What Is EVLT?

EVLT (Endovenous Laser Treatment) is a modern medical procedure used to treat varicose veins. Instead of traditional surgery, EVLT uses targeted laser energy to close off faulty veins, redirecting blood flow to healthier veins. Over time, the treated vein shrinks and is naturally absorbed by the body.

How Does EVLT Work?

The procedure is usually performed under local anaesthesia and takes about 20-30 minutes per vein. Here’s what typically happens:

• Ultrasound guidance is used to locate the affected vein.
• A thin fibre is inserted into the vein through a small incision.
• Laser energy is delivered to heat and collapse the vein wall.
• Blood flow is naturally rerouted to healthier veins.
• Because it’s minimally invasive, patients often walk out the same day without needing stitches.

Benefits of EVLT Treatment

EVLT has become the gold standard for treating varicose veins due to its high success rate and minimal downtime. Some key benefits include:

• Quick recovery – Most patients return to normal activities within 1–2 days.
• Minimally invasive – No large incisions, minimal scarring.
• High success rate – Studies show success rates above 95%.
• Relief of symptoms – Reduces swelling, pain, heaviness, and fatigue in the legs.
• Improved appearance – Helps eliminate the bulging, twisted appearance of varicose veins.

Who Is a Candidate for EVLT?

• EVLT is typically recommended for individuals who:
• Suffer from varicose veins or venous insufficiency.
• Experience leg pain, swelling, or heaviness.
• Have visible bulging veins.
• Want a safe, effective alternative to vein stripping surgery.
• A vein specialist will perform an ultrasound exam to confirm if EVLT is the right treatment for you.

Recovery After EVLT

• Recovery is usually fast and easy. Patients may notice:
• Mild soreness or bruising at the treatment site.
• The need to wear compression stockings for 1–2 weeks.
• Noticeable improvement in symptoms within days.
• Most people can resume normal daily activities immediately but should avoid strenuous exercise for about a week.

Potential Risks and Side Effects

• Like any medical procedure, EVLT has potential risks, though they are rare. These may include:
• Mild swelling or bruising.
• Temporary skin numbness.
• Rare cases of blood clots or infection.
• Your physician will discuss these risks and ensure you are a good candidate.

Frequently Asked Questions About EVLT

• Is EVLT painful?

Most patients experience little to no pain during EVLT. Local anesthesia is used to numb the treatment area, and you may feel mild pressure or heat. Some temporary soreness or bruising is possible afterward but usually resolves quickly.

• How long does EVLT last?

EVLT has a long-lasting success rate of over 95%. Once a vein is closed, it typically does not return. However, new varicose veins can form over time, depending on genetics and lifestyle factors.

• How soon can I return to normal activities after EVLT?

Most patients resume daily activities immediately, with full recovery in about 1–2 days. You may be advised to avoid strenuous exercise for about a week.

• Is EVLT covered by insurance?

If your varicose veins are causing medical symptoms such as pain, swelling, or skin changes, EVLT is often covered by insurance. Cosmetic-only treatments may not be covered.

• What is the difference between EVLT and sclerotherapy?

EVLT uses laser energy to treat larger varicose veins, while sclerotherapy involves injecting a solution into smaller spider veins or varicose veins. In some cases, both treatments may be combined for optimal results.

Conclusion

EVLT treatment offers a safe, effective, and minimally invasive solution for varicose veins. With high success rates, quick recovery, and long-lasting results, it’s no wonder many patients and physicians prefer EVLT over traditional surgical methods.

If you’re struggling with varicose veins, consult a vein specialist to see if Endovenous Laser Therapy is right for you.