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

A Vein Doctor can just about be anyone possessing an MD or DO.  Yes, even a family medicine doctor or dermatologist can open a vein clinic without any oversight.  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 including ablations with little more than weekend courses.  And it’s true, many of these physicians are quite capable and have refined their practices over the years to become quite accomplished. However, on the whole, there should be concern about the experience of some physicians to perform these endovascular procedures.  We need to objectively evaluate each vein clinic in Princeton NJ 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 background of physicians managing varicose vein and spider vein disease can be divided into 3 categories:

• Vascular Surgeon
• Vein Specialist
• Phlebologist

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. As stated above, vascular training can only be formally obtained during a fellowship in vascular surgery, cardiology or interventional radiology. During these programs, trainees undergo supervised education over several years learning technical competency and safe practices for endovascular procedures. 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.
• A 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 including 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 Princeton Vein Clinic:

• Board-certified vascular specialists with formal training in endovascular procedures
• On-staff vascular imaging doctors with expertise in ultrasound.  These individuals 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
• Multiple-treatment modalities.  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 for 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 Princeton Vascular Center?

The Princeton 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 Princeton 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.

Vein Specialists Near Me

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

These days, a vein doctor in Mt. Laurel NJ  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 or no vascular experience 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 this and the training of some vein doctors to perform these endovascular procedures.  Understanding proper endovascular techniques and managing safe delivery requires years of supervised training. As such, patients 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 Surgeon
• Vein Specialist
• Phlebologist

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 a 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 Mt. Laurel Vein Center?

The Mt Laurel 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 Mt Laurel 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.

Vein Specialists Near Me

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

There are numerous vein clinics in South Jersey and fortunately, there is a great deal of expertise.  Choosing the right vein doctor is absolutely necessary to avoid costly treatments with little hope for success and avoiding potential complications.  We cannot emphasize enough the importance of knowing your vein doctor and his/her background in vascular medicine. While surgical treatments are no longer necessary for varicose veins, a board-certified physician with formal education in vascular surgery, interventional cardiology or interventional radiology is necessary to perform safe and effective minimally-invasive vein treatments.

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 Mt. Laurel NJ and is a board-certified vascular surgeon with years of experience in vein disease management.

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 Mt Laurel Vein Center?

The Mt Laurel Vascular Center is a comprehensive diagnostic and treatment center for both simple and complex vein disease.   Patients from across the Central and South 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 physicians and experience are what set us apart from other vein clinics in Mt Laurel 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

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

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

Why Do I Have Varicose Veins?

Varicose veins are diseased veins that are enlarged and twisted protruding from the skin. They can be asymptomatic for some individuals, while for many others constant distress that even affects daily routines.  Untreated veins can also be an increased risk for DVT (deep vein thrombosis), bleeding and infection. Preventing long-term complications depends on early recognition and treatment measures.

The condition is often linked to one’s DNA and affects family members in high proportions. In fact, if one parent has a vein disease, there is a near 50% chance that their children will also be affected.  With vein disease, high pressures build inside leg veins due to gravity. These veins have to perform a lot of work to return the blood back from your legs to the heart even under normal circumstances such as standing or sitting.  Unlike the deep veins that are supported by the muscles within our legs, the superficial veins that cause varicose veins will stretch and dilate from this pressure. Over time, these vein walls can become weakened and start to develop reflux or venous insufficiency.

Venous insufficiency is more common in individuals who sit or stand for prolonged periods, increasing age, females, obesity, and most importantly patients with a family history.

Treatment is essential if you are experiencing symptoms such as leg pain, leg swelling, skin discoloration or restless legs.  The treatment can be as simple as appropriate lifestyle changes and compression stockings. In some cases, additional treatments may be warranted and should only be done by a trusted vascular specialist with experience in vein disease.  Our article today reviews the latest innovations for vein treatment in Princeton NJ.

Who Treats Varicose Veins?

A vein specialist is a doctor that specializes in treating varicose veins and the underlying condition, venous insufficiency.  Ideally, your vein doctor in Princeton should have completed formal training in endovenous procedures during his/her residency and fellowship training.  Qualified vein specialists will possess a training background in vascular surgery, interventional radiology or interventional cardiology. A recognition of competency is achieved with board-certification in one of these specialties and should be readily available to discerning patients.  Other specialties including pain management, internal medicine, or family medicine do not hold any formalized training in surgical or minimally-invasive endovascular procedures. Their board-certifications are well deserved, however not in the treatment of varicose veins.

