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New York Vein Treatment and NYC Vein Clinic
New York Metropolitan Vein and Aesthetic Center was founded in 2008 by Dr. Adam Goldman. Dr. Goldman is a board-certified internist and cardiologist, a diplomate of the American Board of Venous and Lymphatic medicine, and a member of the American Academy of Aesthetic medicine. These certifications enable Dr. Goldman and the entire staff of NY Metro Vein to provide full evaluation and treatment for many common vein conditions. There are two convenient New York locations, Corona and New York City, to make it easy for you to schedule an appointment to discuss your concerns.
Do You Have Vein Disease?
Healthy Leg
Spider Veins
Reticular Varicose Veins
Vericose Veins Trunk
Chronic Vericose Veins
Trophic Ulcers
Each year over 150,000 Americans are diagnosed with vein disease[1]. In all, 5-30% of the US adult population will be impacted by venous disease[2], commonly called chronic venous insufficiency. Usually, the thin-walled low, pressure veins use leg muscle activity, and one-way valves in the superficial veins (veins located close to the skin surface) work to overcome gravity and pump blood back to the heart. Normally, this system allows the blood in the veins to be squeezed by the calf muscles, and as the blood travels up, it passes the one-way valves and is prevented from passing back down to the feet. This way, there is always unidirectional flow back to the heart in a competent system. This is in comparison to arteries which have thick muscular walls and high pressure to transport blood and do not require valves. When these valves malfunction or become incompetent, the blood in the leg becomes bidirectional, and blood on its way to the heart now leaks back toward the feet and pools. It can cause cosmetic and physical problems that, while not lethal, can affect patients’ quality of life. Many people wait too long to seek medical attention for their vein problems, resulting in the progression of the disease.
Patient Reviews
It was a great and very informative experience The staff was amazing and the process for it went well. The results have been amazing. Thanks to the amazing team as well as the follow up process by the staff.
– Carlos I.
I am very happy with the results I fully recommend Dr. Adam Goldman to anybody. They are very friendly and the staff is very professional they explain all procedures in great detail.
– Aldonza A.
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Common causes of vein valve incompetency include trauma, advancing age, pregnancy, long episodes of standing or sitting, family history of vein problems, or smoking. Any of these conditions can affect the valves of the veins, resulting in blood pooling and skin changes and symptoms. These symptoms include leg swelling, itching, heaviness, and cramping. Over time, the area of skin under the varicose vein becomes inflamed, causing the skin to take on a shiny appearance and resulting in hair loss from the legs.
Varicose veins occur when the flaps inside the veins, called valves, malfunction and result in reduced squeezing ability of the veins and cause blood to pool in the legs instead of being circulated upwards toward the heart. This can result in blue discoloration of the skin surface, twisting and bulging of the veins, itching, swelling, and aching of the legs, as well as nighttime cramping. The valves inside veins are one-way valves. If the valves are malfunctioning, then the blood is not only traveling toward the heart but also coming back down in the opposite direction it should. According to one study, most varicose veins are caused by problems in the great or small saphenous vein. A doppler ultrasound of the leg helps identify which vein is causing the problem and enables the doctor to form a treatment plan.
Treatments for Varicose Veins and Spider Veins
Phlebectomy
Laser Coagulation
Sclerotherapy
Compression Therapy
There is a difference between varicose veins and spider veins. Most frequently encountered on the face or legs, spider veins are usually harmless. Because they are so little, these veins frequently resemble tiny branches that are spread out like a spider’s web. Varicose veins are larger and typically appear on the legs in red or bluish-purple color due to the blood pooling in the afflicted area, which can often cause pain and discomfort if left untreated.
Some common at-home varicose vein treatments include conservative measures such as the use of medical grade compression stockings, exercise, not standing or sitting for prolonged periods, use of supplements such as horse chestnut, use of anti-inflammatory medications such as ibuprofen, use of ice packs to painful veins, and weight loss.
Vein closure starts with a local anesthetic administered to the vein. A small incision is made, and a catheter is directed to the diseased vein via ultrasound guidance. A laser or radio frequency energy is applied inside the vein, which results in its closure and elimination. Nearby healthy veins then take over the proper blood transport.
