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6 Questions The Vein Clinic Near Me Should Answer

6 Questions The Vein Clinic Near Me Should Answer 150 150


When it comes to seeking treatment for spider and varicose veins, finding the right vein clinic is not simple. Take the time to explore your options and find someone compatible for your care.

There are 6 questions we believe every patient should have answered before vein treatment.

  1. Who Is The Vein Specialist
    A vein specialist is ideally board-certified in a vascular speciality (cardiology, vascular medicine or vascular surgery).  Too often, we are now seeing vein clinics staffed by non-vascular physicians, in which case they might lack the experience for spider and varicose vein treatment.
  2. What Vein Treatments Are Offered
    Vein treatment in this day and age has become far more simplified and easier on patients.  Most treatments can be performed in the office without surgical incisions or sedation.  Effective treatments include vein ablation, sclerotherapy, and phlebectomy.
  3. How is Vein Disease Evaluated
    The presence of spider and varicose veins suggests vein disease.  Symptoms including leg cramps, restless legs, and/or swelling are further indication.  The diagnosis of vein disease can only be made with a diagnostic ultrasound to look at the size and function of leg veins.
  4. Is My Condition Dangerous
    Spider and varicose veins are in large part harmless.  There are very few individuals who develop more serious concerns related to DVT (blood clots), skin discoloration, or skin ulcerations.  Vein treatment should be guided by a desire to improve quality of life rather than unnecessary worry.
  5. Does Insurance Cover Vein Treatments
    Unless you have only cosmetic concerns, you are going to want to learn about your insurance coverage.  This includes understanding your co-insurance for treatment with medically recommended procedures.  Most indicated procedures are covered and a dedicated insurance specialist can provide worry-free authorizations.
  6. Are Spider Veins Treated Here
    Shockingly, not all vein doctors treat spider veins.  This is often by choice as some vein doctors add vein ablation to their medical clinics (cardiology, pain management, dermatology).  These offices focus only on higher paying procedures and avoid more time-consuming spider vein treatments.   A dedicated vein clinic will provide comprehensive care with honest treatment expectations.

The Vein Specialist Centers are a network of dedicated vein clinics in New Jersey and New York.   Our vein specialists are board-certifed experts in spider and varicose vein treatment providing comprehesnive vein care under one roof.  Using cutting-edge therapies, we offer our patients minimally-invasive solutions for spider and varicose veins.  To schedule your consultation online or call us at 609-257-2095 to find your nearest clinic.

How To Get Rid Of Spider Veins: A Vein Doctor Answers

How To Get Rid Of Spider Veins: A Vein Doctor Answers 150 150 daniadmin

How To Get Rid Of Spider Veins:  A Vein Doctor Answers

Spider veins commonly affect the legs, face, and arms and are considered cosmetic only.  However, they can be a marker of venous insufficiency and require further evaluation. A board-certified vein specialist should be your source to find the cause and achieve your ultimate goal to get rid of spider veins.

What Are Spider Veins?

Spider veins are tiny, abnormal veins that appear at the surface of the skin. They are usually red or purple and take the appearance of webs.   Most commonly, spider veins are visible on the legs, although they can also affect an individual’s hands, arms and face as well.
Spider veins are different from varicose veins which are larger, protuberant veins on the skin also related to abnormal circulation in the leg veins.  Varicose veins are more likely to be associated with discomfort.

Why Do We Get Spider Veins?

Spider veins are caused by weakened or damaged valves within your leg veins resulting in chronic venous insufficiency.  Blood returning to the heart from your legs depends on these valves to prevent backflow against gravity. The most common reasons for venous insufficiency are:

  • The most significant reason is a hereditary predisposition
  • Carrying extra weight increases the pressure on your leg veins
  • Prolonged standing or sitting increases the pooling of blood in your legs
  • Female hormones are associated with increased risks of spider veins
  • During pregnancy, the increased circulation, weight, and hormonal factors are associated with increased risks of spider and varicose veins

Are Spider Veins Serious?

In the absence of symptoms, both spider veins and varicose veins can be a benign issue.  In these instances, patients are not burdened by leg pain, restless legs, swelling or skin discoloration and prefer to get rid of spider veins for cosmetic reasons.