Minimally Invasive Varicose Veins Treatments

The most surprising fact to many patients seeking varicose vein removal is that surgery is not needed.  Many patients recall stories about their parents undergoing extensive vein stripping procedures with painful and extended recovery periods.  Those days are long gone. Instead, today’s procedures are minimally-invasive and suited for all types of vein conditions.

These minimally invasive treatments for varicose veins include:

• VenaSeal: Like most other vein treatments today, VenaSeal is also catheter-based technology. However,  unlike ablation, the catheter is used to inject a medical adhesive that fuses the diseased vein closed. Over time, the vein is reabsorbed by the body.
• 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.
• 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 Princeton Vascular Center?

The Princeton Vascular Center offers modern varicose vein treatment in Princeton only in the hands of the best vein specialists in the country.  Our vein doctors can be trusted to have completed formalized vascular training programs and have years of prior experience in treating vein disease.  Most importantly, all our doctors have board-certifications in either vascular surgery or cardiovascular disease.

At our vein clinic in Princeton NJ, you can rest assured that you will be in the care of a board-certified vascular specialist.  Dr. Alissa Brotman-O’Neill has been consistently named to Top Doc in SJ Magazine, NJ Top Doctors, Talk of the Town, and Compassionate Doctor on Vitals.  As President-elect for the New Jersey Vascular Surgical Society, she is committed to remaining up to date on all the latest research and technologies in the treatment of vein disease.  For more information, please schedule your spider vein and varicose vein consultation today.

Vein Specialists Near Me

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

There are few things as frustrating as spider and varicose veins.  Besides the unsightly appearance, these unnatural veins are the source of a multitude of symptoms including leg pain, leg heaviness, leg swelling and restless leg syndrome.  In more advanced cases, patients can also notice skin discoloration, leg ulcerations and bleeding varicose veins that can be quite alarming. Finding relief depends on knowing what to look for in a vein clinic.  This article is written by our expert vascular surgeon, Dr Brotman-O’Neill where she explains the attention to detail and resources the best vein clinics tend to offer.  Dr Brotman is the lead physician at our vein clinic in Princeton NJ.

What Causes Leg Pain From Varicose Veins?

It’s not uncommon for patients to be amazed by the symptoms that can be explained by varicose veins or better yet, venous insufficiency.  Venous insufficiency represents the underlying condition for many patients with symptomatic spider and varicose veins. In fact, eliminating surface veins alone without addressing the underlying problem often leads to recurrences and continued pain.

Many patients will describe the feelings they have as being different than pain, but more so discomfort, heaviness, or cramping.  These symptoms occur daily and get worse through the day as blood tends to pool in the legs from poor venous circulation. Importantly, this uncomfortable feeling does not often occur right over the location of visible varicose veins because it comes from below the surface.   And some patients will be found to have venous insufficiency in the absence of visible varicose or spider veins.

Leg circulation is impaired in chronic venous insufficiency due to elevated pressures within the leg veins.  As the pressure rises, the veins become dysfunctional and stretch leading to pain (discomfort) and inflammation.  The problem is somewhat unique to humans because we spend so much of our time standing (or where our legs are in a dependent position).  As such, leg veins have to do far more work than our veins in the hands, chest or head to return back to the heart. As the veins dilate, they cannot return to their normal size without proper diagnosis and treatment.

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.

Why Princeton Vein Center?

The Princeton 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 Princeton 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 proud resident of Princeton and can often be seen running around the neighborhood and participating in half and full marathons.

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What Are The Best New Vein Treatments in Edison NJ

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

Are Varicose Veins Dangerous?

Varicose veins are often the result of dysfunctional circulation in the leg veins.  These diseased veins are often inherited leading to a predisposition for blood to pool in the legs.  As a result, high pressures build inside these veins and ultimately cause symptoms of leg heaviness, leg pain, swelling and skin discoloration for symptomatic individuals.  On the surface, the high pressure results in the formation of spider and varicose veins. Untreated veins can also be an increased risk for DVT (deep vein thrombosis), bleeding and infection. Preventing long-term complications depends on early recognition and treatment measures.

Venous insufficiency is more common in individuals who sit or stand for prolonged periods, increasing age, females, obesity, and most importantly patients with a family history.

Treatment is recommended if you are experiencing bothersome symptoms and fortunately are well-covered under insurance with medical necessity.  Modern non-surgical treatments include venous ablation, sclerotherapy, and phlebectomy that are suitable for the office and do not keep patients from continuing their usual routines.  Our article today reviews the latest innovations for vein treatment in Edison NJ.

