It's been nearly 2 months since my doctor performed total ablation of saphenous vein. Leg stings. What is wrong?

Sorry to hear about your suffering.  Studies have shown that RF ablation has a quicker recovery than EVLT but regardless 2 months is a while.  Numbness and tingling can persist for a while due to ablation of small superficial nerves.  I have seen however multiple cases of refluxing tributaries (small veins that arise from the GSV) that remain open and cause chronic pain despite the GSV ablation.  Maybe you should consider seeing your doctor and asking for an ultrasound to specifically evaluate that problem.
Good luck

Thank you for the question! In all likelihood, the stinging sensation is a temporary side of ablation. This procedure has a potential to cause minor nerve disruption which would explain your discomfort.  I would recommend giving it time and notifying your surgeon if your symptoms don't resolve. An in-person exam would be required to determine the best way to manage your post-op pain. Best of luck! 

The best treatment is time. Tingling and occasional discomfort can occur after evlt. Sometimes for periods up to 6months. But generally, this improves in the first 2 months. Use warm compress and anti inflammatory agents will help. 

Most patients after radiofrequency ablation (RFA) report improvement in their symptoms within one to two weeks following the procedure. However, it can take longer than a month or two to see full results for your treatments. Follow up with your physician after the procedure for the sequence of ultrasound scans to mainly evaluate for lower extremity deep veins patency, superficial thrombophlebitis, and closure of the superficial vein that was treated with RFA. Your physician can help you with recommendations after the procedure to best manage your care and any discomfort once your ultrasound and follow up is done.
All the best,

Discomfort for 2 months post saphenous vein closure is not common but it does occur.  I have seen this most common in thin patients whose saphenous vein is close to the skin.  The stinging is due to  saphenous nerve irritation which is close to the treated saphenous vein.  There is also a component of discomfort from the treated vein contracting and causing irritation along it course in the leg.  The best treatments for this are time, wet heat to the stinging areas and an oral anti inflammatory such as ibuprofen or naprosyn. Occasionally evacuating any clotted areas may also help.

If you didn't feel burning during the procedure, this sensation is most likely to be temporary and it will go away.All of my patients take Swell-x pt  after the ablation procedure and this reduces tissue inflammation in the saphenous sheath which houses the saphenous nerve. Irritation of the nerve is what would cause persistent pain and injury to the nerve would cause an "explosive feeling" around the knee. I recommend that you also use topical heat. Dr H Karamanoukian

During the procedure to ablate a vein, local anesthesia is used to numb along the vein and around the vein so that you do not feel any discomfort from the laser and heat. Sometimes patients will get numbness and tingling along the treated vein for multiple reasons. One, the vein is shrinking and it takes one to two years for that vein to get "gobbled" up by your body. Two, the local anesthesia used causes numbness to all the skin nerves, giving patients funny sensations and tingling for sometimes a few months after their procedure. I would encourage you to try to place heat on the treated area 20 minutes three times a day followed immediately by ice 20 minutes three times a day. Not only does your skin have pressure sensation, it also has a temperature sensation so this helps "reset" it in a way. I know my colleagues are going to read this and say hmm....but it works! I also have had patients use over-the-counter pain patches for areas that may be still feeling funny after their  ablation. Fortunately those are not very common. But it seems to work as well! Good luck, it will get better!