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Endo Venous Laser Therapy (EVLT)

Endovenous laser treatment is a quick, painless and minimally invasive laser treatment that helps remove varicose veins from different parts of the body such as arms and legs. These veins appear due to hypertension in the limbs or vein disease.

If left untreated the veins can cause complications and lead to other health problems such as pain, itching, burning and fatigue. In extreme cases, the patient feels throbbing sensation and restlessness.

How EVLT Works

The goal of EVLT is to eliminate varicose veins, reduce symptoms and minimize the risk of problems developing from vein hypertension. It is a relatively new, non-surgical treatment method that has proven effective for the cosmetic and medical treatment of swollen veins.

The technique has been in use since 2005 and hundreds of thousands of people have benefitted from it around the world. It is considered the best for elimination of venous complications and large varicose veins.

The method involves insertion of a very thin and precise laser fiber into the diseased veins under ultrasound guidance. This is followed by an application of laser energy through the fiber to heat up and close the problematic vein through a process called vein closure.

The other vein fibers nearby take over the function of blood supply. The burned off vein cells are absorbed into the blood and removed from the body.

A patient may require more than one treatment depending on the severity of the problem. A single procedure takes about 15 – 20 minutes and can be completed without interrupting the patient’s daily routine. A patient can return to work the same day. However, they should avoid lifting heavy equipment or putting stress on the treated muscles.

Advancements in Vein Therapy

Treatment for varicose veins has made significant advancement over the past decade. Better laser technology and digital enhancement has improved the efficacy rate and recovery time for patients. The laser treatment has also become much less invasive and free from pain.

The procedure has also become much cheaper than it used to be.

Improvements in Vein Therapy at a Glance

•  Surgical Procedure
•  Required Hospitalization
•  General Anesthesia Applied During Procedure
•  Scarring Was Common
•  A Painful Procedure
•  Treatment Was Only Suitable Within An Age Bracket
•  Recovery Time Of 3 To 6 Weeks

•  Endo Venous Laser Therapy
•  Can Be Performed As A Clinic Procedure
•  Local Anesthesia Is Applied
•  Minimal Or No Scarring
•  Little To No Pain
•  Treatment Can Be Used By Anyone Of Any Age
•  Recovery Made In Hours


EVLT Procedure

The entire procedure for vein reduction takes less than 30 minutes to complete. The treatment begins with an ultrasound scan of the veins that are to be treated. The scan helps the doctor map out the size, width and depth of the malformed veins. This information is used to pinpoint the precise place to make an incisions and how to apply the laser heat.

The veins to be treated are marked with a pen. The patient lies down on the couch on their back or front, depending on the veins that are to be treated.

The doctor injects a small amount of local anesthetic to the area that needs to be treated. A needle is inserted into the vein and a wire is passed through the needle and up into the vein. The doctor removes the needle and places a catheter tube over the wire, guiding it to the correct spot. The wire is removed at this stage, leaving the tube opening into the vein.

A laser fiber is then passed up the catheter so that its tip lies at the spot that needs to be heated. A large amount of local anesthetic is then injected around the vein in preparation for the laser.

The laser is fired up and guided precisely to the abnormal growth in the vein. The laser is applied to the vein for about five minutes to heat up and burn the excessive cells. The patient may smell slight burning but won’t feel any pain. Once the desired growth in vein cells has been burned, the laser fiber and catheter are removed. The needle puncture in the skin is covered up with a small dressing.

In majority cases, the treatment does not take more than 20-30 minutes for each limb. 

Advantage of EVLT

Blood flow is taken over by the healthy cells once the overgrown or blocked veins are burned and removed from the body. EVLT offers the following advantages to patients.


The procedure is considered completely safe and reliable. It was approved by the FDA in 2002 and has been used by hundreds of thousands of people with little to no side effects.


It is a non-surgical procedure where there is no need for cutting open a large area to get the required treatment. It does not require general anesthesia and has minimal risk of post-operation infections or scarring.


The procedure takes about 20 minutes to complete. You can get it done without advance preparation. No hospitalization is required and you can get back to work the same day.


The costs of EVLT have come down significantly over the past decade. Studies show that it has a 98% success ratio. As vein disease can be a fatal disease, the costs are currently covered by Medicare and insurance providers.