After discontinuing my compression stocking, I have pain and more bruising. Should I be concerned?

I had my microphlebectomy procedure 12 days ago, and I've had minimal pain since the initial 48 hours post surgery. However, I stopped wearing my compression stocking 2 days ago and now have pain when I walk and darker bruising. Should I be overly concerned?

Answers from doctors (8)


Vein Specialties of St. Louis

Published on Mar 13, 2018

Post operative bruising can "move" and once you stopped the hose it may have come up to the surface a little. Additionally we sometimes find patients have a little more discomfort 10 -14 days post op when the deeper tissue swelling is subsiding and some of the small nerves are "waking" up. My patients use Dermaka or Arnica cream to massage into all the areas after treatment and this speeds up healing and discomfort. If you are concerned your surgeon should check you with the ultrasound.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/623_1499902138.jpg
Answered by Vein Specialties of St. Louis

Post operative bruising can "move" and once you stopped the hose it may have come up to the surface a little. Additionally we sometimes find patients have a little more discomfort 10 -14 days post op when the deeper tissue swelling is subsiding and some of the small nerves are "waking" up. My patients use Dermaka or Arnica cream to massage into all the areas after treatment and this speeds up healing and discomfort. If you are concerned your surgeon should check you with the ultrasound.

Published on Jul 11, 2012


Sounds like there may still be some leaking/oozing where they broke the veins off, or the proximal dysfunctional veins weren't treated thoroughly. Either way, you should return to your treating physician and request an evaluation.

Answered by South Palm Cardiovascular Associates (View Profile)

Sounds like there may still be some leaking/oozing where they broke the veins off, or the proximal dysfunctional veins weren't treated thoroughly. Either way, you should return to your treating physician and request an evaluation.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Mar 10, 2014

Many times the stockings will relieve some of the pain so when you have them on, you may not notice any pain. As long as the incisions are not infected and you do not have a fever or signs of infection, I would not worry. Typically, they have you take an antibiotic post-procedure to prevent infection, such as keflex. Much bruising is also to be expected after this type of procedure.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1153_1408044089.jpg
Answered by Intermountain Vein Center

Many times the stockings will relieve some of the pain so when you have them on, you may not notice any pain. As long as the incisions are not infected and you do not have a fever or signs of infection, I would not worry. Typically, they have you take an antibiotic post-procedure to prevent infection, such as keflex. Much bruising is also to be expected after this type of procedure.

Published on Jul 11, 2012


No, any bleeding will have stopped by 12 days. There is most likely phlebitis (inflammation of the veins) causing discomfort, which you can try to relieve with Ibuprofen or Aleve as directed. Bruising may take up to a month to go away. The other question is whether you are taking blood thinners. I would ask the provider who did the phlebectomy for a more specific answer in that instance.

Answered by HeartCare Associates Vein Center (View Profile)

No, any bleeding will have stopped by 12 days. There is most likely phlebitis (inflammation of the veins) causing discomfort, which you can try to relieve with Ibuprofen or Aleve as directed. Bruising may take up to a month to go away. The other question is whether you are taking blood thinners. I would ask the provider who did the phlebectomy for a more specific answer in that instance.

Published on Jul 11, 2012


Artery and Vein Specialists of Idaho

Published on Mar 03, 2014

No, but you should continue wearing the compression stockings for a total of 4-6 weeks after a phlebectomy.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1508_1408044097.jpg
Answered by Artery and Vein Specialists of Idaho

No, but you should continue wearing the compression stockings for a total of 4-6 weeks after a phlebectomy.

Published on Jul 11, 2012


VeinSolutions - Edina

Published on Feb 27, 2014

In general, I do not believe you should be overly concerned. However, as your legs heal, it must be remembered that, albeit minimal, the surgery was an invasive trauma to your system. The hose provide both compression and tissue stabilization. This will accomplish several things: minimize edema (swelling), minimize erythema (bruising) and reduce ambulatory pain. Bottom line: You might want to consider putting your compression hose back on.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/861_1409954875.jpg
Answered by VeinSolutions - Edina

In general, I do not believe you should be overly concerned. However, as your legs heal, it must be remembered that, albeit minimal, the surgery was an invasive trauma to your system. The hose provide both compression and tissue stabilization. This will accomplish several things: minimize edema (swelling), minimize erythema (bruising) and reduce ambulatory pain. Bottom line: You might want to consider putting your compression hose back on.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Feb 27, 2014

No, there is no reason to be concerned. The pain and bruising should subside, and is probably the result of wearing the stockings. Perhaps the fit was too tight.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/554_1447800116.jpg
Answered by Cosmetic Vein Centers of Texas

No, there is no reason to be concerned. The pain and bruising should subside, and is probably the result of wearing the stockings. Perhaps the fit was too tight.

Published on Jul 11, 2012


Veins etc. at Comprehensive Cardiovascular Consultants

Published on Feb 26, 2014

No, you should not be concerned. However, if you feel worried about it, you can always follow up with your primary care physician or the specialist who performed the procedure.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1187_1408044089.jpg
Answered by Veins etc. at Comprehensive Cardiovascular Consultants

No, you should not be concerned. However, if you feel worried about it, you can always follow up with your primary care physician or the specialist who performed the procedure.

