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?

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.

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

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

Schedule your free Consultation with a Vein Doctor 

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

Read Our Patient Reviews for Vein Treatments

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