However, in the presence of symptoms, venous insufficiency should be evaluated by a vein specialist.  Because chronic venous insufficiency is progressive, untreated symptoms can increase the risks of more serious issues, such as:

  • Visible, painful varicose veins (phlebitis)
  • Bleeding varicose veins
  • Skin inflammation (stasis dermatitis)
  • Skin ulcers (stage 5 and 6 of vein disease)
  • Blood clots
  • Pelvic Venous Congestion

How to Get Rid of Spider Veins?

This will depend heavily on your treatment goals,  the evaluation of your vein doctor, and results from duplex ultrasound to assess for venous insufficiency.  Patients are often characterized into one of three categories (overlap is common as patient may present with cosmetic concerns,  but are also found to have symptoms of venous insufficiency):

  • Cosmetic: Patients without underlying venous insufficiency or symptoms.  The primary treatment goal is the elimination of spider and reticular veins using sclerotherapy or laser removal.
  • Symptomatic Venous Insufficiency: Patients will benefit from the treatment of the underlying condition.  In the absence of leg ulcerations or swelling, the primary treatment is exercise, weight loss (if needed), and compression grade 2 medical stockings.  If conservative measures have not controlled symptoms, then additional medical treatments are considered.
  • Advanced venous insufficiency: These patients present with further signs of vein disease (CEAP 4-6) which includes leg edema, stasis dermatitis, skin discoloration, or venous leg ulcerations.  Bleeding varicose veins are also a sign of advanced vein disease and compression stockings alone are likely to be insufficient for resolution of symptoms.

How to Treat Venous Insufficiency and Spider Veins?

A pleasant surprise for many patients seeking varicose vein removal is that surgery is not needed.   Modern vein treatments offer patients minimally-invasive solutions resulting in no downtime, no scars, and virtually no pain.    Our favorite techniques are found at all the best vein clinics and are reviewed here:

  • Radiofrequency ablation: Catheter-based technology that delivers radiofrequency generated heat to the blood vessel walls.  The procedure is done with only small amounts of local anesthetic and can be completed in less than 30 minutes.
  • VenaSeal: This is the latest innovation in vein treatment and is equally effective as RF ablation.  VenaSeal is also a catheter-based technology. However, unlike ablation, the catheter is used to inject a medical adhesive that fuses the diseased vein closed. As such, it requires no tumescence for anesthesia.
  • Sclerotherapy: A medicated solution is injected in either liquid or aerated form (foam sclerotherapy). This medication acts as a sclerosant and disrupts the walls of diseased veins causing them to collapse and eventually be absorbed.
  • Ambulatory Phlebectomy: This requires the most skill and patience, but still is minimally invasive.  Tiny incisions are made over large, protuberant veins so that they can be directly removed.  Unlike stripping, these procedures are done within the office and patients do not require any downtime.  The best part, any large visible varicose veins are immediately removed leading to dramatic skin improvements.
  • Clarivein: Another catheter-based technique with some special uses in certain varicose vein anatomy.  In this case, mechanical force and sclerosant are used to eliminate diseased veins.

Why Vein Specialist Centers?

The Vein Specialist Centers are a complete diagnostic and vein treatment center for both simple and complex spider vein treatment.   Our training and experience is what sets us apart from other vein clinics in NJ where we offer the latest technologies in spider vein treatment.  Our vein doctors recognitions include annual inclusion in  NJ Top Doc, Castle Connolly Top Doctor, and Inside NJ Top Docs.  Dr Brotman-O’Neill also serves as President-Elect of the New Jersey Vascular Surgical Society.  Dr Simon Smith is board-certified in cardiovascular medicine and vascular imaging. Dr Faisal Siddiqi serves as the medical director at Princeton Vascular Center and completed his IVY-league training at Yale and New York-Presbyterian Hospital.

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How To Find The Best Vein Doctor in Edison NJ

How To Find The Best Vein Doctor in Edison NJ 150 150

IVY TRAINED VEIN DOCTORS | TOP RATED VEIN CENTER| SPIDER AND VARICOSE VEIN TREATMENT CLINIC

These days, a vein doctor can just about be anyone with an MD or DO degree.  Let that sink in for a moment. Because there is no formalized training program for vein disease, physicians with little vascular are performing vein procedures based on weekend courses.  As such, a vein doctor is not what you necessarily would always consider as someone with years of dedicated practice or training. Obviously, there should be concern about the experience of some physicians to perform these endovascular procedures that can be associated with serious complications.  We need to objectively evaluate each vein clinic for how their doctors are credentialed and what training experience they have. For the most part, this requires doing your own research before deciding on who is the best vein doctor for your care.

