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I had vein ablation done because I went to a

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Posted on Sun, 10 Mar 2019
Question: I had vein ablation done because I went to a vein clinic with a swollen ankle & the doctor said I had reflux in two deep veins. He said he would do an ablation of the veins. The swelling got worse & spread to the front of my foot.
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Answered by Dr. Erion Spaho (4 hours later)
Brief Answer:
It needs some time to improve.

Detailed Answer:
Hello and welcome to "Ask a Doctor " service.

I have read your query and here is my advice.

I think that it needs some time ( few days ) for the venous blood circulation to restore after vein ablation.

In mean time, rest is necessary and the leg should be maintained above the body ( heart ) level using cushions for example as you lay down, in order to improve the blood circulation.

Compression stockings also may be used to improve the swelling.

If the swelling persists more than one week or gets worse a reevaluation from your Doctor is necessary in order to evaluate correctly any possible complication after the ablation.

Hope you found the answer helpful.

Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Erion Spaho (7 hours later)
Apologies as the rest of my message didn't go through. Here it is: The ablation procedure was done 7 months ago by a vein specialist who said I had reflux and that was the cause of the swelling in my ankle. Now the front part of my foot is swollen too and it never was before. I saw a vascular surgeon who said I should not have had it done as he thinks my other veins are compromised with scar tissue from hip replacement surgery 6 years ago. He thinks I also have lymphedema and that was what was causing the swelling in the first place and now it's been made worse with the vein ablation. He said I should have been cleared by a vascular doctor first before having the ablation done. I paid $5000 out of pocket for the ablation. Is this a case of malpractice?
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Answered by Dr. Erion Spaho (17 hours later)
Brief Answer:
Explained below.

Detailed Answer:
Hello again.

Cases of medical malpractice are evaluated by forensic medicine specialists.

In my opinion, in your case, it is difficult to say if there was malpractice or not since all medical invasive procedures have the possibility of a certain percentage to fail or to deteriorate the condition.

In the other hand, extended examination by tests also should have been done in order to minimize the failure of the procedure.

Hope I helped you.

Feel free to discuss with me if you have further questions.


Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3897 Questions

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I had vein ablation done because I went to a

Brief Answer: It needs some time to improve. Detailed Answer: Hello and welcome to "Ask a Doctor " service. I have read your query and here is my advice. I think that it needs some time ( few days ) for the venous blood circulation to restore after vein ablation. In mean time, rest is necessary and the leg should be maintained above the body ( heart ) level using cushions for example as you lay down, in order to improve the blood circulation. Compression stockings also may be used to improve the swelling. If the swelling persists more than one week or gets worse a reevaluation from your Doctor is necessary in order to evaluate correctly any possible complication after the ablation. Hope you found the answer helpful. Let me know if I can assist you further.