Endovenous Thermal Ablation This procedure treats a long segment of refluxed vein. In this procedure, a long tube is inserted into the vein, and laser or radio frequency energy is applied to the numbed leg to correct the reflux. Conveniently, this two hour procedure can be done in-office. Relaxation and anti-inflammatory medications are give before draping the leg in a sterile cloth. A catheter is inserted to cover the wire that receives the energy to make it more comfortable. The heat from the ablation device thermally injures the lining of the diseased vein, and the vein closes permanently. After treatment, steristrips cover the insertion point, while a compression stocking keeps your leg healing properly for 48 hours. The compression stocking must be worn until the 7-day follow up. You can resume most daily activities immediately. It is normal to feel some pain during the procedure and see bruising along the entire treatment area, which can last for up to two weeks. Acetaminophen and ibuprofen will help you deal with the pain. While uncommon, some risks associated with Thermal Ablation include: Infection, bleeding, deep and superficial thrombosis, numbness, blistering, or skin discoloration. Risks are minimized and managed by using a sterile environment. DVT and numbness usually goes away in up to six months. In a very small amount of cases, numbness in the calf can be permanent.

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