Is the endovenous ablation a good alternative to correct poor circulation in the legs after having a DVT?

I am on Coumadin and since I had the DVT in June 09, my quality of life has diminished. If I sit down for an hour and intend to stand u I look like very old lady. It is painful and so tired of my legs and feet, the heel hurts very much.

ANSWERS FROM DOCTORS (9)


Answered by Vanish Vein and Laser Center

EVLT is a treatment for venous insufficiency secondary to saphenous vein reflux. It is not a treatment for DVT. Compression stockings may help. You should be evaluated by a vascular surgeon as you may have other reasons for your symptoms.

Published on Mar 25, 2011

Answered by Vanish Vein and Laser Center (View Profile)

EVLT is a treatment for venous insufficiency secondary to saphenous vein reflux. It is not a treatment for DVT. Compression stockings may help. You should be evaluated by a vascular surgeon as you may have other reasons for your symptoms.

Published on Jul 11, 2012


Answered by Susan B Fox, D.O. RPVI, FSVM

NO!!!! You need to see avascular specialist.
you should be in compression hose and elevate the legs at night. You probably have post-phlebitic syndrome.

Published on Mar 22, 2011

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/777_1499907016.jpg
Answered by Susan B Fox, D.O. RPVI, FSVM

NO!!!! You need to see avascular specialist.
you should be in compression hose and elevate the legs at night. You probably have post-phlebitic syndrome.

Published on Jul 11, 2012


Answered by Angelo N. Makris MD

No, this is not a treatment for venous insufficiency of the deep venous system.

Published on Mar 17, 2011

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/977_1408044083.jpg
Answered by Angelo N. Makris MD

No, this is not a treatment for venous insufficiency of the deep venous system.

Published on Jul 11, 2012


Answered by Heart and Vein Center

I am sorry to hear you have so much limitation after your DVT. EVLT is used for the treatment of venous insufficiency on the superficial system. However, it is quite possible you still have some degree of obstruction on the deep ssytem. In this case you still need your superficial veins and therefore the ablation might be contraindicated.
You need to wear compression stockings daily. Take Coumadin every day. You should have a full examination including a Venous Doppler done by a Vein specialist before considering any further treatment.
Dr Farhy

Published on Mar 14, 2011

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/923_1408044082.jpg
Answered by Heart and Vein Center

I am sorry to hear you have so much limitation after your DVT. EVLT is used for the treatment of venous insufficiency on the superficial system. However, it is quite possible you still have some degree of obstruction on the deep ssytem. In this case you still need your superficial veins and therefore the ablation might be contraindicated.
You need to wear compression stockings daily. Take Coumadin every day. You should have a full examination including a Venous Doppler done by a Vein specialist before considering any further treatment.
Dr Farhy

Published on Jul 11, 2012


Answered by Atlanta Access Care Vascular and Interventional Specialists

In general, endovascular laser would not be helpful. Pain after DVT is usually do to obstruction from organized thrombus in the deep veins, or to damaged valves in the deep veins, leading to reflux.

Published on Mar 12, 2011

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1030_1408044085.jpg
Answered by Atlanta Access Care Vascular and Interventional Specialists

In general, endovascular laser would not be helpful. Pain after DVT is usually do to obstruction from organized thrombus in the deep veins, or to damaged valves in the deep veins, leading to reflux.

Published on Jul 11, 2012


Answered by VeinCare Centers of Tennessee

The question is whether your symptoms are due to venous insufficiency or due to obstruction of veins by the effects of the deep vein thrombosis or both. You need to see a physician experienced with management of both problems and you need a veery detailed colr duplex ultrasound study of your legs looking for reflux and obstruction. The study must define in detail where the problems are located. Also, some pateints who have leg pain or swelling after DVT have an obstruction of the veins in the pelvis. You need to see someone who can get a thorough evaluation of these issues for you.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

Published on Mar 12, 2011

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/755_1499906765.jpg
Answered by VeinCare Centers of Tennessee