Published on Jul 11, 2012


Related Questions for Ambulatory Phlebectomy

Ambulatory Phlebectomy -4 answers
I had ambulatory phlebectomy performed on my leg two weeks ago. How long will it take for the incisions to heal? Right now the incisions look like little red scabs.
See More
Ambulatory Phlebectomy -10 answers
I am scheduled for ambulatory phlebectomy and laser ablation in a week. I also have several 5K runs soon and a two-week beach vacation in June. How soon before I would be able to exercise and run again after these procedures? How long to stay out of the sun?
See More
Ambulatory Phlebectomy -3 answers
I had ambulatory phlebectomy with ligation 6 weeks ago and my leg still has shooting pains at times and I've got this painful bump on my inner thigh that won't go away. Sometimes the swelling (maybe a vein) spreads up the thigh (painful). Any ideas?
See More
Ambulatory Phlebectomy -6 answers
I just had a phlebectomy done at 3pm, and have increasing pain and throbbing.Norco and Ibuprofen are not doing much! I have been elevating my leg and icing it to help with the pain, but it's not getting better. I walked around for short periods, with no relief. Is something wrong?
See More
Ambulatory Phlebectomy -3 answers
A friend of mine had ambulatory phlebectomy and now her leg is scarred from about 50 little incisions that never really healed. Everything online says "minimal" scarring, but is that really true? It wasn't in her case and I don't know why. Do you have any idea?
See More
Ambulatory Phlebectomy -6 answers
I have varicose veins and spider veins and one burst in back of knee. The bruise has doubled in size in a 24 hour time period. What should I do? Do I need a consult and, if so, which type of specialist?
See More
Ambulatory Phlebectomy -7 answers
I had a microphlebectomy below my knee and radiofrequency ablation above on the same leg on the same day. Now, I have neuropathy in that leg from mid-calf to nearly my groin. It's been one month. Are stockings contraindicated with neuropathy?
See More
Ambulatory Phlebectomy -8 answers
I'm 25 and have had varicose veins since I was 17. I have started to get more noticeable varicose veins with more discomfort. I used to be a runner, but now I fatigue quite easily. What options could I look at to help me minimize them or get rid of them?
See More
Ambulatory Phlebectomy -6 answers
I had ambulatory phlebectomy 7 weeks ago to remove some veins under my foot. I have a small pea-sized hard lump under one scar. It doesn't seem to hurt. Is this something to be concerned about? I will have a follow-up with my doctor next month.
See More
Get answers from our experienced doctors.
How it works
Ambulatory Phlebectomy -14 answers
I underwent ambulatory phlebectomy for my right leg. No visible veins on left. I'm always standing at work (8-12 hrs).
See More
Ambulatory Phlebectomy -3 answers
I have some hyper pigmentation on one of my legs after having ambulatory phlebectomy and endovenous laser ablation. What topical treatment can I use to help fade this hyperpigmentation? Or should I just give it time to fade?
See More
Ambulatory Phlebectomy -5 answers
I experienced severe bruising and intense pain 8 days after ambulatory phlebectomy and EVLT. I could not even touch the area from my right groin all the way down to my knee. I followed all of the doctor's orders given post-op. Upon a recheck yesterday, no infection was found, but during the ultrasound the pain upon the docs pressing the area was excruciating and I felt a burning sensation go all the way up leg. What's going on? Could I have a hematoma?
See More
Ambulatory Phlebectomy -5 answers
I had an ablation and microphlebectomy done on my right leg Friday. I put compression hose on Sunday. I still have swelling in my foot. The swelling is where the ace wrap stopped about an inch from my toes. I've been walking as much as possible and elevating it when I sit. Is that normal?
See More
Ambulatory Phlebectomy -4 answers
I had a surgery to remove varicose veins in my thigh and now two months later, I feel a pain in my calf and I see a lump. It hurts so much. Is this normal? What should I do?
See More
Ambulatory Phlebectomy -8 answers
Over the past 3 years I was diagnosed with insufficient circulation due to weakened veins. The doctors told me there was no medicine and that the only alternatives are compression stockings or an ambulatory phlebectomy. Is an ambulatory phlebectomy necessary or would compression stockings work just as well?
See More
Ambulatory Phlebectomy -6 answers
The first night I slept with my leg wrapped with bandage. The next day I took them off and I have been wearing compression stockings, but I'm not sure if I have to sleep with them. It is a little uncomfortable to sleep with them.
See More
Ambulatory Phlebectomy -4 answers
My Dr discussed EVLA and Sclerotherapy. Now, my paperwork mentions EVLA, Deep Sclerotherapy, and Phlebectomy are approved by insurance. I was told that this is just a back up procedure, but I am uncomfortable with the seemly casual addition of taking out veins.
See More
Ambulatory Phlebectomy -4 answers
I have type 2 diabetes that is not well controlled (hba1c is 11). I'm having radiofrequency ablation & a stab phlebectomy. I'm concerned about anesthesia and wound healing. What are the risks based on my condition?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR