Is it normal to still have warmth in my varicose and spider veins 5 years after radiofrequency ablation?

I had RFA about 5 yrs ago. At times, I notice warmth in the varicose and spider veins in that leg. I had a Doppler in June that was negative and for a while, it seemed improved. When I sit with my legs elevated or when I get up in the morning, the veins are cool to touch. This is only when standing or walking. I have no redness or swelling. I do have pain in my veins at times. My PCP said that the warmth is probably because of the ablation and the blood being closer to the surface.

Answers from doctors (2)


More About Doctor Physicians Vein Clinics

Published on Sep 19, 2019

I believe that you should be re-evaluated if you still have varicose veins that are visible. It is not uncommon to feel warmth over larger varicose veins. I would assume that you are still experiencing symptoms such as pain, aching, heaviness, fatigue, swelling, restlessness or muscle cramps.

I would recommend that you follow up with a physician that specializes in the treatment of veins.

Answered by Physicians Vein Clinics (View Profile)

I believe that you should be re-evaluated if you still have varicose veins that are visible. It is not uncommon to feel warmth over larger varicose veins. I would assume that you are still experiencing symptoms such as pain, aching, heaviness, fatigue, swelling, restlessness or muscle cramps.

I would recommend that you follow up with a physician that specializes in the treatment of veins.

Published on Jul 11, 2012


Center for Advanced Vein Care

Published on Sep 19, 2018

If the RFA was 5 years ago, the warmth has nothing to do with the ablation. Your symptoms (warmth and pain) are symptoms of inflammation, among other things. If you have bulging varicose veins or spider veins, you still have problems with your veins and the symptoms are likely to progress over time.

Veins essentially carry the 'trash' of metabolism. In varicose veins (including bulging veins and spider veins), the flow of the blood is not occurring properly and the 'trash' is building up within the vein, which leads to inflammation. This is why those symptoms are worse later in the day or if something is happening that 'provoke' the vein like prolonged sitting, standing, after exercise or even menstrual cycles.

You can help yourself a little with these symptoms by wearing properly fitted compression socks or stockings and by keeping your calf muscle strong. Both help prevent that trash-containing blood from 'sitting' in the vein.

Ultimately, if they continue to bother you or worsen, you should look for treatment. If you are not getting the explanation you need for what is going on at that point, consider looking for a second opinion.

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Answered by Center for Advanced Vein Care

If the RFA was 5 years ago, the warmth has nothing to do with the ablation. Your symptoms (warmth and pain) are symptoms of inflammation, among other things. If you have bulging varicose veins or spider veins, you still have problems with your veins and the symptoms are likely to progress over time.

Veins essentially carry the 'trash' of metabolism. In varicose veins (including bulging veins and spider veins), the flow of the blood is not occurring properly and the 'trash' is building up within the vein, which leads to inflammation. This is why those symptoms are worse later in the day or if something is happening that 'provoke' the vein like prolonged sitting, standing, after exercise or even menstrual cycles.

You can help yourself a little with these symptoms by wearing properly fitted compression socks or stockings and by keeping your calf muscle strong. Both help prevent that trash-containing blood from 'sitting' in the vein.

Ultimately, if they continue to bother you or worsen, you should look for treatment. If you are not getting the explanation you need for what is going on at that point, consider looking for a second opinion.

Published on Jul 11, 2012


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