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Who Treats Varicose Veins?

A vein specialist is a doctor that specializes in treating spider and varicose veins and the underlying condition, venous insufficiency.  The most qualified vein doctors in Edison have completed formal training in endovenous procedures during either a residency or fellowship in vascular surgery or interventional cardiology. These specialties are formally recognized by the American Board of Medical Specialties and proficient doctors are awarded board certifications in their field of expertise. Board-certifications are available in various specialties including internal medicine, anesthesia or family medicine are well deserved, however not in the treatment of varicose veins.

Minimally Invasive Varicose Veins Treatments

Varicose vein removal and treatment of venous insufficiency has evolved from the days of vein stripping.  Instead, today’s procedures are minimally-invasive and suited for all types of vein conditions. Best yet, they are done without the need for sedation (unless requested by the patient) and are performed in under 1 hour.

These minimally invasive treatments for varicose veins include:

• VenaSeal: Like most other vein treatments today, VenaSeal is also catheter-based technology. However,  unlike ablation, the catheter is used to inject a medical adhesive that fuses the diseased vein closed. Over time, the vein is reabsorbed by the body.
• 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.
• 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.

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Why Edison Vein Center?

Our vein treatment center in Edison NJ staffs vein doctors who have completed formalized vascular training programs and have years of prior experience in treating vein disease.  Most importantly, all our doctors have board-certifications in either vascular surgery or cardiovascular disease.

At our vein clinic in Edison NJ, you can rest assured that you will be in the care of a board-certified vascular specialists.  Dr. Alissa Brotman-O’Neill has been consistently named to Top Doc in SJ Magazine, NJ Top Doctors, Talk of the Town, and Compassionate Doctor on Vitals.  As President-elect for the New Jersey Vascular Surgical Society, she is committed to remaining up to date on all the latest research and technologies in the treatment of vein disease.  For more information, please schedule your spider vein and varicose vein consultation today.

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Locations Convenient to most of New Jersey!

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Meet our Vein Doctors

Dr. Alissa Brotman O’Neill

Double Board Certified | Harvard University

Dr. Alissa Brotman O’Neill is an accomplished vascular surgeon and vein specialist in Princeton, NJ, Edison, NJ and Mt. Laurel, NJ.

Dr. Faisal Siddiqi

Double Board Certified| Yale Medical School

Dr. Siddiqi proudly offers the latest technology available for spider and varicose vein treatments at his offices in Freehold, NJ, Edison, NJ and Point Pleasant, NJ.

Dr. Simon Smith

Board Certified Cardiovascular and Vein Disease Specialist

Dr. Smith is currently serving patients at the Vein Treatment Clinic in Clifton and Wayne, New Jersey.

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

The Vein Specialist

A vein specialist is a doctor that specializes in treating varicose veins and the underlying condition, venous insufficiency.  Ideally, your vein doctor should have completed formal training in endovenous procedures during his/her residency and fellowship training.  Qualified vein specialists will possess a training background in vascular surgery, interventional radiology or interventional cardiology. A recognition of competency is gained with board-certification in one of these specialties that is readily available to discerning patients.  Other specialties including pain management, internal medicine, or family medicine do not hold any formalized training in surgical or minimally-invasive endovascular procedures. Their board-certifications are well deserved, however not in the treatment of varicose veins.

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

• Vascular Surgeon
• Vein Specialist
• Phlebologist

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 ABMS recognized. 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. As stated above, vascular training can only be formally obtained during a fellowship in vascular surgery, cardiology or interventional radiology. During these programs, trainees undergo supervised education over several years learning technical competency and safe practices for endovascular procedures.  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. In many instances, the procedural training for phlebologists may be limited to just weekend development courses hosted by industry.

Advantages of Phlebologists

• A limited number of physicians who have also completed formalized training programs in either vascular surgery, interventional radiology or invasive cardiology.

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 including 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

Who Is The Best Vein Doctor By Specialty?

If you have varicose veins or chronic venous insufficiency, the best vein doctor to see is a 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.

Minimally Invasive Varicose Veins Treatments

The most surprising fact to many patients seeking varicose vein removal is that surgery is not needed.  Many patients recall stories about their parents undergoing extensive vein stripping procedures with painful and extended recovery periods.  Those days are long gone. Instead, today’s procedures are minimally-invasive and suited for all types of vein conditions.

