I had endovenous laser treatment (evlt) done on my legs 3 yrs ago and the pain is back. What would cause it?

Recurrent Pain. It could be that the treatment failed and that the vein that was treated is "open" again. Possible that another vein in your leg failed. Possible that a totally different issue, not vein related, is causing your current symptoms. I would suggest you get a follow-up ultrasound by a vein specialist to see if the condition is related to a recurrent vein problem and then go from there.
Recurrence. Unfortunately, varicose veins are never cured and no treatment can ever guarantee that you will never have any more vein trouble as long as you live. Recurrence is expected with time. The best we can do is keep them under control with periodic check ups and treatment when indicated. See your vein specialist. A venous ultrasound will identify the problem and guide the necessary treatment.

Related Questions

I had endovenous laser treatment (evlt) complications. Who do I see?

The one who treated. Complications of any procedure are always difficult. They are hard on the patient and, believe it or not, they are also hard on the treating physician. I suggest that you return to the physician who performed the procedure and let him or her know about what has happened. Except for you, there is no one else in the world who is more interested in seeing things resolve than the treating doctor. Read more...
EVLT Complications. Depends on who did the treatment & what the complication was. If a vascular surgeons performed your treatment, then they should be able to deal effectively with any complication. Blood clot or vein damage complications are typically best treated by a vascular surgeon, and there is a chance you may need catheter thrombolysis to dissolve the clot. Treat the complication as soon as possible. Read more...

What to do if I had endovenous laser treatment (evlt) complications?

EVLT Complications. You will need to elaborate on what the complication was. The most common complication is some slight numbness of the skin at the treated area & this usually resolves on its own. If you has a more severe complication, such as a blood clot, then it may require treatment with blood thinner medication, prolonged compression therapy, and f/u ultrasound imaging. See a local vascular surgeon to discuss. Read more...
Complications differ. Following EVLT different types of complications can occur. The most significant would be the development of DVT, but fortunately, this is a very rare complication. The most common complaints (which are not necessarily complications) that I see are bruising, swelling, "lumps" from the microphlebectomy areas, redness along the laser site and occasionally numbness . See a vein specialist if worried. Read more...

What are the complications of endovenous laser treatment (evlt)?

Few and mild. The most common complications are mild, localized tenderness, discomfort and bruising for a few days over the treated vein. Generally compression stockings and anti-inflammatory medicine keep this to a minimum. If the treated vein was very superficial, sometimes a slight skin discoloration over the vein can occur. Dvts are very uncommon and happen in <1% of cases. Skin burns even less. Read more...
Endovenous laser. Complication chances are minimal. There a 1% risk of blood clot. There is a small chance of skin numbness as a results of thermal injury to nerves. Small chance of skin pigmentation / discoloration at treatment sites, but this usually resolves. Small chance of vein damage or bleeding. Have a board-certified vein specialist perform your procedure (preferrably a vascular surgeon). Read more...