Soreness after laser vein surgery. Is there a reason for concern?

I had laser vein surgery on left leg then a week later which has been 3 weeks ago the injections were done . Is it a problem with pretty good soreness on tge leg where injected and laser was done?

Doctor Answers 10

Post laser treatment pain

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Assuming you had Endovenous Laser Treatment (EVLT) I can assume you have had f/u office visits along with ultrasound evaluations.  Tenderness over the treated vein is very normal and can last several weeks to sometime a couple of months.  Occasionally "thrombophlebitis" can occur.  This si treated with warm compress and compression stockings and Tylenol as needed.  If concerned I would have treating physician evaluate the area.  

Post vein procedures follow-up

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A follow up appointment with your vein specialist is recommended to evaluate if you are healing properly after the vein procedures. Using ultrasound to scan your legs, your physician will also determine patency of the deep system and closure of the superficial veins that were treated. Thank you for your question. 


Endovenous laser ablation Orchard Park NY

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Expect brief discomfort after endovenous laser ablation of the great or lesser saphenous veins. If there is undue or prolonged pain or discomfort, redness or leg swelling, contact the treating physician.

certified vein specialist

H Karamanoukian MD FACS

Los Angeles vein expert

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Pain can be caused by normal and abnormal processes. I would suggest a follow up examination after your sclerotherapy. 


Dr. Karamanoukian

Los Angeles Vein Expert

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews


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It is normal to be sore following endovenous laser ablation procedures or RF ablation.  This can last for days to weeks.  As well, there may be pain after sclerotherapy or injections. This also can last a few days to weeks if the veins thrombose. IF the leg is swelling, the pain is worsening or there is redness or tenderness then consider returning to your physician to have it checked. 

Susan Fox, DO
Hollywood Phlebologist
5.0 out of 5 stars 8 reviews

Yes, Pain Is Common

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Soreness after laser vein surgery is a common side effect. It may last anywhere from a few weeks to a few months, depending on the size of the vein that was closed. You should consult with your physician if the pain is severe, or if it does not improve after two to three months.

Eric Seiger, DO
Fenton Dermatologist
5.0 out of 5 stars 27 reviews

Pain after laser

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It is very common to have discomfort after vein ablation.  It may last for a month or more.  It is always best to notify your treating doctor if you have questions or concerns following a treatment. If you contacted your doctor and he/she evaluated the situation and reassured you that everything is ok, then you should be comfortable that the discomfort is within the spectrum of normal symptoms. 

Jeffrey Gosin, MD, FACS
Atlantic City Vascular Surgeon
5.0 out of 5 stars 2 reviews

Post vein treatment pain

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Pain may persist for 1-2 months after vein closures, especially if the vein was very large.  Some patients report soreness or cramping as the vein begins to shrink and breakdown. After sclerotherapy there may be areas of vein that are tender and hard to the touch which indicates the vein is closed.  These areas usually slowly improve over 4-6 weeks.  If there is any severe pain or swelling or you have any concerns, please make your provider aware.

Lisa Perez, MD
Atlanta Physician

Post laser and sclerotherapy symptoms.

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You are describing normal symptoms post laser and sclerotherapy.  Typically, discomfort following a laser procedure occurs about a week after the procedure because at this time the tumescent anesthesia wears off and the treated vein is constricting. Sclerotherapy usually does not give prolonged soreness.  Post laser discomfort may last as long as 6 weeks.  If any questions then follow up with your treating physician.

John Landi, MD
Naples General Surgeon

Sclerotherapy and Endovenous Laser Treatment (EVLT)

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Both procedures can cause some soreness. However, there is also minimal risk of complications for both procedures. It would be important to discuss your symptoms with your physician. Soreness can be a many things in the "vein world" including thrombophlebitis, phlebitis, trapped blood from sclerotherapy, or even a deep vein thrombosis following these types of treatments. Again, though rather rare, it is important to discuss your symptoms with your provider. 

Manu B. Aggarwal, MD
Lima Phlebologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.