Advice After Varicose Vein Treatment by EVLT
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- čas přidán 22. 05. 2014
- Modern vein treatments are performed under local anaesthesia as a walk in walk out procedure. So, there is very little restriction on what you can do afterwards. I am going to tell you what advice I give to my patients after varicose veins treatment.
Immediately afterwards, you can walk around normally. On the day of your procedure I recommend that you sit with your feet up. Keep the blood flowing by performing regular ankle movements (the sort you might do on a long haul flight for example) and get up regularly for a walk. The day after your procedure, you can do everything normally. Walk as much as possible. Walking encourages the healing process and promotes the vein circulation in the legs. You really can't do too much walking in the first week or two.
After your procedure you will go home wearing a medical stocking with absorbent wool underneath. I also place a bandage over the stocking on the outside. I advise that you keep the bandage and stocking in place for 48 hours. However if at any time the bandage feels tight, you can take it off immediately. After taking the bandage off, if you still feel uncomfortable or if your foot swells or if you have tingling in your toes after the local anaesthetic wears off remove the stocking completely.
After 48 hours you may remove the bandage, stocking and wool completely if you haven't already done so. You will usually have some sticky plasters over any needle pricks. I suggest that you leave these in place, have a shower and then after your shower, peel these sticky plasters off and replace them with new ones. Many people find it comfortable to wear the surgical stocking either day and night or just in the daytime for another week or two.. However, if you feel more comfortable without the stocking, leave it off. At any time after the first 2 days, you can have a shower without your stocking on.
Most people have very little discomfort, but if do need pain relief, paracetamol or Ibuprofen are usually sufficient.
From a medical point of view you can drive when you feel able to perform an emergency stop, usually the day after your treatment. Some people need a bit longer before they feel confident to drive. Do check with your motor insurance company, and don't drive if you feel uncomfortable.
You can resume exercise, going to the gym and sports when your legs feel comfortable. I generally advise avoiding contact sports where your leg is likely to be knocked for about 14 days. There are often harsh chemicals in swimming pools so it may be a wise precaution to avoid swimming for 14 days as well.
Many people ask me about flying after their vein treatment. I guess the concern here is deep vein thrombosis. Fortunately, complications such as DVT after modern vein treatments such as endovenous laser are very rare. However, long haul flights are a known risk factor and I think it is a wise precaution to avoid taking a long flight for 6 weeks afterwards. There isn't any strong evidence in the medical literature to back up this recommendation but in my mind it's better to be on the safe side.
Let me say that these are my own general opinions. Your particular circumstances may need additional advice. For all my patients I may modify my advice in the light of their medical condition and if you have had treatment by another specialist then you should follow the advice and recommendations that he or she gives.
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Ive read so many reviews in the past 3 years. That honestly im too anxious to go through with it. People being in pain months after. Swelling.
Prolonged pain after treatment is rare. Why not discuss your concerns with your vein specialist?
Had mine done six days ago been out walking everyday going back to work tomorrow and feel good.
Thank Doc for sharing your knowledge, this video is so useful, and the wqay you explain everything is so clear
I had this 4 days ago on my Great Saphenous vein in my left leg and today an area on the outside of my thigh (nowhere near where they did the procedure, but at the other side of the leg) seems swollen and itchy. Is this probably fluid, or something else?
I have undergone vericose vains surgery 5 months back, but my legs are atill swallon and my ancles still feels num...
Hi Doctor..I had bilateral evlt for both legs on Dec 26th 2019. Later used bandage and stockings for 6 days. After removed bandage, I used stockings for two weeks continuously and avoided stockings in sleeping hours. Now having edima in left leg foot ankle. Again consulted with doctor for advice. He gave one repair gel and voltarin. I am working in office. Generally not have too much walk. Need your kind advices..
Hello Dr. I had also done laser for vericose but it still vissible n I had pain too n I had removed bandage only some where pricks are been seen nothing else I am confused he had or not
My doctor advised to use lyrics 75mg after the evlt surgery ..
Is it safe to use that drug..?
My procedure wasn't bad, but a few (2) days later I couldn't walk at all and the stocking wouldnt stay off. It was too painful for me to walk. The bruising, OMG!!! I have two have two more, I'm just glad it's on the back of my leg and not the inner thigh again.
Sorry to hear of your distress.
Hello Doctor
I am from India. I underwent an EVLT three days back. I am teacher by profession. The teacher's job in India demands long hours of standing. Can I resume my profession or need I to find another to avoid the recurrence of varicose veins ? Please advise me.
I have undergone varicose veins laser surgery of my both legs 1 month back but my legs still swollen near ankles. In my left leg I feel numbness near ankle while in right leg I can see bulging veins in calf. I also feel some pain. I am wearing stockings whole day coz i feel comfort in stockings. Please suggest me, is it okay bulging veins and numbness?
hi dr... is there any treatment or anything else we can do for dead vein..... my mom had a operation of backbone n after a month her left foot vein become dead and its giving a lot of pain.... pllzzz recommend some suggestion... i'll be vry thankful....
Hello doc plzz help me my Father is 67 yrs and has done the operation...4 days ago but today he is suffering from nausea and hypertension...16 he does not have hypertension before...and he does not suffer from diabetes...plzz tell me why he is vomiting or may be bcz of the anaesthesia Epidural....plz help
Question please. I spend most of my day on my feet. I have a bad back and it hurts so bad to sit… if i have the laser am i going to be forced to lay down that will be torturous. I am 34
Hi Doctor.
Is it possible to lasering the visible veins under eyes ? Thank you for your reply
I have no experience of treating veins under the eyes. I am sorry I cannot help. Do you live in the United Kingdom? I may be able to recommend a specialist who treats these veins with sclerotherapy.
Hi Dr. I just started RFA treatments last week. The first one (left greater saphenous) went fine. However the one on the right (greater saphenous) started out ok but then I started to feel tremendous burning! I started screaming & they had to stop the procedure. The Dr & nurse both apologized & said this was not uncommon but unfortunate. Then the Dr quickly exited the room & apparently went on to the next pt. The nurse said I could get dressed & was free to go... & see ya next week. Im still very much in shock & not quite sure that I want to continue with treatment. Can you tell me what might have gone wrong, & what I should do now?
I am very sorry to hear of this very distressing experience. I cannot comment on your case specifically, but in general if the patient experiences pain during endothermal ablation it is because the tumescent local anaesthetic (TLA) has not been administered accurately around the vein or that the TLA is of insufficient volume. Less likely is that the TLA has not been formulated correctly - eg the local anaesthetic is too weak. I suggest you request an appointment with the Dr treating you to share your concerns and to ask for a full and clear explanation together with the action he/she will take to prevent a recurrence. If you are still unsure, you may wish to request a 2nd opinion. Good luck.
+The VeinCare Centre thank you so much for your quick response. I appreciate it very much.. I will consider discussing it with him :)
Nice
i have an apt. coming to treat the superficial left vein i want lassser too
@@jade8568_VR how is your leg now??
After how many weeks of laser treatment of varicose vein the results start coming
Do I remove all dressings to have a shower after 3 days
Hello doctor,
I underwent a laser surgery for varicose veins 2 years ago. You said it is safe to engage in physical activities like gym and swimming. I started practicing yoga for flexibility few days back and am experiencing some discomfort on the leg that was operated. Do you think it might be a problem?
After 2 years, I doubt this is connected.
Did the vein open up again? Heard that happens quite a bit
Dear Dr. how long after the laser procedure can fly? my fiance will do this procedure and want to fly about 20 hrs to south America from england..what would be ur recommendation. thanks
Many people ask me about flying after their vein treatment. I guess the concern here is deep vein thrombosis. Fortunately, complications such as DVT after modern vein treatments such as endovenous laser are very rare. However, long haul flights are a known risk factor and I think it is a wise precaution to avoid taking a long flight for 6 weeks afterwards. There isn't any strong evidence in the medical literature to back up this recommendation but in my mind it's better to be on the safe side. PLEASE NOTE YOU SHOULD SPEAK TO THE SPECIALIST WHO PERFORMED THE TREATMENT FOR SPECIFIC ADVICE
The VeinCare Centre .. thanks for the answer
Plz tell in how many days, I can start exercising like Badminton post radio frequency ablation. Would badminton game be suggestable?