Microphlebectomy is a procedure used to treat varicose veins by removing the problematic veins. A small incision is made close to the vein, and a tiny hook is then used to pull the vein out, essentially preventing further issues. When the vein is removed, the healthy veins can then take over the transfer of blood flow back to the heart.
VenaSeal, also known as endovenous adhesive ablation, is a procedure that treats varicose veins by use of ultrasound guidance and a catheter to insert a small amount of medical adhesive to patch up the afflicted veins. Blood can then be routed to other healthy veins after the vein is sealed with direct pressure.
Verithena is another treatment for varicose veins that are considered minimally invasive and involves injecting a microfoam that causes the targeting veins to close. Once the vein has been closed, the blood can course through the healthier surrounding veins.
Sclerotherapy is a procedure in which a liquid is injected into the vein, causing it to seal up, scar, then disappear gradually. More than one treatment session is usually needed to see results. This is the usual treatment for spider veins, also called telangiectasias, which are similar to varicose veins but are smaller and thread-like in size. They are also caused by malfunctioning of the valves of the veins. Spider veins can be painless and cause cosmetic concerns or can cause symptoms like those of varicose veins, such as burning, throbbing, localized pain, and bleeding. Spider veins may indicate an underlying vein problem, especially if they occur around the ankle or inner thigh. A leg ultrasound can provide further information and identify the source of the problem.
Bleeding from Leg Veins
Varicose veins caused by incompetent vein valves can result in extremely dilated surface veins. As they dilate, they become thinner and more fragile. The blood flow in these veins is under very high pressure. The veins can start to bleed spontaneously or after minor trauma and must be urgently addressed. This is called spontaneous hemorrhage of a varicose vein. The bleeding can occur after a warm shower since the heat causes the veins to dilate further. Both large varicose veins and small spider veins can hemorrhage. Since the blood is under high pressure, the blood can shoot across the room. If this occurs, you should immediately get a towel and apply pressure to your leg, and lie down and elevate your leg on some pillows. If the bleeding does not stop, seek immediate medical attention. Make sure someone is with you since standing or walking can worsen the bleeding, and there is the risk of significant blood loss.
Although many people associate vein disease with the unsightly appearance of dark veins appearing through the skin, several other symptoms and complications can occur. If you are experiencing any of the following symptoms in your legs, vein disease may be the cause:
- Fatigue
- Throbbing
- Aching
- Cramping
- Swelling
- Itching
- Heaviness
- Burning
- Tingling
- Restlessness
These symptoms can often be triggered or worsened by prolonged sitting or standing, cold or hot weather, during your menstrual cycle, or if you are pregnant.
Who is a candidate for varicose vein treatment?
Candidates for vein treatment include almost all patients who have been having symptoms such as leg aching or throbbing, swelling, or burning from varicose veins. Those who have their regular activities curtailed due to these symptoms are particularly optimal candidates for vein treatment. The presence of a complication from vein disease, such as a leg ulcer, also makes someone more likely to benefit from vein treatment. Additionally, if one has tried conservative treatments, such as medical grade compression stockings without improvement, then more definitive vein treatment could be beneficial.
Who is not a candidate for vein treatment?
While most patients suffering from vein problems are good candidates for treatment, some are not.
Patients with poorly controlled diabetes and severe peripheral arterial disease may be prone to complications from vein treatments due to their diabetes. These complications can include suboptimal healing due to poor circulation. Skin abnormalities are common in these patients and can cause cosmetic issues post-procedure.
Here is a list of other conditions that may prevent you from receiving treatment
- Patients with blood clotting disorders
- Chronic heart or lung disease
- Active viral or bacterial infections
- Allergies to sclerosant solution
Vein Care Therapy Results and Recovery
Sclerotherapy Recovery
Following your procedure, you will be able to return to most of your normal activities, with some limited restrictions in place for the short term. For the best results, we recommend that you take it easy, stay out of the sun, and follow your vein care guide with your doctor following the procedure to ensure proper healing.
Vein Closure Recovery
The vein closure procedure is typically completed within an hour. No stitches are required. The skin is bandaged. Patients can usually return to regular activities on the same day.
