Q: What sensation or feeling should one expect after ELA of the saphenous vein and for how long? Three weeks ago I had endovenous laser ablation of the saphenous vein. I have a pulling sensation. Is this normal? How long with the feeling last?
A: I have used both laser and radiofrequency to ablate the greater saphenous vein. That pulling sensation is occasionally seen with both laser and radiofrequency, but I see it MUCH more frequently with laser. It typically starts about 4 or 5 days after the ablation and may last several days but typically gets better slowly. However, 3 weeks is longer than most I have seen. Exercise such as walking typically helps with it and it typically resolves over a few weeks. Has your doctor ruled out a clot with an ultrasound? Is it less intense than 2 weeks ago?