These minimally invasive treatments for varicose veins include:

• VenaSeal: Like most other vein treatments today, VenaSeal is also catheter-based technology. However,  unlike ablation, the catheter is used to inject a medical adhesive that fuses the diseased vein closed. Over time, the vein is reabsorbed by the body.
• 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.
• 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 Princeton Vascular Center?

The Princeton Vascular Center offers modern varicose vein treatment only in the hands of the best vein specialists in the country.  Our vein doctors can be trusted to have completed formalized vascular training programs and have years of prior experience in treating vein disease.  Most importantly, all our doctors have board-certifications in either vascular surgery or cardiovascular disease.

With our multiple locations, you can rest assured that you can find the best vein doctor for your care anywhere in New Jersey.  For more information, please schedule your spider vein and varicose vein consultation today.

Vein Specialists Near Me

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

When Should I See A Vein Doctor?

Do you suffer from an increasing number of spider veins or varicose veins on the legs? Have you noticed that your legs feel more tired or swell at the end of the day? Spider veins may only be cosmetic, but those symptoms tell a different story and should be evaluated by a vein doctor for venous insufficiency.

So while spider veins can be displeasing, it’s those symptoms that should have you more concerned.  Untreated venous disease is not only associated with increasing spider and varicose veins, but also greater health concerns like DVT, leg swelling, leg ulcerations, and skin discoloration.  It’s for this reason that even simple spider veins should not be ignored and a consultation with a trusted vein clinic should be sought.

Why See A Vein Specialist?

A vein specialist should be a board-certified vascular specialist with specialized attention to the diagnosis and management of varicose vein disease.  Whether it’s for cosmetic reasons or for serious venous disease, a qualified vein doctor can make the appropriate decisions on testing and treating underlying vein disease.

What Are Varicose Veins?

Varicose veins occur when the veins (most commonly in the legs) become enlarged and overfilled with blood. The condition affects approximately 30 percent of all adults with a greater presence in women. Symptoms may 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.

What Causes the Condition?

Blood is returned to the heart by a network of veins throughout the body.  There are both superficial and deep veins within this network, however, it is the superficial veins in our legs that are most prone to disease.  Within these veins, blood is prevented from flowing backwards due to muscle function and valves. When the valves in your veins become dysfunctional due to one of many factors listed below, blood accumulates in the legs. As a result, the veins can become swollen, enlarged, and painful. Here are the potential risk factors for varicose veins:

• Genetic predisposition
• Standing or sitting for prolonged periods of time
• Aging
• Obesity
• Pregnancy

While some of these risk factors are set (like family history), others can be managed with early attention. If you are concerned about varicose veins or have already started to experience symptoms, it is wise to make lifestyle changes in consultation with your vascular specialist.

How Do I Know When To See A Vein Specialist?

Far too many patients wait till the symptoms have progressed and regularly affecting their daily activity.  Later presentations are associated with more advanced disease including signs of swelling, skin discoloration, leg ulcerations and corona phlebectatica.  We recommend patients be proactive about their leg symptoms and recognize the early signs of vein disease that warrant a vein specialist.

Minimally-Invasive Treatments:

Today represents a new age in vein treatment.  The days of invasive procedures like vein stripping and ligation are gone.  In their place, vein doctors use minimally-invasive techniques like ablation and microphlebectomy to treat complex vein disease.  These procedures are fast, effective and virtually pain-free. Best yet, there is no need for any downtime after the procedure. Here is a review of a few of our favorite techniques:

Sclerotherapy

Sclerotherapy is still the best procedure to treat spider veins and forms the cornerstone of treatment.  The procedure is done in the office by a trained vein doctor using a medication solution that is directly injected into undesirable veins.

This procedure, however, only treats visible spider veins and not the underlying venous insufficiency.

Radiofrequency Ablation

Radiofrequency ablation is the gold standard for treating the underlying cause of spider veins.

In this procedure, the vein doctor inserts a catheter through the skin and into the diseased feeder vein. Once the catheter is appropriately positioned, the vein doctor turns the heat source on which collapses the vein walls. The treated vein is removed from the circulation and blood reroutes to healthier veins.

Endovenous Laser Ablation

Endovenous laser ablation is very similar to radiofrequency ablation but uses laser energy as its heat source.  The vein doctor again inserts the catheter into the diseased feeder vein that is collapsed using a laser source.  Healthier circulation results after the diseased vein is absorbed naturally by the body.

VenaSeal

VenaSeal is a new innovation in the treatment of varicose veins using medical glue to close down the diseased vein.  The vein doctor inserts a catheter into the vein, but in place of a heat source, the catheter is used to deposit a safe medical adhesive that fuses the vein walls together.  Blood is subsequently rerouted from the diseased vein to healthier veins and improves circulation.

