How To Find The Best Varicose Vein Doctor in Paramus, NJ

June 27, 2020

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


The Best Vein Doctor in Varicose Vein Doctor in Paramus, NJ

A varicose vein doctor today can be just about anyone possessing an MD or DO.   Vein practices are sometimes managed by family medicine doctors, dermatologists, and even anesthesiologists despite the lack of any formal vascular training.  Because there is no formalized training program for vein disease, physicians with little vascular experience are performing vein procedures including ablations with little more than weekend certificate courses.  And while many of these physicians are capable and have refined their practices over the years to become quite accomplished, there is a valid concern about the experience to perform endovascular vein treatments. In this article, we review the different titles vein doctors assume and discuss the pros and cons.

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

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.


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
  • Vein stripping is a surgical procedure utilized by surgeons unfamiliar with endovascular techniques


Key Points to Remember

  • 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
  • State-of-the-art treatments and facilities 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.


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)

In Summary

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

CONTRIBUTING SPECIALIST


Dr. Simon Smith

IVY-Trained | Vein Specialist | Cardiologist

Leading our Paramus, NJ and Wayne, NJ vein centers, Dr. Simon Smith’s post-fellowship focus has been on the diagnosis and treatment of vascular disease and varicose veins. Dr. Smith is a well respected vein specialist and expert with the latest technologies.

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    Our Vein Centers

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

    01. Princeton

    10 Forrestal Road South
    Princeton, NJ
    08540

    02. Woodbridge Twp

    1200 Greene Street
    Woodbridge Township, NJ
    08830

    03. Mt. Laurel

    4000 Church Road
    Mt. Laurel, NJ
    08054

    04. Paramus

    2 Sears Drive, Ste 101
    Paramus, NJ
    07652

    05. Clifton

    905 Allwood Road, Ste 105
    Clifton, NJ
    07012

    06. Wayne

    342 Hamburg Turnpike, Ste 202
    Wayne, NJ
    07470

    07. Freehold

    501 Iron Bridge Road, Ste 2
    Freehold, NJ
    07728

    08. Springfield

    105 Morris Avenue, Ste 101
    Springfield, NJ
    07081

    09. Long Island

    560 Northern Blvd #204A
    Great Neck, NY
    11021

    10. Central Park East

    635 Madison Avenue
    Suite 1400
    New York, NY
    10022

    01. Princeton

    10 Forrestal Road South
    Princeton, NJ
    08540

    02. Woodbridge Twp

    1200 Greene Street
    Woodbridge Township, NJ
    08830

    03. Mt. Laurel

    4000 Church Road
    Mt. Laurel, NJ
    08054

    04. Paramus

    2 Sears Drive, Ste 101
    Paramus, NJ
    07652

    05. Clifton

    905 Allwood Road, Ste 105
    Clifton, NJ
    07012

    06. Wayne

    342 Hamburg Turnpike, Ste 202
    Wayne, NJ
    07470

    07. Freehold

    501 Iron Bridge Road, Ste 2
    Freehold, NJ
    07728

    08. Springfield

    105 Morris Avenue, Ste 101
    Springfield, NJ
    07081

    09. Long Island

    560 Northern Blvd #204A
    Great Neck, NY
    11021

    10. Central Park East, NYC

    635 Madison Avenue
    Suite 1400
    New York, NY
    10022

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

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