The type of physician managing varicose vein and spider vein disease can be divided into 3 categories:

Vascular Surgeons:

Vascular surgeons possess formalized training backgrounds in the management of vascular disease, both arterial and venous.  Vascular surgeons must complete 5 years of general surgery training followed by 2 years in sub-specialty training for vascular medicine.   In doing so, vascular surgeons undergo rigorous training in the diagnosis and management of surgical disease including endovascular, minimally invasive techniques.  Cardiology and interventional radiology fellowships often work in collaboration with vascular surgery programs to provide in-depth training for trainees. With the completion of the training program, vascular surgery fellows will be tested for ABMS (American Board of Medical Specialties) board-certification to demonstrate their competency in the management of venous and arterial disease.  This includes recognition as a board-certified expert to diagnose and treat varicose vein disease.

Advantages of Vascular Surgeon:

  • Board-certified vascular specialists with completion of intensive residency and fellowship training for vascular medicine
  • Best-suited to manage both simple and complex vein disease due to breadth of training
  • Can provide complete care for both pre and post-procedure management
  • Maintain hospital privileges for vascular medicine (Hospital accreditation for vascular medicine is based on board-certifications in ABMS-only recognized specialties)

Need to Consider:

  • Every training program has different exposures to endovascular treatments.  Varicose vein disease is now managed with minimally-invasive techniques rather than vascular surgery.  Be certain that your vascular surgeon treats vein disease with modern, non-surgical techniques when appropriate

Phlebologists:

Phlebologists have varied backgrounds including general surgery, internal medicine, pain management, cardiologists and even vascular surgery.   The American Board of Phlebology was only established in 2007 with the goal of setting standards of vein practice but is not recognized by the American Board of Specialities due to the lack of a formal training program associated with its board certification. Phlebologists with this certification do not need to complete any formalized training programs in vascular medicine but can obtain “board-certification”  simply by passing a written test. Unfortunately, this is not enough to demonstrate competency with procedures that is gained only from formal vascular training in vascular surgery, cardiology or interventional radiology. Other residency programs including internal medicine, pain management, and family medicine simply do not provide this level of training as it is outside the scope of their practice. As such, board certification in phlebology or ABVLM (American Board of Vascular and Lymphatic Medicine) does not imply the completion of formal training in vascular medicine.  Phlebologists without training in either vascular surgery, cardiology or interventional radiology should not be automatically assumed as vascular specialists.

Advantages of Phlebologists

  • A limited number of physicians who have additionally completed formalized training programs in either vascular surgery, interventional radiology or invasive cardiology.
  • The written test is rigorous and does test the physician on knowledge (not skill).

Need to Consider 

  • Phlebologists should be examined for backgrounds in ABMS recognized specialties such as interventional cardiology or vascular surgery
  • A written examination is the only requirement for obtaining ABVLM certification
  • Phlebologists with incomplete training are not required to be experts in vascular management

Vein Specialist:

A vein specialist is used by many practicing vein doctors with varied backgrounds similar to phlebologists.  Again, it should be emphasized that vein specialists should have ABMS recognized board-certification in one of three specialties: Invasive cardiology, vascular surgery or interventional radiology to demonstrate the highest level of competency in vascular disease management.  ABVLM board-certification or alternatively board certification in non-vascular specialties such as internal medicine, family medicine or dermatology do not include supervised training during residency/fellowship for endovascular procedures or its potential complications. And while modern varicose vein treatment no longer requires surgery, it does not imply that a vascular specialist is not recommended.

Advantages of Vein Specialists

  • Vein Specialists are ideally ABMS board-certified in either vascular surgery, invasive cardiology or interventional radiology
  • Interventional specialties possess unique skills for minimally-invasive techniques learned during rigorous training programs
  • Maintain hospital privileges for vascular procedures (Hospital accreditation for vascular medicine is based on board-certifications in ABMS-only recognized specialties)

Who Is The Best Vein Doctor By Specialty?

If you have varicose veins or chronic venous insufficiency, the best vein doctor to see is an ABMS board-certified specialist with a focus on varicose vein disease. The physician you select should have specialty-specific training in vascular disease.

