Post-Procedure Instructions: Endovenous Laser Ablation (EVLA)
- Keep support hose and Comprilan bandage on for the first 72 hours continuously. After that please wear the stockings and Comprilan bandage from the first thing in the morning (ideally, take a quick 5 min shower and then put them on before doing the rest of your morning ritual), until bedtime at night for ten days. If bleeding occurs from the puncture site, apply pressure for five minutes. Remove the gauze on your leg 48 or 72 hours following the procedure.
- You can resume day to day activities today (excluding exercise). You can resume exercising in two days (no weights, sit-ups or pushups for 3 weeks after the procedure). We strongly encourage walking atleast 30 minutes per day from the day of the procedure. You can shower after 72 hours but no hot baths, hot tub, jacuzzi or sauna for 2 weeks after the procedure.
- Please continue to take 5 pellets of Arnica™, 3 times per day for 11 days after the procedure to reduce pain, swelling and bruising. Allow the pellets to dissolve in your mouth. To prevent skin pigmentation follow this skin care protocol, 72 hours after the EVLA procedure for four weeks. Apply Creamy Cleanser for sensitive skin twice per day to site of EVLA and rinse off. Apply Complex Cu3 Intensive Tissue Repair Crème 3-5 times per day, to treated areas. If itchy then apply greater than five times per day. If any irritation occurs discontinue use and call office. Drink plenty of non-alcoholic beverages to avoid dehydration.
- Bruising, local swelling, some tenderness, tightness and pain are normal along the inner thigh or behind the calf after treatment, but please feel free to call the office if you have any questions. Bruising may occur the same or following day. In most cases it will be gone after 2 weeks but could remain longer. You may develop “lumpy” areas in your groin which are tender and part of the normal healing process. Applying a gel pack (part of EVLA kit) three times daily and Arnica Gel™ twice per day for two weeks helps reduce the bruising. Redness and swelling around the point of entry along with tenderness may also remain longer than 2 weeks. If you have pain and leg swelling involving the entire leg or calf, please call our office immediately.
- To Prevent Pain & Bruising
- Elevate your leg and please apply gel pack three times daily to the bruised, painful area.
- Please purchase generic Ibuprofen tablets (not Advil™) and take 600 mg three times daily orally for five days after the procedure date. If you have an allergy to Ibuprofen, please call our office. Ibuprofen may be purchased at any pharmacy.
- If you have severe pain, unresponsive to the above measures: Please take one to two Percocet tablets every six hours (as per your prescription). Do not take Percocet within 8 hours of the procedure .
Endovenous laser ablation (EVLA) is also known as endovenous laser treatment (EVLT). The two terms are interchangeable and refer to the same treatment.
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