Recovering from SSV Ablation: Why You Might Feel Worse Before You Feel Better
If you’ve just had Radiofrequency Ablation (RFA) on your Small Saphenous Vein (SSV) and find yourself on day two or three feeling more discomfort than you did immediately after the procedure, you aren’t alone.
While many expect an instant "fix," the recovery timeline for the SSV is often slower and more complex than its larger counterpart, the Great Saphenous Vein (GSV). Here is a look at why your recovery might feel like a rollercoaster and what you can do to stay on track.
1. The "Branching" Effect
The SSV often has a complex branching pattern. If your anatomy includes multiple varicose veins connected to the SSV or bridging "perforator" veins, you may experience a temporary inflammatory extra response.
The Day 4–5 Peak: It is common to feel a spike in discomfort around day four or five after the procedure. As the connected varicose veins close, spasm, shrink, you may feel hard lumps or increased cramping.
The Silver Lining: This is actually a sign that the procedure is working very well. As these veins close down, it makes any follow-up treatments (like foam sclerotherapy) much more effective.
2. The Power of Compression
There is simply no shortcut for external compression. While they can be a hassle to put on, compression stockings are your best friend during recovery.
Why it works: Compression helps "unfilled" channels and untreated varicose veins collapse, making the blood re-routing process much more efficient.
The Risk of Non-Compliance: Skipping your stockings often leads to a slower recovery and may even necessitate additional procedures down the road.
3. How Long Have You Had Symptoms?
Your recovery speed is often tied to how long you’ve been suffering from chronic venous insufficiency:
Short-term (1–2 years): If you’ve only had swelling for a short time, your symptoms can often be reversed quickly and completely.
Long-term (5–10+ years): If you have developed hyperpigmentation (skin darkening) or chronic swelling over a decade, your relief will take longer—minimum six months—and the reversal of leg swelling may be less complete.
The Bottom Line: Be Patient
After SSV treatment, patience is the most important part of the prescription. It typically takes 1–2 months to feel significant relief, and it is perfectly normal to feel "worse" during the first 2–3 weeks of the healing process.
The Keys to Success:
Trust the process: The inflammation you feel now is part of the road to closure.
Wear your stockings: Don't skip a day!
Finish the plan: Complete all follow-up procedures recommended by your specialist.
Every vein specialist has a unique style and treatment goal. If you’re concerned about your treatment or recovery, the best step is to align with your physician to ensure your recovery is moving in the right direction.
