Seven weeks after EVLT I have pain and the area where vein was is now hard and tender. Could this be from exercising, or is this just normal?

I had EVLT on my right leg 7 weeks ago and have been feeling normal for over 2 weeks now and then suddenly I have pain again and there is a hard/tender area where the vein was. It hurts to touch. Could this be from exercising (no heavy weights), or is this just normal?

Answers from doctors (7)


NE Laser Vein Institute LLC

Published on Aug 19, 2017

Severe pain is not normal please follow up with your doctor.

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Answered by NE Laser Vein Institute LLC

Severe pain is not normal please follow up with your doctor.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Aug 17, 2017

At 7 weeks this would be very unusual. Sometimes at 10 - 14 days when the deeper tissue inflammation starts to resolve, the small nerve endings in the area are "waking up" and you can have increased discomfort for a short time. Try wearing your hose, taking advil/tylenol several times during the day and perhaps low heat to the area as often as possible. This typically will speed up healing. Maybe back off a little on the exercise for a few days and gradually return to your normal routine

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Answered by Vein Specialties of St. Louis

At 7 weeks this would be very unusual. Sometimes at 10 - 14 days when the deeper tissue inflammation starts to resolve, the small nerve endings in the area are "waking up" and you can have increased discomfort for a short time. Try wearing your hose, taking advil/tylenol several times during the day and perhaps low heat to the area as often as possible. This typically will speed up healing. Maybe back off a little on the exercise for a few days and gradually return to your normal routine

Published on Jul 11, 2012


Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

Published on Aug 16, 2017

It is not 'normal' but the ablated vein and surrounding tissue inflammation can cause ongoing pain. I recommend a product called swell-x pt can help reduce inflammation and pain.

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Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

It is not 'normal' but the ablated vein and surrounding tissue inflammation can cause ongoing pain. I recommend a product called swell-x pt can help reduce inflammation and pain.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Oct 10, 2014

What your are describing appears to be the treated vein which has become hard from the laser procedure. Usually by 7 weeks the discomfort from the procedure has resolved. Since the pain has restarted you should follow up with your treating physician. This could be an area of superficial phlebitis or an area of the clotted vein which has become inflamed. Sometimes this can be drained with a needle under local anesthesia.

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Answered by Vanish Vein and Laser Center

What your are describing appears to be the treated vein which has become hard from the laser procedure. Usually by 7 weeks the discomfort from the procedure has resolved. Since the pain has restarted you should follow up with your treating physician. This could be an area of superficial phlebitis or an area of the clotted vein which has become inflamed. Sometimes this can be drained with a needle under local anesthesia.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Jun 09, 2014

Pretty normal, I would say. Take Ibuprofen for a few days and it should improve.

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Answered by Cosmetic Vein Centers of Texas

Pretty normal, I would say. Take Ibuprofen for a few days and it should improve.

Published on Jul 11, 2012


Aluna Vein Centers

Published on Jun 07, 2014

Pulling sensation after EVLT is very common. The best treatment for this is to stretch, take anti-inflammatories and wear compression stockings.

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Answered by Aluna Vein Centers

Pulling sensation after EVLT is very common. The best treatment for this is to stretch, take anti-inflammatories and wear compression stockings.

Published on Jul 11, 2012


It is common to have intermittent pulling and sometimes discomfort in the area of treatment. The hard tender area is phlebitis or inflamed area of vein. This is common after EVLT. It may be that you irritated it with exercise but I don't think you hurt anything. I would try NSAIDs like Ibuprofen for a few days and it should feel better.

Answered by HeartCare Associates Vein Center (View Profile)

It is common to have intermittent pulling and sometimes discomfort in the area of treatment. The hard tender area is phlebitis or inflamed area of vein. This is common after EVLT. It may be that you irritated it with exercise but I don't think you hurt anything. I would try NSAIDs like Ibuprofen for a few days and it should feel better.

Published on Jul 11, 2012


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