Our varicose vein specialists at the Princeton Vascular Center can be trusted to provide the right skills and experience for vein treatment.  Our doctors are skilled in all minimally invasive treatment methods, including sclerotherapy, radiofrequency ablation (RFA), endovenous laser ablation (EVLA), Varithena and Ambulatory Phlebectomy. When you meet one of our varicose vein specialists, you can expect an individualized treatment plan that will not only help you feel good but also look refreshed.

To schedule a consultation with an experienced varicose vein specialist, get in touch with the Princeton Vascular Center today.  Our vein doctors are recognized leaders in the field of diagnosing and treating vein disease. For your convenience, the Princeton Vascular Center has multiple state-of-the-art facilities across NJ to eliminate varicose veins and cure chronic venous insufficiency.

Vein Specialists Near Me

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

What Are Varicose Veins?

Varicose veins are enlarged, twisted veins that protrude from under the skin.   Many times, the condition can be asymptomatic, however, preventing long-term complications depends on early recognition and treatment measures.  Untreated, varicose veins can progress to more painful and swollen legs associated with skin discoloration, ulcerations, and deep vein thrombosis.

Having qualified varicose vein specialists evaluate your legs before these progressive conditions occur is highly recommended.

What Causes Varicose Veins?

The problem involves veins in the lower extremities that suffer from high pressure from within.  Naturally, blood pools in these veins due to gravity, resulting in high pressure within the veins.  Whereas the deeper veins are supported by the muscles within our legs, the superficial veins that cause varicose veins will stretch.  Over time, these vein walls can become weakened from the constant pressure and start to develop reflux or venous insufficiency.

Venous insufficiency is more common in individuals who sit or stand for prolonged periods, increasing age, females, obesity, and most importantly patients with a family history.  Developing varicose veins is linked to our DNA and this affects men and women alike.

What Are Vein Symptoms?

These symptoms can indicate that you have more significant varicose veins:

• Swelling in the leg or ankle
• Leg cramps
• Visible Varicose or Spider Veins
• Tired legs
• Restless legs
• Skin discoloration
• Leg ulcerations

Vein Treatment Must Be Done By Vascular Specialists

Treating spider veins and varicose veins should be left to the experts. In this case, that means doctors who have received formal residency or fellowship training in vascular disease. This can be from one of three specialties: Vascular surgery, interventional radiology or interventional cardiology.  While other specialties can receive post-graduate education on vein treatments, this is not uniform and the results can be quite variable. In the worst-case scenario, you can subject yourself to someone who is not fully prepared to deliver safe and effective treatments.

In vein practices across the country, your vein doctor can be categorized in one of three ways:

• Vascular Surgeon
• Vein Specialist
• Phlebologist

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.

Phlebologists:

Phlebologists have varied backgrounds including general surgery, internal medicine, pain management, cardiologists and even vascular surgery.   The American Board of Phlebology was only recently established in 2007 with the goal of setting standards of practice, establish training programs in venous disease, but is not ABMS recognized.  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. As stated above, vascular training can only be formally obtained during a fellowship in vascular surgery, cardiology or interventional radiology.  During these programs, trainees undergo supervised education over several years learning technical competency and safe practices for endovascular procedures. 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. In many instances, the procedural training for phlebologists may be limited to just weekend development courses hosted by industry.

Vein Specialist:

Vein specialist is used by many practicing vein doctors with varied backgrounds similar to phlebologists.  Again, it should be emphasized that a vein specialist 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 including its potential complications.  And while modern varicose vein treatment no longer requires surgery, it does not imply that a vascular specialist is not recommended.

Who Is The Best Vein Doctor By Specialty?

If you have varicose veins or chronic venous insufficiency, the best vein doctor to see is a ABMS board-certified specialist with a focus on varicose vein disease management. The physician you select should be highly trained and 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 see formally trained vein doctors with board certification in either vascular surgery, interventional radiology or interventional cardiology.

Our Mission At The Princeton Vascular Clinic:

If you are seeking a one-stop solution for varicose veins and spider veins in New Jersey, the Princeton Vascular Center is a state-of-the-art facility with multiple convenient locations.  Our team is staffed only by formally-trained vein specialists providing the latest advances in vein medicine for exemplary care.

To learn more about vein disease management and our vein clinics, consider an online consultation or come in for a visit. .

Vein Specialists Near Me