IVY TRAINED VEIN DOCTORS | TOP RATED VEIN CENTER| SPIDER AND VARICOSE VEIN TREATMENT CLINIC
There are numerous vein clinics in New Jersey and fortunately, there is a great deal of expertise that can be found with the right guidance. Choosing a qualified vein doctor is absolutely necessary when it comes to getting results and avoiding potential pitfalls in treatment. 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 still essential 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 clinical physician at our vein clinics in NJ and is a board-certified vascular surgeon with years of experience in vein disease management.
What Causes Leg Pain From Spider Veins?
First and foremost, leg pain is not a common occurrence in individuals with spider veins. However, that does not mean a more serious condition is not present. Instead, an astute clinician is also mindful of other common issues associated with spider veins that should suggest further workup. Leg heaviness, leg swelling, restless legs are common markers of vein disease. Some more insidious symptoms can include pelvic pain, neuropathy, and skin discoloration. The discomfort is secondary to the blood that pools in the legs due to insufficient blood return. The pooled blood leads to inflammation and discomfort around the skin, nerves and muscle. Interestingly, symptoms of venous insufficiency can be noted even in the absence of visible varicose or spider veins.
How Do You Diagnose Spider Veins?
Proper evaluation of vein disease that underlies spider veins requires the expertise of a vein specialist. Unlike medical spa clinics or dermatologists, outstanding vein clinics are recognized as centers of excellence for the diagnosis and treatment of spider and varicose veins.
The most important tool for this diagnosis is a complete duplex venous ultrasound to evaluate the anatomy, flow, and size of your leg veins. A duplex ultrasound should be performed by a certified vascular tech and interpreted by vascular imaging experts.
What Is The Best Treatment For Varicose Veins?
This will depend on your goals for treatment and findings on the medical evaluation. Most presentations of varicose and spider veins are classified into 3 categories:
- 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 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.
The Princeton Vascular Center is accustomed to treating all presentations of vein disease and is equipped with state-of-the-art diagnostic tools to make the right diagnosis and treatment recommendation. Our vein clinics are overseen 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 Are Recommended Treatments For Vein Disease?
The most surprising fact to many patients needing varicose vein treatment is that surgery is not needed. Modern vein treatment centers offer patients only minimally-invasive solutions resulting in no downtime, no scars, and virtually no pain. Our favorite techniques 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 Princeton Vascular Center?
The Princeton 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 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.