The question is whether your symptoms are due to venous insufficiency or due to obstruction of veins by the effects of the deep vein thrombosis or both. You need to see a physician experienced with management of both problems and you need a veery detailed colr duplex ultrasound study of your legs looking for reflux and obstruction. The study must define in detail where the problems are located. Also, some pateints who have leg pain or swelling after DVT have an obstruction of the veins in the pelvis. You need to see someone who can get a thorough evaluation of these issues for you.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

Published on Jul 11, 2012


Answered by Vein Specialties of St. Louis

You should only be evaluated by an experienced surgeon. It is important to know the state of your deep veins by ultrasound examination both laying down and standing.
You should be wearing compression hose every day from early morning of at least 30 - 40mmHg compression. You should be measured early morning or fitted to the unaffected leg to ensure the correct fit.
Endovenous ablation is only for superficial venous reflux and only in the presence of a healthy deep system.
Post-Thrombotic Syndrome (PTS) can occur in people who have suffered from DVT. Compression is the best treatment at your stage and staying on Coumadin if your physican prescribes it.
If the blood clots extended above the knee, you should be in thigh length. If your symptoms are as severe as they sound, an evaluation by an experience vascular surgeon is advised.

Published on Mar 11, 2011

Answered by Vein Specialties of St. Louis (View Profile)

You should only be evaluated by an experienced surgeon. It is important to know the state of your deep veins by ultrasound examination both laying down and standing.
You should be wearing compression hose every day from early morning of at least 30 - 40mmHg compression. You should be measured early morning or fitted to the unaffected leg to ensure the correct fit.
Endovenous ablation is only for superficial venous reflux and only in the presence of a healthy deep system.
Post-Thrombotic Syndrome (PTS) can occur in people who have suffered from DVT. Compression is the best treatment at your stage and staying on Coumadin if your physican prescribes it.
If the blood clots extended above the knee, you should be in thigh length. If your symptoms are as severe as they sound, an evaluation by an experience vascular surgeon is advised.

Published on Jul 11, 2012


Answered by General Vascular Surgery Group

Probably not different cause to these symptoms generally. See you provider.

Published on Mar 11, 2011

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/922_1408044082.jpg
Answered by General Vascular Surgery Group

Probably not different cause to these symptoms generally. See you provider.

Published on Jul 11, 2012


Answered by Bailey Vein Institute

This is impossible to answer without knowing your ultrasound findings.

Colin E. Bailey, MD, FACS

Published on Mar 11, 2011

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1215_1412366796.jpg
Answered by Bailey Vein Institute

This is impossible to answer without knowing your ultrasound findings.

Colin E. Bailey, MD, FACS

Published on Jul 11, 2012


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation -10 answers
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
See More
Endovenous Laser Ablation -8 answers
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?
See More
Endovenous Laser Ablation -9 answers
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation -10 answers
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
See More
Endovenous Laser Ablation -8 answers
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?
See More
Endovenous Laser Ablation -11 answers
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?
See More
Endovenous Laser Ablation -10 answers
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
See More
Endovenous Laser Ablation -6 answers
Or does the treatment permanently remove them?
See More
Endovenous Laser Ablation -5 answers
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
See More
Endovenous Laser Ablation -6 answers
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
See More
Endovenous Laser Ablation -6 answers
I had endovenous laser treatment and sclerotherapy performed on both the greater and lessor saphenous veins of my legs. It was done on the same day. After a couple of weeks I started feeling numbness and tingling in my legs, mostly below the knee and through my feet. Will the feelings ever go away?
See More
Endovenous Laser Ablation -13 answers
I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.
See More
Endovenous Laser Ablation -9 answers
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?
See More
Endovenous Laser Ablation -7 answers
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
See More
Endovenous Laser Ablation -4 answers
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
See More
Endovenous Laser Ablation -12 answers
Does this procedure hurt?
See More
Endovenous Laser Ablation -5 answers
What are the side effects of drinking alcohol after my evla?
See More
Endovenous Laser Ablation -6 answers
I've heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?
See More
Have specific questions?
ASK A DOCTOR

Suggested Doctors

Sorry, there are no matching doctors in your area
Please choose a different location

,

,

See more Suggested Doctors

Related Articles