It’s true that not all vein doctors are vascular surgeons, however considering that vascular disease management requires a significant amount of experience and skill, we recommend you consult only with formally trained vein doctors with board certification in either vascular surgery, interventional radiology or interventional cardiology.

 

What Are Important Considerations At A Top Vein Clinic in Edison:

  • Board-certified vein doctors with formal training in endovascular procedures
  • On-staff vascular imaging doctors with expertise in ultrasound.  These doctors have certification with RPVI (registered physician in vascular interpretation)
  • On-staff certified ultrasound technicians.  This guarantees your diagnostic studies are following a standardized protocol and performed by knowledgeable technicians.  These experts are more expensive to staff but demonstrate a clinic’s commitment to the highest level of care.
  • Treatment options should not be limited.  Vein disease is not a one-size fits all approach and patients are best served by a team of vein specialists that can provide a full service of vein treatments.  This includes endovascular techniques such as RF ablation and Venaseal, but also microphlebectomies for larger, more difficult varicose veins not suitable for sclerotherapy
  • Surgical stripping is no longer a necessary treatment saving patients from more complex, painful procedures
  • Vein doctors should take the time to learn about your medical history, physical examination, and treatment goals.  Our vein doctors are given ample time for each consult, follow-up, and procedure to make sure your needs are met. Please be sure to take advantage of the time.

Why Edison Vein Center?

The Edison Vascular Center is a complete diagnostic and treatment center for both simple and complex vein disease.   Our training and experience is what sets us apart from other vein clinics in Edison NJ where we offer the latest technologies in varicose vein treatment.  Our proud recognitions include NJ Top Doc, Castle Connolly Top Doctor, and Inside NJ Top Docs. Dr Brotman-O’Neill also serves as President-Elect of the New Jersey Vascular Surgical Society.

 

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Finding The Ideal Vein Clinic in Edison NJ

Finding The Ideal Vein Clinic in Edison NJ 150 150

IVY TRAINED VEIN DOCTORS | TOP RATED VEIN CENTER| SPIDER AND VARICOSE VEIN TREATMENT CLINIC

Most patients presenting to vein clinics today do so by completing their own research.   They are guided by information obtained on typical search engines like google, bing or yahoo.  However, few patients are aware of the inflation of board-certifications, achievements, and reviews and this can be problematic when trying to find relief.

This article is written by our expert vascular surgeon, Dr Brotman-O’Neill and explains the attention to detail and resources available at the best vein clinics.   Her insights will help your search in finding the best vein center wherever you might be. Dr Brotman is the lead physician at our vein clinic in Edison NJ and is a board-certified vascular surgeon with years of experience in vein disease management for both simple and complex cases including pelvic venous congestion and May-Thurner Syndrome.

What Causes Leg Pain From Varicose Veins?

It’s not uncommon for patients to be amazed by the symptoms that can be explained by vein disease.  Venous insufficiency represents the underlying condition for many patients with symptomatic spider and varicose veins.

First and foremost, not all patients with varicose veins have pain.  Instead, common complaints are leg heaviness, leg swelling, restless legs.   These symptoms occur daily and get worse by the end of the day as blood tends to pool in the legs from poor venous circulation.  Importantly, this discomfort can be separate from where visible varicose veins are noted because it comes from below the surface.   In fact, some patients will be found to have venous insufficiency in the absence of visible varicose or spider veins. As such, surface treatment of spider veins and varicose veins performed using sclerotherapy provide little relief when venous insufficiency is present.  Spider veins and varicose veins can also be quite difficult to eliminate without addressing the underlying problem first.

 

How Do You Diagnose Varicose Veins?

Proper evaluation of vein disease requires the expertise of a vein specialist.  Unlike medical spa clinics or dermatologists, vein clinics are dedicated to the diagnosis and treatment of all presentations of vein disease.  This includes common complaints such as spider veins and varicose veins, but also the more insidious symptoms of leg pain, leg heaviness and leg swelling that can accompany venous insufficiency.  Venous insufficiency is a medical condition and needs a complete history and physical with accompanying diagnostic ultrasound to make an accurate assessment and treatment plan. Venous insufficiency is also covered by insurance with medical necessity and is conveyed to your insurance carrier with proper documentation and ultrasound images.

 

What Is The Best Treatment For Varicose Veins?

