Vein Specialist Centers | Best Practices For Varicose Veins Treatment in NYC

June 27, 2020

Eliminate Spider & Varicose Veins
Call Us (609) 257-2095

We understand that patient’s are rightly concerned about getting the right diagnosis and treatment for vein disease. Your vein health is incredibly important and having an experienced vein doctor can be the difference between relief and disappointment. To that end, we have put together this simple guide to help you find the best vein doctor for spider and varicose vein treatment.


What We Need To Know On Your First Visit?

  • What are the primary goals with treatment? Is it cosmetic, medical or both (most common)
  • Have compression stockings been used in the past?
  • Any prior treatments? What effect did it have?
  • Any history of blood clots?
  • Family history and other relevant past medical history


Physical Exam

On the physical exam, our focus is on the overall health of the patient and the condition of the legs.  This includes the distribution and size of spider and varicose veins.  Characterizing the visible veins will help inform a proper ultrasound examination to see where pressure is building up inside the legs.  This condition is referred to as venous insufficiency.   Feeder veins generally underlie the larger visible veins on the surface of the legs. Any skin discoloration, leg swelling, skin eczema or ulceration is also described.


What is Varicose Vein Ablation?

In the past, varicose veins were treated surgically with stripping or ligation procedures.  Today, the procedure is minimally-invasive with no incisions or sutures.  Instead, the direct feeder vein is collapsed using a tiny ablation wire that delivers heat directly inside the vein using an IV line.  The vein is reabsorbed by the body over a period of time.  There is little or no risk of bleeding with the way treatment is performed now.

With the target vein collapsed, blood is immediately re-directed from the diseased vein to healthy veins in your legs.  The improved circulation eliminates the source of varicose veins, eliminates blood pooling in the legs, and promptly relieves symptoms of pain and heaviness.


What About VenaSeal?

We did consider VenaSeal as an alternative to vein ablation. Our clinic has great experience with this new technology, however opted for ablation for several reasons:

  • The insurance coverage is still limited for VenaSeal
  • Ablation still has more data to support its use for long-term efficacy.  We are anxiously awaiting the long term results from VenaSeal.

A Case Study

In this article, we will review a recent case to help illustrate a common presentation for patients with symptomatic varicose veins.  You might even find some of the details and images consistent with your own experience.  We hope our illustrated case will help inform you on best practices for vein disease evaluation and treatment.  Primarily, our purpose is to draw attention to the importance of a complete evaluation to improve both healthy living and cosmetic appearances.

History of Case

A 48 year old female with a history of hypertension presented to our clinic with spider and varicose veins on her legs.

The spider veins were clustered around the knee both on the inside and lateral side of her legs.  There was a large varicose vein that started on the front of her right leg and wrapped to the side disappearing below the knee.

She had symptoms of leg heaviness, cramps and restless legs at night.  This persisted despite using compression stockings advised by her primary care physician years ago.

She was advised by a local dermatologist that sclerotherapy alone was insufficient to treat her veins and that she needed to consult with a vein specialist.

Our patient was recommended a duplex ultrasound which revealed her right great saphenous vein (GSV)  was dilated and directly feeding into her spider and varicose veins.  The reflux time is the key assessment on the ultrasound and it demonstrates blood is pooling in the legs with gravity.

The treatment would succeed with ablation of the right GSV vein and subsequent targeted ultrasound-guided foam sclerotherapy of her tributary varicose veins. These 2 procedures represent the gold-standard of modern varicose vein treatment.

The recommended procedures were covered by insurance based on symptoms and ultrasound findings.

Each treatment lasted approximately 20-30 minutes and were completed with simple local anesthestic.  The patient did not have to fast before her treatments.  We performed her vein treatments in a relaxed setting in the office with her music playing.  At the Vein Specialist Centers, all spider and varicose vein treatments are performed by our vein doctors only.  There are no substitutes for the experience and skill of a board-certified physician.

At our vein clinics, all aspects of your vein treatment will be performed by the doctor only.

Our patient couldn’t believe how efficient and painless the treatments were.  Compression stockings were recommended for 1 week post procedure with some minimal restrictions.  She was able to return work the very next day.


What is Varicose Vein Ablation?

In the past, varicose veins were treated surgically with stripping or ligation procedures.  Today, the procedure is minimally-invasive with no incisions or sutures.  Instead, the direct feeder vein is collapsed using a tiny ablation wire that delivers heat directly inside the vein using an IV line.  The vein is reabsorbed by the body over a period of time.
There is little or no risk of bleeding with the way treatment is performed now. With the target vein collapsed, blood is immediately re-directed from the diseased vein to healthy veins in your legs.  The improved circulation eliminates the source of varicose veins, eliminates blood pooling in the legs, and promptly relieves symptoms of pain and heaviness.


What About VenaSeal?

We did consider VenaSeal as an alternative to vein ablation. Our clinic has great experience with this new technology, however opted for ablation for several reasons:

  • The insurance coverage is still limited for VenaSeal
  • Ablation still has more data to support its use for long-term efficacy.  We are anxiously awaiting the long term results from VenaSeal.

In Summary

Finding the right vein specialist is the most important step towards getting the right diagnosis and treatment. The Vein Specialist Centers are a premier destination for spider and varicose vein treatment. Our team of vein specialists have been carefully selected based on their training background, reputation, and favorability rating with patients. The experience has been great for our patients and we look forward to helping you. Contact us today to schedule your consultation.

CONTRIBUTING SPECIALIST

Dr. Brotman O’Neill

Harvard Trained | Vascular Surgeon / Vein Specialist

Dr. Alissa Brotman O’Neill is an accomplished vascular surgeon and vein specialist and skilled in applying cutting-edge, minimally-invasive endovascular technology of the aorta and peripheral arteries.

Schedule a Consultation

Our vein centers in NJ and NY provide a personalized approach for spider and varicose vein treatment. Book a consultation now, we’re looking forward to assisting you.

    Personal Information



    Our Vein Centers

    We pride ourselves on providing the best spider vein and varicose vein treatments to patients in New Jersey and New York.

    01. Princeton

    10 Forrestal Road South
    Princeton, NJ
    08540

    02. Edison

    3848 Park Avenue, Ste 101
    Edison, NJ
    08820

    03. Mt. Laurel

    4000 Church Road
    Mt. Laurel, NJ
    08054

    04. Paramus

    2 Sears Drive, Ste 101
    Paramus, NJ
    07652

    05. Clifton

    905 Allwood Road, Ste 105
    Clifton, NJ
    07012

    06. Wayne

    342 Hamburg Turnpike, Ste 202
    Wayne, NJ
    07470

    07. Freehold

    501 Iron Bridge Road, Ste 2
    Freehold, NJ
    07728

    08. Long Island

    560 Northern Blvd #204A
    Great Neck, NY
    11021

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    We are one of the top spider vein and varicose vein treatment centers in the Nation, offering the latest treatments and the most state of the art technology. Our vein treatment center sources the best vein doctors and specialists from around the world.

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