Everyone is different and you should follow the advice of the specialist who treated you.
I had a surgery where the doctor tie the main vein that carry blood to my left foot, because of this I cant do my normal exercises.. can this be fix, please
I am sorry to hear of your problems. You will need to speak to your surgeon about this. I hope you understand that I cannot advise you on specific treatment matters.
I had my varicose viens treatment two days ago,when I removed my bandage and I still see some viens
Obede Ade what surgery did you have?
They can be visible up to 2 weeks, you body is part of the healing process to reasorbe the vein leftovers
I just underwent EVLT +foam sclerotherapy 5 days before,, my Dr told me to wear bandage and stckings for 7 days? Y so?
Specialists differ in the advice they give after treatment and many advise different treatment options. I do not generally treat veins with EVLT and sclerotherapy alone as I believe EVLT with phlebectomy is a better option. My advice to you is to ask your specialist for the evidence that underpins his post-treatment regimen.
Who is best to perform varicose vein treatment a vascular surgeon or a radiologist or doesn't it matter? I also have thread veins that I'd like removed. My veins have now become painful, burning, itching and some raised red spots have appeared any ideas what these would be?
The specialist treating your vein condition should follow a standardised protocol. You may find this helpful in making your decision czcams.com/video/VbHCddT2qbU/video.html as well as themelburyclinic.co.uk/nice-guidance-varicose-veins-cg168/
With regard to your spots, I hope you will understand that I cannot offer specific medical advice.
you should walk as much as possible... (2 seconds later) you really cant walk too much in the first two weeks.. ?????
Hi doctor
After laser treatment how days we have to wear stoking s
You should follow the advice of your treating-specialist. We advise 2-3 days.
Kk tq sir
Hi Doc
Few doctors are against me getting laser treatment but one doctor is recommending me to go for it
Can I mail you my details for a second opinion ??
I am very sorry, I cannot give medical opinions without a face to face consultation.
i did a sutgery today..for my varicose.
Did you do it
@@josieparas9910 how did it go...today is mine
@@andycrandall1361 how did ur surgery go?? pls tell me about the process
hi doctor venous malformation 100%recover at sclerotherapy setion
I have visible blue veins all over my body, for some reason they are bright enough to be seen through my skin. i'm a white male that's fairly healthy, 172 pounds so I don't understand why they are so visible. After I workout they are even more bright and noticeable, it kind of looks like I'm wrapped in a blue net lol. What could be causing this?
Hello I’m hoping you can reassure me .
I had EVLA on my left leg the vein was very deep and ran from my inner thigh sand around the back of my knee and going down the outside of my leg .
The procedure itself I found very painful and at one point I was in excruciating pain so much so that I was screaming ,the surgeon apologised and continued the procedure there was a lot of blood .
After my op a number of plaster type things were put over various parts of the leg then a support stocking which I wore for 48 Hrs .i had very extensive painful bruising and some clots came out of the wounds .
My bruising lasted approx 3weeks .
The problem I have now is pain and stiffness in both my thighs and the leg which was operated on is very swollen in fact it’s 2inches bigger than the other leg ? I’m worried something is not right ,my thighs are so painful and stiff it’s 7 weeks since op and it feels like my legs are getting worse I have difficulty getting dressed as bending my legs is very painful .
I saw my surgeon a week ago and he told me my legs are still settling and he will see me again the end of sept .
I take ibruprofen every 4 Hrs for they do help a little with the swelling but not much .
Can you please give me your opinion I had this procedure done privately .
