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Is endovenous laser ablation painful?

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Is endovenous laser ablation painful? Endovenous laser ablation is an office procedure with minimal discomfort. Unlike previous techniques that were painful, endovenous laser ablation are done under local anesthesia. A small area of the skin overlying the vein is anesthetized with xylocaine, and then a small catheter is passed in the vein to the groin. Once the catheter is in place, we inject fluid around the vein to allow the vein to collapse on to the catheter. Once that is finished, there is no more pain associated with the procedure. The catheter is slowly withdrawn and the vein is collapsed on itself from the laser treatment.

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