In what cases is endovenous laser ablation recommended? I have no bulging veins but my doctor recommended it.

I have no bulging veins but the doctor still recommends ELA as a preventative measure. In what cases can it be recommended?

Answers from doctors (3)


More About Doctor Premier Medical Groups

Published on Apr 19, 2019

Bulging veins are only one sign for underlying venous insufficiency. Other more common signs are:

>restless legs
>leathery, brownish skin around the inner ankle
>night cramping
> itchiness
>burning sensation

If you do have a vein insufficiency, it can progress to venous ulcers due to the diminished venous return. By having only healthy veins, the risk to develop a nonhealing wound is markedly decreased!

Hope that helps!

Timo Quickert, MD

Answered by Premier Medical Groups (View Profile)

Bulging veins are only one sign for underlying venous insufficiency. Other more common signs are:

>restless legs
>leathery, brownish skin around the inner ankle
>night cramping
> itchiness
>burning sensation

If you do have a vein insufficiency, it can progress to venous ulcers due to the diminished venous return. By having only healthy veins, the risk to develop a nonhealing wound is markedly decreased!

Hope that helps!

Timo Quickert, MD

Published on Jul 11, 2012


The Vein & Aesthetic Center of Boston

Published on Feb 16, 2018

The ELA procedure is done on the great and small saphenous veins when there is reflux (the valves are not working). A patient can have reflux in one of these truncal veins and not have any visible varicose veins. Most times insurance will cover this procedure only when the patient's symptoms are affecting their daily life activities. Some patients with minimal symptoms will have the ELA procedure if they want spider veins treated that are adjacent to the refluxing vein.

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Answered by The Vein & Aesthetic Center of Boston

The ELA procedure is done on the great and small saphenous veins when there is reflux (the valves are not working). A patient can have reflux in one of these truncal veins and not have any visible varicose veins. Most times insurance will cover this procedure only when the patient's symptoms are affecting their daily life activities. Some patients with minimal symptoms will have the ELA procedure if they want spider veins treated that are adjacent to the refluxing vein.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Feb 14, 2018

A closure procedure is not a preventative measure. This procedure should be done for symptomatic venous insufficiency and refluxing valves of the veins contributing to the insufficiency. Just because you have visible veins is not an indication to do the procedure. Go over the reasons to do this procedure with your treating physician or get another opinion.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

A closure procedure is not a preventative measure. This procedure should be done for symptomatic venous insufficiency and refluxing valves of the veins contributing to the insufficiency. Just because you have visible veins is not an indication to do the procedure. Go over the reasons to do this procedure with your treating physician or get another opinion.

Published on Jul 11, 2012


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