Sincerly Mrs Warner
I am sorry to hear of your distress. After 7 weeks, it is very unusual to have pain of the severity you describe. Please share your concerns with your specialist. I hope you will understand, I cannot give you specific advice, but I suggest you request a meeting with your specialist.
The VeinCare Centre Thank you for prompt reply although I’m not sure it’s Allayed my fears .
You see the problem is that I saw my surgeon last week for my post op 7Weeks appointment ,I expressed my concerns about the swelling and pain he did an ultra sound on my leg which showed I had some inflammation and there was one area which was red and he zoomed in and took a closer look and made like a grid over the image and photographed it !
But didn’t relay any comments to myself only that there was some inflammation
and he made an appointment to see me again end of sept .
Given the problems I’m having which I’ve explained in I’m not sure I should leave it that long until I’m seen again as I said before when I spoke to surgeon last week he said it was still settling and didn’t seem concerned .
I however am concerned I just don’t know where to go for advice because my G P will only say your under the specialist and if he says it’s settling then you will just have to wait .
But I have this awful feeling there is something wrong could you please point me in the right direction of how I go about getting another opinion .
Kind Regards Mrs Warner
Where are you located geographically?
The VeinCare Centre My location is St Austell which is in Cornwall .Would it help if I gave you my e mail.Regards Mrs Warner
The VeinCare Centre Hi Again In my previous corespondent I told you it was 7 Weeks since my procedure EVLA L8512 Left long Saphenous Vein .
Also Had L8750 Phlebectomies left Varicose Vein .
Having checked my paperwork I actually had the op on 09. 04. 2019 so that is 13 weeks not Seven as I first thought . Now I am even more worried because the symptoms I’ve got ie pain and swelling in thigh plus tightness in my calf have got a lot worse in the last month ! Feeling very worried . Regards Mrs Warner
How long vains takes to come normal in size.
Varies from person-to-person.
Sir please suggest an approximate time period of it coming in normal size.
sir i am in my final year of mbbs, my mom of age 53 yrs htn+ non diabetic , is allergic to some unknown substances n has 2 times lip edema when taken ace inhibitors ,n now has varicose veins to both legs. is it safe to go with evlt sir?? r anyother procedure do u advice ??
I am sorry to hear of your Mother's health problems. I am sure you will understand that it is unethical and professionally inappropriate to give specific medical advice outside the context of a medical face to face consultation for specific venous problems. However, in general, there are very few specific contra-indications to EVL. One might be previous deep vein thrombosis, or some other specific finding on the duplex scan. Good luck with your MBBS and i hope your Mother's phlebologist can advise.
Hi doc can we use laser therapy on a large veins below the knee anteriorly?
Not if the veins are very superficial or near cutaneous nerves.
@@VeinCareAcademy so what will they use? i have an apt. in a vein center here, my primary doctor recomends foam and told me she had a small 1 done, i do not want that i wan laser or no e i have a medium size but long vain sulerficial
Why I need 10 injections after this procedure???
hello Doctor,
I am Vishal from India, I have vericose veins and I want to go for laser surgery within a few days . I am applying for Police jobs. So In India there is a selection test including the physical endurance events like 100metres and 800 metres run
my doubt is can I practice for 100m & 800 meters run after 15 days from the date of surgery.
please give me some advice..
Thank you for your question. You may find the answer here: czcams.com/video/jtQqAVq22uw/video.html
Alternatively, check with your own doctor.
Hi ,
How are you now? Have you done your laser surgery....how is the result....? Is it completely cured?
Hi Doctor
Can we take 1 hr flight and an hour on road after one month of laser treatment of Vericose.
Thanks
Hi sir
10th months back I got evlt and foam sclerotherapy
But unfortunately treatment after 1month I got infection same leg
S
After medication infection cured.but my leg was similar b4 treatment...same pain fatty leg..day by day leg was fatty..long hours I can't stand.
Wt happend my leg sit..treatment is going wrong way or is there any another reason
Who says PARACETAMOL?! ACETAMINOPHEN IS ACETAMINOPHEN!
Paracetamol - UK
Acetaminophen - US
Mu