily and may help decrease the onset of new veins. IF you have symptoms, I would recommend a new ultrasound and conservative therapy. Conservative therapy includes compression hose, leg elevation, anti-inflammatories and possibly Vasculera

The throbbing pain is your body re acclimating to the fact that a pathway has been shut off. It can take up to 9months for your legs to feel completely normal.