Most patients tend 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 often worse by the end of the day. Importantly, not every patient with venous insufficiency has visible varicose veins. This probably explains why very few patients are ever referred to a vein clinic for expert evaluation.

Spider and varicose veins represent the issue at the very surface, however venous insufficiency is happening underneath. A vein specialist needs to consider all your symptoms and findings on physical examination to determine the possibility of venous insufficiency. Preventing long-term issues requires more than eliminating spider veins at the skin surface.

To begin, your vein expert may consider a duplex venous ultrasound to evaluate the anatomy, flow and size of your leg veins. This provides the necessary information to your vein doctor on what is causing your symptoms. A duplex ultrasound should only be performed by a certified vascular tech and interpreted by vascular imaging experts.

Your dermatologist or local med spa may offer spider vein treatment, however it is likely limited to sclerotherapy or laser vein removal.

Patients with common presentations of spider and varicose veins are separated into 3 common 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 vein removal.
• Symptomatic Venous Insufficiency: Patients will benefit from treatment of the underlying condition. Early treatment includes exercise, weight loss (if needed), and fitted medical stockings.  If conservative measures have not controlled symptoms, then medical treatments are considered.
• Advanced venous insufficiency: These patients present with advanced signs of vein disease (CEAP 3-6) 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 unlikely to be sufficient.

Our Vein Specialist Center in Long Island is a comprehensive diagnostic and treatment clinic for both spider and varicose veins. Patients throughout Long Island seeking expert vein care are provided personalized attention by a healthcare team deeply committed to the patient-physician relationship. Dependability, Quality and Respect are a few of our core values that have helped us grow from a small practice in Princeton NJ. We invite you to see the difference of a patient-centered approach.

Comprehensive vein care including diagnostic ultrasounds and vein treatment are provided on site at our state-of-the-art facility in Great Neck NY. The Vein Specialist Center in Great Neck NY is located in the Gold Coast of Long Island at 560 Northern Boulevard in Suite 205 with close proximity to the Northwell Hospital system.