When Does the Excrutiating Pain Subside After CoolSculpting?

I got cool sculpting 6 days ago and the pain keeps getting worse. It is like I have a belly full of broken glass. Is there anything I can do to ease the pain (not discomfort - PAIN) When will it subside. I can't concentrate to work it is so intense.

Doctor Answers 32

Discomfort After Coolsculpting

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Thank you for your question. It is not uncommon to have delayed onset of pain around 5 days after Coolsculpting.  The intermittent discomfort tends to subside within a week. It generally takes about 1 to 2  weeks for the swelling  subside. I do recommend compression for 3 weeks to help with these symptoms.  I recommend contacting your Coolsculpting  specialist as they can prescribe medications which can reduce the intensity of the discomfort.  Best regards.

Pain After Cool Sculpting

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On rare occasion, a small percentage of the cool sculpting patients experience pain after treatment that will subside with about  2 weeks after the procedure.

Ibuprofen is recommended to help the patients deal with the transient pain they experience.

That said, it would be of your interest to contact your surgeon/physician who administered your cool sculpting treatment for a solution.

Thank you for your inquiry.

Best of luck to you.

Dr. Sajjadian

Pain after Coolsculpting

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Some patients experience pain, similar to the pain you described, after treatment with Coolsculpting, especially in the lower abdominal region.  This pain usually begins a few days after treatment and subsides after about 8 days.  Compression garments often help this type of discomfort.  In addition, your doctor can prescribe medication to help with neuropathic pain (pain from altered nerve signals) if the pain persists.  Thank you for your question.

Mariam Cappiello, MD
Chestnut Hill Anesthesiologist

Pain After CoolSculpting

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Thanks for the question. Some discomfort after CoolSculpting is present for most patients. There is a small subset of people, most commonly those who have had the lower abdomen treated, who experience a more intense neuropathic pain.  Often, this more intense pain starts on day 5 and ends around day 10 post treatment.  Putting ice on the treated area is the best way to make the pain subside.  Compression garments or tight clothes also seem to dampen the pain.  Lastly, a medication can be prescribed to additionally help reduce the pain during this window.  Reach out to the treating provider to discuss your symptoms and create a plan to make your recovery as comfortable as possible.

Late Onset Nerve Pain

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Typically patients feel some swelling, bloating, bruising, and tingling. In some rare cases, usually 7 days or so after the procedure, patients might experience a sharper stinging or burning sensation. This is usually sensitivity in the nerve endings that is referred to as late onset nerve pain. This can also manifest as a sort of "itchy" feeling. In most cases ibuprofen is recommended to manage any discomfort, or Benadryl to aid with "itchiness" that interferes with sleep. In some cases the physician who performed the procedure may do a follow up appointment to determine whether a medication designed for nerve pain, like Gabapentin, may be helpful in reducing your symptoms. In any case of pain I recommend contacting the physician who performed the treatment to get medical advice specific to your individual condition. 

It is worth noting that with the newer applicators that we have seen fewer instances of this type of symptom, as they are gentler and using a cupping suction action rather than cooling plates.

Thank you for your question, and be well!

Coolsculpting Pain & Healing

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Thank you for your question. Currently you are undergoing delayed onset pain. This typically begins 3-4 days after treatment and can last for 5-7. This happens when the abdominal area is treated. You can take Tylenol to help with the pain. This will resolve gradually.  I recommend having a follow up with your treating physician for an evaluation and treatment. Best of Luck!

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 47 reviews

Post coolsculpting pain

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Hi there,

You have whats referred to as delayed onset pain. This pain typically begins 3-4 days after treatment and usually lasts for about 5-7 days total. This pain usually only occurs after abdominal area treatment. Heating pad and lidoderm patches are great for this type of pain, rest assured it will resolve very soon. Fortunately, the newer applicators have a much lower incidence of this delayed onset pain.

Good luck!

Coolsculpting Pain & Healing

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I am sorry to hear of your pain, but the good news is that it's almost coming to a close. Post treatment pain typically resolves within one week post treatment-one week after it onsets. Try applying ice packs and please refer back to your treating physician/clinic so they may determine whether a prescription remedy would help you here. 

Edward Stokes, MD
West Hollywood Physician

Pain after CoolSculpting

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In a very small percentage of patients, they may experience some nerve pain after a few days. This is very different from the small discomfort they feel when having the treatment performed. In these cases, we prescribe Neurontin which is very helpful in alleviating this pain in a few days. In providing over 2000 treatments we find this happens on occasion and is not the typical side effect. This can happen more when the larger hand piece is used vs the regular (smaller) hand pieces.

Pain with Coolsculpting

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Anytime pain is continue to escalate and is getting to the point of being unbearable it is best to contact the treating physician for an exam and medication to help deal with this discomfort.  Good luck with your treatment.

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.