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 routine), until bedtime at night for another ten days. If bleeding occurs from the puncture site, apply pressure for five minutes. Remove the gauze dressing on your leg 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 2 weeks after the procedure). We strongly encourage walking at least 30 minutes per day from the day of the procedure for two weeks. You can shower after 72 hours but no hot baths, hot tub, jacuzzi or sauna for 2 weeks after the procedure .
- Bruising, localized 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 or concerns. 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, tenderness and swelling around the point of entry may 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 & Persistent Discolouration
- Please continue to take 5 pellets of Arnica™, 3 times per day and one 500mg Bromelain tablet twice per day for 11 days after the procedure to reduce pain, swelling and bruising. Also, Drink atleast 2 liters of water per day to promote healing, reduce bruising and prevent discolouration.
- Elevate your leg on a couch or stool and please apply gel pack three times daily, 10 minutes at a time to the bruised and painful areas. After each application of the gel pack apply Arnica Gel™ to the bruised areas.
- Please purchase generic Ibuprofen tablets (not Advil™) and take 600 mg three times daily orally for seven days after the procedure date. Ibuprofen may be purchased at any pharmacy.
- It is preferable to avoid sun exposure after the procedure. It is mandatory to apply a strong sunblock SPF 40 to 50 (available here) at sites of bruising or discolouration if there is any sun exposure.
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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