Vein laser surgery in leg today. Best sleep position and comfort questions.

Question

I just had laser varicose vein procedure today. My left leg is wrapped with ace bandage from ankle to right above the knee. I also have thigh high compression stocking on as well. My question is which is the best way to sleep? Do I need to elevate my leg? Do I need to get up and walk during the night. The pain is awful above the knee where the stocking keeps slipping down. Just wondering the best way to sleep and also if could maybe lower the stocking down to my knee for more comfort?

Raffy Karamanoukian, MD, FACS · Answer

Our office specializes in vein therapy in Los Angeles and it is best to avoid compression on your legs and to avoid strenuous activity after endovenous laser. Best, Dr. Karamanoukian

John Landi, MD · Answer

I use an ace wrap on the day of the procedure, remove it the next day,shower  and then wear a support hose for 48 hours.  You can sleep any way you like.  Leg elevation is not necessary but if you feel more comfortable then elevate. There is no need to get up and walk during the night. The day of the procedure I would like you to resume normal activities as soon as possible.  I do no want you to be immobile on that day.

Hratch Karamanoukian, MD, FACS · Answer

I just wrap with an ace bandage and have my patients take it off the following morning.In some cases, especially in the colder months, we recommend thigh high compression stockings. Resume all exercises the next day except no weight lifting in a gym (no repetitive weight lifting) over 40 pounds for 48 hours.I encourage treadmill, elliptical, etc immediately (1 after after the procedure).Take off ace the next morning and shower and optional to place it on again.Walk 2 minutes every hour until you go to bed. No need to wake up from sleep to walk.Sleep any way you want. No need to elevate.I recommend low dose ibuprofen and a product called Swell-x pt (pt = post treatment) which has a proprietary blend citrus bioflavonoids that help relieve swelling, pain and discomfort. (see link below).

Vein laser surgery in leg today. Best sleep position and comfort questions.

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Vein laser surgery in leg today. Best sleep position and comfort questions.

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