How painful is EVLT and phlebectomy?

Question

I'm tall and very thin i have been told that EVLT and phlebectomy will be extremely painful after the numbing wears off. Is that true? I have bilateral SFJ reflux according to ultrasound. So i would probably need it on both legs. The thing is it's more visual now. When i first stand it feels heavy but compression thighs make my legs feel fine. I Do eventually want to get it done. But i run a business and can't afford to be out long right now. Is that ok?

Thomas Wright, MD · Answer

A skilled and compassionate surgeon can perform an EVLT without much discomfort.  Phlebectomy can be a bit more uncomfortable.  I would recommend discussing your concerns with your surgeon they may be able to offer Nitrous Oxide or laughing gas or other medication to help with pain.

Brian Heeringa, MD, FACS · Answer

I have done thousands of ablations and phlebectomies in my career and can say that most patients only need tylenol and/or ibuprofen over the counter for a few days after these procedures. Occasionally patients will also use ice packs as needed. It is indeed a rare event that a patient would require a prescription for a pain medication. Also, almost all patients are back to work the day after the procedure.

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How painful is EVLT and phlebectomy?

Answers (2)

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