A lot of this will depend on the evaluation from your vein doctor and testing results from the duplex ultrasound.  Patients are often characterized into one of three categories (overlap is common as patient will express cosmetic goals along with symptoms of vein disease):

  • Cosmetic: Patients without underlying venous insufficiency or symptoms.  Primary treatment goal is the elimination of spider and reticular veins using sclerotherapy or laser removal.
  • Symptomatic Venous Insufficiency: Patients will benefit from treatment for the underlying condition.  In the absence of leg ulcerations or swelling, the primary treatment is exercise, weight loss (if needed), and compression grade 2 medical stockings.  If conservative measures have not controlled symptoms, then medical treatments are evaluated
  • Advanced venous insufficiency: These patients present with further signs of vein disease (CEAP 4-6) which includes leg edema, stasis dermatitis, skin discoloration, or venous leg ulcerations.  Bleeding varicose veins are also a sign of advanced vein disease and compression stockings alone are likely to be insufficient for resolution of symptoms.

Premier vein clinics are accustomed to treating all varieties of vein disease and have the diagnostic tools to make an accurate assessment of your condition that matches the anatomy seen on ultrasound.  Over treatment is common in vein clinics where symptoms and ultrasound findings are not thoroughly examined. In such instances, patients are advised several unnecessary treatments without addressing the primary goals of the patient.  Our vein clinics are managed by board-certified vascular experts formally trained in endovascular medicine. Additionally, our ultrasounds are performed by certified techs and only interpreted by in-house registered vascular physicians (RPVI credentials).  This guarantees the highest quality of vein care.

What Is The Newest Treatment For Varicose Veins?

The most surprising fact to many patients seeking varicose vein removal is that surgery is not needed.   Modern vein treatments offer patients only minimally-invasive solutions resulting in no downtime, no scars, and virtually no pain.    Our favorite techniques are found at all the best vein clinics and are reviewed here:

  • Radiofrequency ablation: Catheter-based technology that delivers radiofrequency generated heat to the blood vessel walls.  The procedure is done with only small amounts of local anesthetic and can be completed in less than 30 minutes.
  • VenaSeal: This is the latest innovation in vein treatment and is equally effective as RF ablation.  VenaSeal is also a catheter-based technology. However, unlike ablation, the catheter is used to inject a medical adhesive that fuses the diseased vein closed. As such, it requires no tumescence for anesthesia.
  • Sclerotherapy: A medicated solution is injected in either liquid or aerated form (foam sclerotherapy). This medication acts as a sclerosant and disrupts the walls of diseased veins causing them to collapse and eventually be absorbed.
  • Ambulatory Phlebectomy: This requires the most skill and patience, but still is minimally invasive.  Tiny incisions are made over large, protuberant veins so that they can be directly removed.  Unlike stripping, these procedures are done within the office and patients do not require any downtime.  The best part, any large visible varicose veins are immediately removed leading to dramatic skin improvements.
  • Clarivein: Another catheter-based technique with some special uses in certain varicose vein anatomy.  In this case, mechanical force and sclerosant are used to eliminate diseased veins. Interesting fact, our very own Dr. Brotman was present for the first ClariVein® procedure on humans in the United States.

Why Edison Vein Center?

The Edison Vascular Center is a comprehensive diagnostic and treatment center for both simple and complex vein disease.   Patients from across the Central New Jersey region seek out our expert advice on the management of spider veins, as well as more advanced symptoms such as leg swelling and leg ulcerations.  Our training and experience is what sets us apart from other vein clinics in Edison NJ where we offer the latest technologies in varicose vein treatment.  Our recognitions include NJ Top Doc, Castle Connolly Top Doctor, and Inside NJ Top Docs.  Dr Brotman-O’Neill also serves as President Elect of the New Jersey Vascular Surgical Society.  She is a true expert in the field of vascular medicine and proudly leads our vein clinics in New Jersey.

Vein Specialists Near Me

Why Do I Have Skin Discoloration on Legs 

Why Do I Have Skin Discoloration on Legs  150 150

Skin color changes from vein disease

As we get older, our skin undergoes some normal changes in softness and elasticity.  However, this should not be confused with skin changes due to vein disease or chronic venous insufficiency.   Skin discoloration due to venous insufficiency includes darkening or discoloration of the lower leg (particularly around the shins and ankles) caused by the breakdown of blood hemoglobin.  Iron within your blood contains hemosiderin that leaves a red, brown or purplish pigmentation on the skin with untreated vein disease.

