Varicose veins sometimes get swollen, and twisted veins usually appear on the legs and can cause discomfort. If you are experiencing varicose veins, there is a modern treatment option called Endovenous Laser Treatment, EVLT. It is a reliable treatment that helps soothe veins and easily allow blood to flow. In this post, we will go through what EVLT is, how it works, its benefits, risks, and the recovery process of the treatment.
What is Endovenous Laser Treatment?
How do you define the EVLT? The definition of Endovenous laser treatment is a minimally invasive procedure that makes use of catheters, lasers, and ultrasound to treat varicose veins. The procedure is performed most often on veins that are still relatively straight and untwisted. It begins with an interventional radiologist, when the surgeon inserts a catheter into the varicose vein.
The doctor guides the catheter through the vein, using ultrasound to see inside the patient. The laser at the end of the catheter heats the vein’s walls, stopping blood from flowing through it. The entire procedure focuses on identifying the indications of varicose veins, considering factors such as family history, and reviewing any potential complications in the vein.
What is the Procedure of Endovenous Laser Treatment (EVLT)?
Initially, the doctor will start by giving local anesthesia to numb the area around the affected vein, and then you will also get some mild sedative medication. It will help you to stay relaxed and comfortable during the entire procedure. Anesthesia plays a vital role in reducing the pain, and the patient will not feel discomfort during the surgery.
Ultrasound Guidance and Incision
The doctor will use an ultrasound device to locate the problematic vein. Later, a small incision will be made below the knee or near the ankle. Then, the doctor inserts a thin tube known as a catheter to target the vein, and through this, a laser fiber is guided.
Vein Sealing
This fiber delivers laser energy, which generates heat to close off the vein permanently. Later, the doctor will give you a numbing fluid placed around the vein to protect the surrounding tissue and ensure comfort.
Post-procedure Care
Once your vein is sealed, the doctor will remove the catheter and laser. The incision site is then cleaned and covered with a small bandage. The procedure usually takes about one hour, and the laser portion lasts only 3 to 5 minutes. It is done outpatient, so patients can return home the same day.
Benefits of Endovenous Laser Treatment
There are various treatments for varicose veins, such as vein stripping and EVLT. It indicates a more straightforward option for many patients. Let’s understand the benefits of Endovenous Laser Treatment, EVLT
It Is Less Invasive
Endovenous Laser Treatment, EVLT, is a minimally invasive procedure used to treat varicose veins. It does not require large incisions. A tiny laser fiber is inserted into the affected vein through a small puncture. It is guided by ultrasound to ensure accuracy.
Quick and Easy Recovery
One of the best things about the treatment is that the patient can recover fast, and there are no major surgical wounds. Majorly, patients can walk immediately after the procedure and return home the same day. Usually, a patient can start their daily activities within 24 to 48 hours, and the symptoms will go away within a few days.
Less Pain and Discomfort
As EVLT is minimally invasive and done under local anesthesia, several patients report very little pain during or after the procedure. You might feel a slight prick when the needle is inserted, and it is typically very manageable. After the treatment, you will feel mild discomfort, which can be relieved with OTC pain relievers.
High Success Rate
The treatment has a proven track record of success, and many clinical studies show that almost 90% of treated veins remain sealed and closed over time. Once the damaged vein is shut, the blood eventually reroutes through healthier veins.
Risk of Endovenous Laser Treatment
Endovenous Laser Treatment, EVLT, is a minimally invasive procedure used to treat varicose veins and is generally safe and effective. But it does carry some potential risks, including
Pain or Discomfort
Some patients may experience mild pain and discomfort around the treated area. It is usually localized to the insertion site or along the path of the treated vein. The discomfort often feels like muscle soreness, lasting for a few days to a week. Some OTC pain relievers, including ibuprofen or acetaminophen, can help alleviate symptoms.
Swelling and Bruising
One may witness swelling due to the body’s natural response to the laser treatment, and it can extend along the treated vein. There may be some bruises that appear as dark blue or purple patches, and they are typically caused by minor bleeding under the skin. These complications are generally temporary and improve within one to two weeks.
Skin Discoloration
Skin discoloration often appears as a brownish line along the course of the treated vein, and it is due to hemosiderin. It is a pigment from broken-down red blood cells and deposits in the skin. This pigmentation is harmless, but it can be cosmetically concerning for some patients. The discolouration fades typically over several weeks to months, although in rare cases, it may become permanent.
Tightness or Pulling Sensation
Endovenous Laser Treatment, EVLT, may cause a tightness or pulling sensation. Several patients report a tight feeling in their treated leg after the procedure. It happens due to the vein closing and the surrounding tissues adjusting to the absence of blood flow through that vein. Eventually, the pain will diminish as the body adapts.
Numbness or Tingling
One may feel numbness or tingling in the treated leg, especially near the inner ankle or calf. It occurs when small sensory nerves close to the veins are temporarily irritated or damaged during the treatment. The sensation can be uncomfortable, and if the numbness does not recover, it may worsen or affect mobility.
Recovery Process of Endovenous Laser Treatment
Once the procedure is done, you will require someone to drive you home. You can ask your provider what you should do to help your body heal, and you should avoid strenuous exercise until the doctor says it’s safe to resume physical activity.
The recovery process is faster in this treatment; you should be able to recover within a few days after your treatment. However, you might need some time off from work if you have an on-site job that requires you to be highly active. You can ask the doctor when you can return to work.
During the recovery process, you will witness the symptoms of numbness, tingling, tightness, skin discoloration, swelling, bruising, and discomfort fading away. You should see your doctor if you notice any chest pain, coughing up blood, fast heart rate, feeling like something is pulling on your calf, discolored skin, swelling, or trouble breathing.
The recovery process can be different from one patient to another. However, it also depends on the patient’s health. If the patient has additional health problems, then things can take longer to recover. Thus, it is always better to inform your doctor about your health condition in advance.
Conclusion
Endovenous Laser Treatment, EVLT, is an effective, minimally invasive solution for treating varicose veins. It has a fast recovery time and a high success rate. The treatment has become a preferred choice for several patients seeking relief from the discomfort and appearance of varicose veins.
EVLT does carry some risks, including mild pain, swelling, bruising, or temporary numbness, but the side effects are manageable and short-lived. If you want more clarity on varicose veins, consult with the experts at the Cardiology and Vascular Care Center. Book an appointment today to understand your condition in detail.
FAQs
How Long Does Endovenous Laser Ablation Last?
The procedure usually takes one hour and lasts three to five minutes. It is an outpatient procedure, which means you can go home the same day. Some patients may feel slight pain or soreness after the treatment.
Is the EVLT procedure Painful?
Yes, the treatment may cause a little discomfort, but it is only mild and minimally painful. The entire treatment is performed under local anesthesia, and laser vein treatment is completed in an hour. It does not cause scarring; one can resume most activities in a few days.
Is Endovenous Laser Ablation Worth It?
Many patients who underwent endovenous laser ablation were satisfied with their results. It is a highly recommended treatment for individuals suffering from varicose veins. There are no large cuts or stitches, and it is done under local anesthesia. You can walk right after the procedure and resume normal activities in 1-2 days.
How to Sleep After Varicose Vein Surgery?
You can elevate your legs by placing pillows under your knees, and make sure your legs remain elevated at night. In addition, you can consider sleeping on your back or left side. It helps to minimize pressure on the surgical area and promote healing. Lastly, you can use pillows to prop up your legs.
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