Varithena Recovery
Varithena is minimally invasive and generally well tolerated, so you can likely resume most of your regular activities the same day. For 72 hrs, you should refrain from strenuous activity and avoid prolonged periods of rest during the first month.
VenaSeal Recovery
Recovery time following VenaSeal is quick. Following therapy, you can start with your regular activities immediately. Once the veins are treated, any swelling or discomfort should disappear soon after the procedure.
Microphlebectomy Recovery
There is little recovery time following a microphlebectomy treatment. The anesthesia used for the surgery can affect the treated area for at least 24 hours. Tylenol is typically all that’s required to treat discomfort, and most activities can be resumed the next day. It may be necessary to wait 72 hours if you are planning to engage in any strenuous activities.
A Vein Clinic With Loyalty and Trust in NYC
The New York Metropolitan Vein and Aesthetic Center has been a trusted vein center in New York since 2008. We have two convenient locations to serve areas: Brooklyn, Manhattan, New York, Borough Park, Westchester, Staten Island, Washington Heights, Queens, Bronx, Inwood, New Jersey, Connecticut, and the Tristate Area. Contact our New York City or Corona offices for further information. We look forward to meeting you soon in the office that is most accessible to you.
Our Commitment to Patient Safety
Patient safety is our priority at New York Metropolitan Vein and underscores everything we do. Treating each patient with dignity and respect is something we never compromise on. You will be educated about the options for treatment, the pros and cons, risks and benefits, and all your care questions and concerns will be addressed so you feel comfortable moving forward. Your prior medical and family history will be reviewed to understand your medical conditions fully.
We follow Covid preventative protocols, including routine deep cleaning of all surfaces, and take precautions to minimize the spread of infection. Staff members are trained to screen patients in advance for potential early signs of Covid to prevent exposure of patients to the disease.
Cost of Vein Treatment
Most insurance, including Medicare, will cover the cost of vein treatments if deemed medically necessary. To meet this requirement, your varicose veins would have to cause you to have leg pain, heaviness, aching, or swelling or cause complications such as leg ulcer, ruptured vein causing bleeding, or recurrent blood clots. The symptoms must affect your daily quality of life, preventing you from doing your routine activities. Additionally, conservative medical treatment must have been attempted for 6-12 weeks without improvement of symptoms. This includes wearing compression stockings, using anti-inflammatory medications, and doing leg exercises. Finally, venous reflux and insufficiency must be demonstrated with a leg ultrasound.
Insurances typically will not cover the cost of varicose vein treatment if there are no symptoms, like pain or bleeding. Therefore, many insurance companies consider varicose veins a cosmetic issue.
Our NY Vein treatment centers can cosmetically treat your spider veins to your satisfaction and offers 12 months of interest-free care credit for those who qualify. We will work with you to achieve your cosmetic care goals.
Why Choose Us As Your Vein Treatment Center
The New York Metropolitan Vein and Aesthetic Center has two vein treatment clinics in NY, one in Washington Heights and one in Corona, Queens. Since 2008, Dr. Goldman MD has offered compassionate and competent vein treatment to thousands of new yorkers. In response, he has earned 5-star reviews for his care from various online review sites. The center offers the latest technology to offer you cutting-edge medical care. The caring and friendly staff can help with your questions and concerns. Spanish-speaking staff is also available for your convenience
Before and After Vein Images
Schedule your free Consultation with a Vein Specialist
Finally, say bye-bye to those unsightly veins and so long to the painful symptoms. Vein disease is common throughout the United States, and vein therapy is no longer the extensive surgery it once was. Now, we use minimally invasive procedures that have you returning to normal activity in no time.
Spider vein treatments in New York are easy when you schedule your appointment at one of our New York Metropolitan Vein clinics.
Frequently Asked Questions About Vein Disease, Spider & Varicose Veins
1. How Are Spider and Varicose Veins Different?
Spider veins lie close to the skin surface and look like delicate blue or red tracings. Varicose veins could appear blue, red, or even skin-colored but look more like cords that bulge out of the skin. Doctors consider spider veins a more minor result of the same problem that causes varicose veins. That is, valves that control blood flow have become weak. Thus, people with spider veins may eventually develop varicose veins and even more severe issues in the future.
