The 12 Most Commonly Asked Questions About EVLA (Endovenous Laser Ablation Treatment)


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Get answers to 12 commonly asked questions about Endovenous Laser Ablation Treatment (EVLA) for varicose veins.

If you’re suffering from any form of vein problems, you’ve likely been doing some research of your own or discussing it with others to uncover some information about the various options for treatment, especially when it comes to Endovenous Laser Ablation Treatment (EVLA). And, you likely found that you are thankful you live in the modern world.

With the technological advancements happening, now is a better time than any to be suffering from vein issues, as the treatment options of today are more safe, easy, and pain-free than they’ve ever been.

Whether you’ve heard of EVLA or not, you likely have some questions surrounding it. And, you are not alone. In fact, there are quite a number of questions about EVLA, but we have picked the top 12 questions, and their corresponding answers to share with you today. So, let’s dive in.

Top 12 Questions Asked About EVLA

1. What is EVLA?

EVLA is short for Endovenous Laser Ablation Treatment. It is a medical procedure that is proven safe and works to not only treat the symptoms associated with varicose veins but the underlying conditions that cause the vein problems in the first place.

2. How do I know if EVLA is right for me?

If you find yourself dealing with painful varicose veins, cramping in your legs, swelling, or restless legs, chances are good EVLA is right for you. EVLA focuses on veins that are larger and deeper in your legs — the smaller, more surface once are better suited for sclerotherapy. Your vascular specialist will be sure to come up with a treatment plan that caters to your specific needs, not a generalized one-size-fits-all plan.

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3. How is EVLA performed?

Endovenous Laser Therapy is an outpatient procedure that is quite quick and painless. During the procedure, the doctor inserts a small optic fiber into the problem vein(s). Via that optic fiber, laser light is delivered in order to heat and, thus, collapse the unhealthy veins.

4. Is EVLA painful?

This may vary from person to person depending upon your personal level of pain tolerance, but, across the board, most patients report little to no pain when undergoing EVLA. The only time patients feel any pain is when the local anesthesia is delivered. For about a month post-procedure, there may be some itching and tenderness in the leg, but no pain.

5. What is the best way to prepare for EVLA?

You can still eat and take any medication prior to the procedure. Simply show up to your appointment, check-in, and local anesthesia will get you through the rest.

6. How long does it take to recover from EVLA?

This is one of the best parts about Endovenous Laser Ablation Treatment — it is an outpatient procedure that takes less than an hour and requires no hospitalization. Most patients do not experience high levels of discomfort post-treatment, and you should be on your feet and ready to take on your normal daily tasks in just a few hours.

7. Will EVLA leave me with scars and bruising?

You may have a bit of bruising after the procedure, but you can expect that to last no more than six weeks. As for scarring, no — you won’t have any scars. Because the procedure is performed via such a tiny cut in your skin, there will be no visible scar.

8. What is the success rate of EVLA?

Endovenous Laser Ablation Treatment has shown to be successful for 98% of patients the first time around. It is rare that patients will have to come back for a second treatment.

9. Is EVLA FDA-approved?

Yes, this procedure has been approved by the FDA is and considered one of the best ways to treat varicose veins.

10. What should I do post-procedure?

Though this is an outpatient procedure and a fairly minor one that does not require much downtime, there are a few things we recommend you do following the procedure.

The first of those is to stay away from running or heavy exercise of any form, as well as sitting or standing for too long during the first 48 hours after the procedure.

Second, we recommend that you wear compression stockings for two weeks to help with the healing.

Third, you may feel some slight discomfort, that can quickly be remedied simply by taking ibuprofen or a mild over-the-counter pain reliever.

11. Is EVLA covered by insurance?

Most treatments at Vein Clinics of America are covered by major insurance companies, including Medicare. However, you can discuss your specific coverage more in-depth with your vein specialist during your consultation.

12. How do I learn more about EVLA?

The best way to learn about Endovenous Laser Ablation Treatment and whether it is right for you is to visit the Vein Clinics of America vein specialist near you for a consultation. Your vein doctor will take an in-depth look at your vein problems and help you determine whether EVLA is the answer to your vein problems.

Interested in reading more about vein ablation? Explore our collection of vein ablation topics.

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Medically Reviewed by

Dr. Satish Vayuvegula
Dr. Satish Vayuvegula is the National Medical Director at Vein Clinics of America. Certified by the American Board of Venous & Lymphatic Medicine, Dr. Satish Vayuvegula is recognized as a physician who has met rigorous standards of knowledge and extensive training in phlebology, the diagnosis and treatment of varicose vein disease and related disorders. Dr. Satish also shares his passion and expertise by serving as a board member of the American Vein and Lymphatic Society, the predominant national organization for venous and lymphatic disease.

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