What is venous insufficiency?

This occurs due to damaged veins that become ineffective at transporting blood in your legs back to the heart against gravity. This is known as chronic venous insufficiency and it affects nearly 1 out every 4 individuals to some degree.  With time, poor venous circulation in legs leads to increased pooling of blood in the legs and ultimately inflammatory changes in the skin.  Early on, patients may notice that skin in the affected area feels tight, itchy, or irritated.   This is referred to as Stasis Dermatitis (inflammatory skin condition to due to stagnant blood in the legs). Untreated vein disease can progress and the skin will undergo further changes with thickening or thinning, discolor and even break causing skin ulcerations that can be difficult to heal.

If you are concerned about the possibility of vein disease, find your nearest vein specialist today for an appointment.

What Should I Be Aware Of?

Does your occupation involve you having to stand or sit for long periods?  Do you have a family history of varicose veins?   Do you notice heavy aching or restless legs at night?   Do you also have spider veins or varicose veins that are getting more noticeable?  The same condition that causes varicose and spider veins also cause skin discoloration on legs–chronic venous insufficiency.

These are the early signs of vein disease and can be easily confirmed by a qualified vein specialist.  A thorough history and physical examination will determine the likelihood of vein disease and an ultrasound can be utilized to determine the severity of the condition.  These tests can all be performed on your initial visit with a dedicated vein treatment center.

Ideally, an effective treatment plan can be developed before more advanced symptoms and signs of vein disease develop including skin discoloration, leg swelling, thrombosis (blood clot) or skin ulceration.

What Treatments are Available for Skin Discoloration and Venous Insufficiency?

In the early stages of skin eczema due to vein disease (stasis dermatitis), it is important to take some protective measures to maintain healthy skin.  This includes:

 

  1. Compression therapy is essential to minimize blood pooling and promoting circulation in our legs.  It also reduces swelling that can further increase pressure on the skin
  2. Exercise improves muscle tone and circulation in our legs reducing symptoms of vein disease.  Consider daily walks or runs for at least 15-20 minutes (and make sure to wear comfortable footwear)
  3. It is important to keep your skin clean and well moisturized
  4. Avoid excessive or abrasives soap as this can dry your skin and lead to increased itching and skin breakdown.  Instead, use a moisturizing soap when washing, bathing, and showering
  5. After washing gently pat the skin dry and avoid excessive rubbing that can irritate or even inflamed your skin
  6. Apply generous amounts of moisturizer to the skin when it is dried
  7. Make sure to apply moisturizer after each time your skin gets wet.  This includes after showering, bathing, and swimming
  8. Be certain also to apply sunscreen lotion to exposed areas during the summertime

Medical Treatments for Vein Disease

Symptoms that progress despite conservative measures or signs of, late disease (skin ulceration, skin discoloration and leg swelling) need immediate attention with a vascular specialist.  Left untreated, venous insufficiency can lead to more serious health issues including non-healing ulcers and blood clots.

Fortunately, skin discoloration on the legs due to vein disease is treated with the same office-based, minimally-invasive procedures used for varicose veins. The treatment requires no downtime or anesthesia and is usually covered by health insurance.  If you have symptoms, it is best to contact a vein clinic for evaluation and treatment.

Get treated and see the difference

A vein doctor is the best choice for treating skin discoloration on the legs due to vein disease (stasis dermatitis). Vein specialists at the Princeton Vascular Center are board-certified experts in diagnosing and treating all forms of vein disease using the most advanced techniques in vein treatment.

 

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Does Insurance Cover Varicose Vein Removal?

Does Insurance Cover Varicose Vein Removal? 150 150 daniadmin

IVY TRAINED VEIN DOCTORS | TOP RATED VEIN CENTER| SPIDER AND VARICOSE VEIN TREATMENT CLINIC

Varicose veins are an especially common condition, impacting up to 25 million Americans every year. Today’s treatments are fast, effective, and minimally invasive, but many patients don’t seek medical care. They are under the impression that varicose vein removal is not covered by insurance, and they simply can’t afford the cost of correcting what some perceive to be a cosmetic issue.

Unfortunately, in a majority of cases, varicose veins are more than a cosmetic issue. They are a sign of underlying vein disease. If left untreated, serious symptoms can develop.