2. Who Tends to Suffer From Spider Veins?
Some people have a genetic tendency to develop spider or varicose veins. Otherwise, these conditions could cause an increased risk:
- Obesity or pregnancy
- Having to sit or stand for extended periods
- Exposure to the sun
- Hormone changes
- Age
Certainly, age increases the risk of suffering from leg vein problems. The Department of Health and Human Services finds leg vein problems quite common with the overall population too. Contrary to popular belief, these problems do not just impact women. As many as 55 percent of women and 45 percent of men suffer from some kind of problem with the veins in their legs.
3. Do New Spider Veins Indicate Serious Health Problems?
Doctors don’t generally consider spider veins a very serious medical issue by themselves. Some people suffer from itching or burning in the area where they appear. Rarely, they could signal blood backup inside the legs. Anybody who suffers from discomfort or has an underlying medical issue should seek medical treatment. The appearance of spider veins may signal that the patient should take steps to keep them from progressing into varicose veins and other more serious issues. Doctors might suggest moderate exercise, suitable shoes and stockings, and other measures to improve overall health and keep spider veins from getting worse.
4. Who Can Help With Vein Leg Problems?
Certainly, doctors also offer proven treatments for people who want to remove unsightly spider veins to improve their appearance. In New York, contact the Metropolitan Vein and Aesthetic Center to address concerns over vein problems by calling 914-295-2202 today.
5. What Exactly Are Varicose Veins?
Many patients have a hard time grasping what varicose veins are and how they form in the body. Generally speaking, your veins are designed to keep blood moving in the direction of the heart. When you have varicose veins, the valves stop closing after the blood moves through them. This is caused by chronic venous insufficiency.
This condition allows the blood to flow backward into the vein and pool up, causing swelling and the blue or purple color that you have come to associate with varicose veins.
6. Do Varicose Veins Cause Pain?
Varicose veins tend to worsen over time. They can lead to pain if the progressive nature of the disorder is not addressed quickly. In the beginning stages, varicose veins are small and can hardly be seen. They are not likely to cause much pain or discomfort during this stage.
The larger they grow, the more likely you are to feel them become sensitive to the touch. The swelling becomes uncomfortable and leads to fragile skin surrounding the varicose veins. Once you start to notice more pain, the veins can even cause ulceration.
7. Are Varicose Veins a Risk Factor for Deep Vein Thrombosis?
Unfortunately, the development of varicose veins can indeed increase your chances of deep vein thrombosis, or DVT. Varicose veins affect the veins that are closest to the surface of the skin, but DVT impacts the veins deeper in your legs. As blood pools up in these larger veins, you may have more blood clots.
Blood clots can negatively impact your circulation, but there is an even bigger risk: If they work their way loose, they can travel to the lungs, which can be fatal. If you have varicose veins, early treatment is key.
8. When Should You Contact a Vein Treatment Center?
Once you notice that you have developed varicose veins, don’t expect them to improve all on their own. Varicose veins are a progressive disorder that will worsen over time.
You should not let varicose veins progress because they can cause discomfort or pain. While you may not need to worry immediately, consistent swelling or ulceration should be key factors in determining when to treat this condition.
9. What causes varicose veins?
These six risk factors can all contribute to the development of this condition:
- Genetics
- Pregnancy
- Menopause
- Age
- Obesity
- Prolonged standing
If you experience any of these risk factors, you should pay close attention to veins in your legs that appear swollen or dark in color. These could be the early signs of the formation of varicose veins.
10. What are the common spider vein symptoms?
- Changes in skin color or texture around the affected leg area
- Dry, thin skin on the legs
- Aching or heavy sensation in the legs
- Itching or burning feeling in the affected area
11. Directions to get your vein treatment
New York MetroVein is a medical center that specializes in vein treatment and has two locations in New York – one in Washington Heights and another in Corona. The Washington Heights location is situated close to the popular Fort Tryon Park and the New York-Presbyterian Hospital, while the Corona location is located near the Louis Armstrong House Museum and the Flushing Meadows-Corona Park, providing convenient access to these landmarks for patients and visitors.