With most health insurance plans, the answer is yes. Treatment is covered when there is an underlying vein disease such as Chronic Venous Insufficiency (CVI). However, there may be restrictions on which treatment methods are covered, and at what point you are eligible for the procedure. Your vein doctor in New Jersey can help determine the medical necessity for treating your varicose veins and venous insufficiency.

What Is Chronic Venous Insufficiency?

Chronic venous insufficiency develops when the valves within out veins fail.  This can occur for a variety of reasons including prolonged standing, obesity, smoking, and trauma.  The most important determinant is your genetic makeup. When venous insufficiency is present, the veins become less effective in returning blood to the heart and instead, the blood pools in the legs, putting further pressure on the vessel walls and valves.  The increased pressure is known as venous hypertension and can result in visible varicose and spider veins in the legs.

What are the symptoms of venous insufficiency?

Visible varicose and spider veins are the number one reason patients present to vein clinics.  However, the most important reason to consider an evaluation for venous insufficiency can often precede any signs of visible veins.  These symptoms include the following:

  • Leg pain
  • Heaviness
  • Leg cramps
  • Swelling
  • Skin discoloration or leg ulcerations

In severe cases, ulcers form over diseased veins that can become infected or bleed. It is just as important to be aware that varicose veins are not always visible but the symptoms and adverse effects are no different. Because of the serious consequences of untreated venous insufficiency, varicose veins warrant appropriate evaluation at a vein clinic.

How Are Varicose Veins Treated?

Vein doctors in the most advanced centers use minimally-invasive techniques like ablation, foam sclerotherapy, and microphlebectomy to treat even the most complex vein disease.  These procedures are fast, effective and virtually pain-free. Best yet, there is no need for any down-time after the procedure. WIth this in mind, it is absolutely essential to only consider spider vein doctors capable with minimally-invasive treatments. Here is a review of our favorite techniques:

VenaSeal – Catheter-directed delivery of a medical adhesive that fuses the diseased veins closed.

Radiofrequency Ablаtіоn (RFA) –  Catheter-based technology that uses thermal energy to close diseased veins

Endоvеnоuѕ Lаѕеr Ablаtіоn (EVLA) – Catheter-based technology that uses laser energy to close diseased veins

Varithena – Uses a patented formulation of 1% polidocanol mixed with O2 and nitrogen foam to close even the most tortuous and dilated varicose veins

Microphlebectomy– This is an artform mastered by very few vein clinics due to its time-intensive nature.  With this office-based procedure, even the most prominent varicose veins can be removed immediately

Minimally-invasive techniques in the hands of qualified vein doctors can be done without any sedation.  With skilled hands, a local anesthetic alone is sufficient to make the quick procedure virtually pain-free.  At the Princeton Vascular Center, these treatments typically take less than 30 minutes and our patients return to their routine activities.

Is Varicose Vein Removal Covered by Insurance?

Treating venous insufficiency is best left in the hands of varicose vein specialists.  Given the precision needed to perform these procedures well and the modern advancements in technology to keep patients out of the operating room, vein treatments can be costly.  Fortunately, medical insurances have recognized the importance of treating this condition and provide coverage with medical necessity.

Medical necessity can only be determined by a qualified vein specialist and requires detailed reports on the symptoms, physical appearance, and prior treatments.  In most instances, your vein doctor will need to provide information on whether or not compression stockings were trialed, and what effect lifestyle modifications and exercise had on the symptoms.

Specific treatment sought by your vein doctor will also need to carefully review.  This is generally true for more newer technologies like VenaSeal or Varithena. If additional treatments are sought due to advanced disease, your vascular specialists may also speak on your behalf with the insurance company to seek approvals.

At the Vein Specialist Centers, we have a dedicated team to work on your behalf to obtain the necessary authorizations for treatments requested by your vein doctor.

How Do I Choose a Varicose Vein Doctor?

If you have decided on seeking treatment for your vein condition, it is recommended that you see a dedicated vein specialist.  The right choice will involve evaluating several factors including the vein doctors, treatment options, and professionalism. Board-certified vein doctors with a background in vascular surgery or interventional cardiology are trusted sources for high-quality treatments.

Vein Specialist Centers are committed to being the best vein doctors and having all the latest innovations in vein treatment right here in New Jersey. You can schedule a consultation online, or you can call for an appointment at 609-257-2095.

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