12. Directions to get your vein treatment from Grand Central Parkway
- From the Grand Central Parkway, take the Northern Blvd exit (Exit 6) toward Corona.
- Turn left onto Northern Blvd and continue for about 0.7 miles.
- Turn right onto 103rd St.
- Continue on 103rd St for about 0.3 miles, and the destination will be on your left at 37-73 103rd St.
- Please note that these directions are based on normal traffic conditions and may vary depending on the time of day and any road closures or construction in the area.
13. Directions to get your vein treatment from Washington Heights
- From the Henry Hudson Parkway, take the W 207th St exit (Exit 14) toward Inwood.
- Turn left onto W 207th St and continue for about 0.4 miles.
- Turn right onto Broadway and continue for about 0.2 miles.The destination, 4915 Broadway Suite 1A, will be on your left.
- Please note that these directions are based on normal traffic conditions and may vary depending on the time of day and any road closures or construction in the area.
14. Nearby Landmarks
Fire Stations
- FDNY Engine 95/Ladder 36/Foam 95, which is on 29 Vermilyea Avenue, New York.
- FDNY Engine 43, Ladder 59, which is on 1901 Sedgwick Avenue, The Bronx.
- Former Quarters of FDNY Engine Co. 75 Ladder Co.33 and the 19th Battalion-Animal House, which is on 2285 Jerome Avenue, The Bronx.
- FDNY Engine 81/Ladder 46, which is on 3025 Bailey Avenue, The Bronx.
- FDNY Engine 75, Ladder 33, Battalion 19, which is on 2175 Walton Avenue, The Bronx.
- FDNY Engine 93/Ladder 45/Battalion 13, which is on 515 West 181st Street, New York.
Bus Stations
Train Stations
Parks
- Fort Tryon Park, which is on Riverside, Dr To Broadway, New York.
- Highbridge Park, which is on W 190th St &, Amsterdam Avenue, New York.
- Paul’s Playground, which is on Independence Ave & Kappock St, The Bronx.
- Isham Park, which is on Isham Street, New York.
- Bennett Park, which is on W 183rd St &, Fort Washington Avenue, New York.
- Roberto Clemente State Park, which is on 301 West Tremont Avenue, The Bronx.
- Spuyten Duyvil Shorefront Park, which is on Edsall Avenue, The Bronx.
- Seton Park, which is on Independence Avenue, The Bronx.
- Major General John R. Brown Triangle, which is on Sedgwick Ave &, West Kingsbridge Road, The Bronx.
- Phyllis Post Goodman Park, which is on 2600 Henry Hudson Parkway East, The Bronx.
- Heath Triangle, which is on Bailey Ave. at, Heath Avenue, The Bronx.
- Museums
- The Met Cloisters, which is on 99 Margaret Corbin Drive, New York.
- Dyckman Farmhouse Museum, which is on 4881 Broadway @, West 204th Street, New York.
- The Hall of Fame for Great Americans, which is on University Ave & W 181st St, The Bronx.
- Edgar Allan Poe Cottage, which is on 2640 Grand Concourse, The Bronx.
- The Efficiency Project LTD, which is on 5030 Broadway STE 675, New York.
City Halls
- Nearby Towns and Suburbs
- Inwood is to the south-west.
- University Heights is to the south-east.
- Spuyten Duyvil is to the north.
- Morris Heights is 1 mile to the south.
- Fordham is 1 mile to the south-east.
- Washington Heights is 1 mile to the south-west.
- Tremont is 1 mile to the south-east.
- Bedford Park is 1 mile to the east.
- Englewood Cliffs is 2 miles to the north-west.
- Belmont is 2 miles to the south-east.
- Highbridge Houses is 2 miles to the south.
sources
https://www.ncbi.nlm.nih.gov/books/NBK430975/#:~:text=An%20estimated%20six%20to%20seven%20million%20people%20within,40%25%20of%20women%20may%20experience%20chronic%20venous%20insufficiency.
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.113.006898
Contact Us
The Metropolitan Vein and Aesthetic Center has offices in three locations for your convenience:
