top-varicose-vein-doctor-nycWelcome to Dr. Norman Chideckel’s Vein Center. Dr. Chideckel is a board certified vascular surgeon that specializes in the treatment of venous disease.

Dr. Chideckel is one of the leading experts in New York City for the treatment of Varicose Veins, Spider Veins, Reticular Veins, Deep Vein Thrombosis (DVT), Venous Insufficiency, Venous Ulcers, and all related venous disease.

He performs procedures for cosmetic and medical treatments including Endovenous Laser Ablation, Ambulatory Phlebectomy, Sclerotherapy, Venous Ultrasound, and the VeinGogh Procedure.

Call us today at 212-993-6133 to schedule an appointment!

Why Do My Varicose Veins Keep Coming Back?

Varicose Veins If you have had treatment but your varicose veins have come back, there could be three main reasons. If you have only been using creams or stockings, these will not treat the source of the varicose veins, as they are under the skin and you will need extra treatment alongside the creams.

The Wrong Treatment Was Given

Varicose Veins If you have been treated and the veins seem to have come back, the treatment given may have been wrong or not medically proven to work. Lots of clinics may offer a quick fix at a good price, but do you know exactly what you are getting? Some treatments, such as stripping, which remove the varicose veins in surgery, may not work. Veins are made to repair and replace, unlike organs, so if an affected vein is removed from the body, the body will try to replace this vein. This could cause a new vein to form. When a new vein forms in the body, it doesn’t have valves, meaning it will automatically be varicose.

The Wrong Vein Was Treated

No two varicose veins are alike and different veins will be affected in each individual person. An ultrasound is needed to ensure the correct veins are treated. If a vein is missed, the varicose veins will come back as the source has not been treated. If you have been treating outer varicose veins with creams or stockings, this will not get rid of the root cause of your varicose veins, meaning they will reappear. These are only temporary solutions.

New Varicose Veins Have Formed

Varicose Veins Unfortunately, if you have had varicose veins and they have been treated, this doesn’t guarantee that another vein will not become varicose, although it is rare. The best way to ensure this doesn’t happen is by reducing the risks of varicose veins. You can do this by having a healthy diet, regular exercise, and ensure you are not sitting or standing for long periods of time every day. If they reoccur, this does not mean they were not treated the first time; it just means another vein has been affected.

If you have had a treatment and believe it has not worked, contact us today to schedule an appointment with the best varicose vein doctor in NYC, who can talk you through an effective treatment plan to ensure this doesn’t happen again.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

What Does Varicose Veins Surgery Involve?

Varicose Veins SurgeryIf you are suffering from varicose veins or know somebody who is, you may look into surgery as a treatment. Surgery does not fix the affected vein (as once they are varicose they cannot be cured) but it does remove them. This does not affect the blood flow in the leg as other veins will take over the job of the varicose vein.

Am I Eligible For Surgery?

Varicose Veins Surgery

You will be assessed to see if you are eligible for surgery and it will depend on two things. One being the kind of varicose veins you are suffering from, whether this is where the veins have caused breakthrough bleeding to the skin, ulceration, or phlebitis (inflammation of the veins and the underlying skin). The second thing that will be done are some pre-operative tests to ensure you are safe for surgery. If you have had a reaction to anesthetic or you have high blood pressure, you may not be able to have surgery at this time.

What Happens During Surgery?

Varicose Veins SurgeryEach surgery depends on the severity of the varicose veins and where they are on the body. The varicose veins that can be seen in the skin are removed from the

leg using tiny incisions for minimal scarring. The vein which is causing varicose veins is called the long saphenous vein. This will be tied at the top to prevent blood flow then a thin wire will be placed through the vein. At the bottom of the vein, a cut will be made and using the wire, the vein will be stripped out. Removing the long saphenous vein means the cause of the varicose veins should be dealt and a recurrence is unlikely.

What Happens After Surgery?

If you are fit and well you will be able to go home a few hours after surgery, so long as a family member or friend can take you home. Bandages will be worn for a few days afterward. The leg may bleed slightly, as the stitches from the larger incisions heal. You can use painkillers for the pain and shouldn’t drive for 48 hours after surgery. It will be sore but the discomfort will get better over time and the surgery should mean that your varicose veins are completely removed.

If you want more information on varicose vein surgery, contact us today to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

What are the Treatment Options for Varicose Veins?

Varicose veins Varicose veins cause no problems in many cases and may not need treatment, but some people may find them extremely painful or want them treated for cosmetic purposes. There are a few treatments that may be offered for varicose veins, which all have pros and cons.

Lifestyle Changes

There are many lifestyle changes that can prevent varicose veins from worsening and these are normally recommended if they are not causing any symptoms and are not seen as dangerous. These will not get rid of varicose veins. Therefore, they may not be the right treatment if you want rid of your varicose veins due to cosmetic reasons. Doing regular exercise, losing weight, and stopping smoking may all be recommended, depending on your circumstances. If you are getting another treatment, these lifestyle changes will usually be recommended alongside the main treatment.

Injections

Varicose veinsInjections can be used to close the vein using a special chemical. Results are normally seen after a few weeks and symptoms can be relieved. You may need a few injections for the treatment to work properly, and as with all treatments, it may cause side effects such as staining on the skin, headaches, or fainting. If you have a phobia of needles, this may not be the treatment for you.

Laser Treatment

Varicose veinsEndovenous laser treatment may be used to treat your varicose veins. This is a minimally invasive treatment that involves using an ultrasound to guide the laser. A small laser will be used to heat the varicose vein from the inside, which causes it to close. It may cause tightness in the legs as well as some bruising or pain. This treatment only needs small incisions and can relieve symptoms. Unlike surgery, you would not need to stay in the hospital overnight.

Suction Removal

As stated in the name, this involves removing the affected veins through small incisions using a suction device. This can give immediate results and minimal scarring, but it can cause bruising. It also relieves the symptoms of varicose veins.
There are other treatments available and this is not an extensive list. Depending on the procedure, you may be given general or local anesthetic to make it as painless as possible for you.

If you want a varicose vein treatment or wish to explore your choices, contact us as soon as possible to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

What Causes Varicose Veins During Pregnancy?

varicose veinPregnancy is one of the main risk factors associated with varicose veins. This is something we cannot avoid if we want children and isn’t something we should be worried about as long as we know the signs of varicose veins and get treated accordingly. Many women may find that once pregnancy is over, these veins disappear without help. But, what causes varicose veins whilst pregnant? Read on to find out.

The Uterus

varicose veinsAs the uterus grows during pregnancy, as does the skin around it to ensure your baby has the room it needs to thrive and grow. This causes increased pressure on an important vein called the inferior vena cava. This is the large vein that all the smaller veins from the lower body arrive at, which then goes back into the heart. When this is put under extra pressure, it exerts extra pressure on the veins in the legs, which can cause varicose veins.

Increased Blood Flow

When you are pregnant, your baby needs blood as well as you, meaning more blood needs to be pushed around the body in order to give both your body and your baby what you both need to be healthy and thrive. The veins in the legs are already working against gravity to push the blood back to the heart. Therefore, with the extra blood flow from pregnancy comes extra pressure on these veins, which can cause varicose veins.

Hormone Levels

varicose veinsWhilst pregnant, the female body releases more of a hormone called progesterone. Progesterone is produced by a woman during their menstrual cycle and during pregnancy. If an egg is fertilized, progesterone stimulates the growth of blood vessels surrounding the lining of the womb, meaning they become more relaxed. This can cause the valves to become weaker as the walls of the blood vessels relax, so they need to work harder to maintain blood flow in one direction. This can also cause varicose veins. Progesterone levels slowly increase during pregnancy, so the further on in pregnancy you are, the more progesterone your body produces.

Luckily, many women who suffer from varicose veins during pregnancy are just suffering due to something that happens to the body whilst pregnant. If you find the varicose veins aren’t healing after birth or you had them before you became pregnant, then contact us to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

Varicose Vein Myths You Probably Believed

There are many things you may have been told about varicose veins, but what is true and what isn’t? There is no one thing that can cause varicose veins, although there are risk factors that could increase your chance or make varicose veins worse if you already have them.

Crossing Your Legs

varicose veinsYou cannot get varicose veins just from crossing your legs. Although crossing your legs can cause extra pressure on the veins, it is not the main reason why a vein becomes varicose. However, if you already have varicose veins, it can exacerbate them through the extra pressure caused.

Hot Baths

varicose veinsIf you love a hot bath, there is no need to worry, this will not cause veins to become varicose. The veins aid the body in regulating its temperature, therefore, when the skin is subject to heat, the veins, capillaries, and arteries work together to enable blood to flow closer or further from the skin, depending if they want to retain or lose heat. This will cause the skin to go red, but it has nothing to do with varicose veins and is a normal bodily reaction to heat. However, long exposure to heat is not recommended if you do have varicose veins, as it can cause blood pooling, but hot baths will not cause varicose veins.

Poor Circulation

Varicose veins are not a sign of poor circulation; it is a sign that a particular vein is damaged. It does not affect circulation as other veins will make up for the work of the affected vein. Veins are not the main blood vessel that aid in circulation. Veins take blood flow to the heart at a relatively low pressure. Arteries are mostly responsible for blood circulating around the body, pumping it through at a high pressure.

Standing for Long Periods

varicose veinsThis also does not cause varicose veins. It is a risk factor and can make the valves relatively weak in the veins, as gravity is working against the veins for long periods of time. It can make the problem worse if you are already a sufferer from varicose veins. If you have varicose veins and do have a job where you stand for long periods, you may be advised to wear compression stockings.

 

 

If you are suffering from varicose veins, contact us today to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

Are Varicose Veins Hereditary?

Whilst there are some things that may stop us from being at risk of varicose veins, such as not being overweight or having a job that doesn’t require much standing, some things cannot be avoided. From pregnancy to gender and genetics, these are things mostly beyond our control.

Am I More At Risk If My Parents Have Varicose Veins?

varicose veinsResearch has shown that varicose veins can be caused by genetic factors from both your maternal and paternal genes. You may not necessarily get varicose veins directly from your mother or father, or even your grandparents, but you will inherit a genetic disposition to develop varicose veins. This comes from the type of collagen we have inherited from our genes, as collagen makes up the valves in the veins which become weak and therefore cause varicose veins. You may often find a family history of varicose veins if you are a sufferer, and this has been proven in many epidemiological studies carried out throughout Europe.

 

Are There Any Other Hereditary Factors?

varicose veins

Whilst there are many things that are hereditary, not many will cause varicose veins. The most common causes are environmental such as pregnancy and obesity. Whilst some people may argue that obesity is hereditary, this depends on environmental factors. If your parents are overweight, there is more chance of you being overweight too and this can cause extra pressure on your veins, leading to varicose veins.

What Can I Do If There Is A Family History?

varicose veinsVaricose veins can be caused by a combination of hereditary and environmental factors. The more of these factors you have, the higher your chance of varicose veins. You cannot control your family history and many of the other factors that cause varicose veins. Being in control of anything you can do to prevent varicose veins, such as your weight or how long you are standing on a day-to-day basis, will decrease your chances of developing them. Ask your parents if they know of any family history of varicose veins if you believe you are getting them yourself.
If you have varicose veins in the family, you are more likely to be a sufferer, but this doesn’t mean that you definitely will be. If you feel a change in the veins in your legs recently and there is a family history, contact us today to schedule an appointment with the best varicose vein doctor in NYC.

 

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

Who is Most at Risk of Varicose Veins?

As with most diseases and ailments, there are risk categories that a person may fall under, which mean they are more likely to get that disease than someone else. There are many risk factors associated with varicose veins, but there is nothing proven to show what exactly may cause varicose veins in each individual.

Family History

varicose veinsIf you have a family history of varicose veins you are more likely to develop them yourself. This doesn’t mean you definitely will, but if some of your close relatives have or had varicose veins, keep an eye out for the symptoms. If both parents have varicose veins, there is around a very high chance that you will develop them too.

Obesity

varicose veins Maintaining a healthy weight can mean healthier veins, as there is less pressure on them from excess weight. There are many good reasons to maintain a healthy weight, varicose veins being one of them. Exercising regularly and eating a healthy diet can all aid in reducing your risk of getting varicose veins.

Women

Unfortunately, women are the most likely gender to develop varicose veins. This is for many reasons, but the most common are hormones and pregnancy. Progesterone is produced by women during pregnancy and menstruation causes the lining of the blood vessels to relax, meaning the veins need to work harder to get the blood to the heart. This will cause more pressure on the valves, possibly causing varicose veins. Changes in the body during pregnancy, such as a growing uterus, can put extra pressure on the surrounding veins, meaning pregnant women may find themselves suffering from varicose veins around the pelvic area. However, this does not by any means rule men out from getting varicose veins!

Abdominal Straining

varicose veinsThere are many activities that may cause abdominal straining. Abdominal straining puts extra pressure on the leg veins. If you lift weights on a regular basis or you are a bodybuilder, you may be at risk of varicose veins. Straining to have bowel movements can also cause extra pressure on the veins in the legs, so if you suffer from chronic constipation, this may be another risk factor.
There are many risk factors associated with varicose veins, with women falling into most of the categories. If you believe you are suffering from varicose veins, whether you fall into any of these categories or not, contact us today to schedule an appointment with the best varicose vein doctor in NYC.

 

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

How Can I Strengthen My Leg Veins?

Whilst there is no proven methodology to say what will definitely prevent a person from getting varicose veins or other veins problems, there are things that are recommended to reduce the risk. These include strengthening the veins in the legs, where varicose veins usually occur.

Exercise Regularly

varicose veins

Exercising regularly can strengthen the muscles in the legs, such as the calf and thigh muscles. As muscles contract, becoming shorter and tighter due to being worked hard, they promote good venous tone and help improve circulation. This puts less pressure on the veins, meaning a decreased chance of varicose veins. Exercising regularly also means a decreased chance of being overweight, which is another risk factor that can cause varicose veins. The more overweight you are, the more pressure there is on the veins, which causes the valves to weaken and blood to flow in the wrong direction through the veins, causing them to become varicose.

Change Your Diet

You may not have thought this would strengthen veins, but certain foods that are rich in Vitamin C and flavonoids can work together to keep collagen (the intra-cellular structure that the walls of the veins are made of) healthy and strong. The stronger the collagen in the walls of your veins, the stronger the veins are and the less pressure will be put on the valves, reducing the risk of the veins becoming varicose. Vegetables are full of flavonoids and fruits such as oranges contain plenty of vitamin C.

Avoid Standing for Long Periods of Time

If you have a job that means you stand for long periods, gravity will cause the veins to work harder to push the blood back to the heart. This will, over time, weaken the valves in the veins and eventually they may become varicose. If you take breaks wherever possible and either sit or lie down to let gravity assist your veins. You should also walk around to stimulate blood flow. Do not sit with your legs crossed as this can cause extra pressure on the veins.

Doing any or all these things can reduce the risk factors associated with varicose veins, but there is no guarantee that despite following these tips you will not get varicose veins. If despite your best efforts, you believe you are suffering from varicose veins, contact us today to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

Creams for Varicose Veins: Do They Work?

varicose veins

There are many things that can aid with the treatment of varicose veins, reducing their appearance and relieving some of the symptoms. You may have heard of varicose vein creams or gels that can aid the treatment of varicose veins, but do they work and would they be right for you?

What Are Varicose Veins?

varicose veins

Varicose veins are veins predominantly in the legs and feet that fail to do their job properly due to becoming weak or damaged. As gravity cannot aid the blood flow back to the heart from the legs and feet when standing or sitting, the veins have to work harder to ensure the blood flows the correct way. With increased pressure, the valves within the veins which normally close to prevent backflow may become weakened and not be able to hold this blood, causing varicose veins.

Why Are Varicose Veins So Prevalent in Modern Society?

varicose veins

In modern day society with ever-increasing technology and transport, we have become more sedentary. To reduce the risk of varicose veins we need to be a healthy weight and have regular exercise. With computers taking over jobs, people are sat for long periods of time, our legs aren’t getting the muscle tone they need to aid blood flow and take pressure off the veins. High heels and weight lifting will increase the risk of varicose veins.

Do Topical Creams Work?

Firstly, creams will not get rid of your varicose veins. They cannot directly treat the cause of the problem as this is under the skin. They are made to relieve symptoms and reduce the color and size of the veins against the skin. They are mostly offered when varicose veins are asymptomatic (they are not causing any symptoms) but the sufferer wants to treat them for cosmetic reasons. Creams can also be used post-treatment, such as after varicose vein surgery. The creams will not work solely, but they can work alongside other treatments.

Most varicose vein creams contain Vitamin K, which will improve the appearance with lasting use. Eventually, if treatment with the cream stops, the vein will reappear. They do provide benefits such as firming and hydrating the affected skin, however.

If you are unsure about whether a topical cream is the best option for your varicose veins or you would like to try another treatment, contact us today to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

Are Varicose Veins Dangerous?

Are Varicose Veins Dangerous?If the tissues within the skin are swollen or inflamed for a long period of time, it may cause Lipodermatosclerosis, which is an inflammation of the subcutaneous fat. This usually occurs due to venous insufficiency, which is what varicose veins cause due to insufficient blood flow through the veins. The legs may feel sore and swollen and the tissue will feel hard around the leg. This can cause many other conditions such as edema.

Deep Vein Thrombosis (DVT)

This is the most severe condition caused by varicose veins, hence why they should be treated. Many patients complaining of a “pulling sensation” in their leg and this is caused by a blood clot due to the build-up of blood in the vein. If this blood clot travels up further in the body, especially to the heart, lungs or brain, it can cause life-threatening injuries, as insufficient oxygen is delivered.

Hyperpigmentation

Are Varicose Veins Dangerous?When varicose veins are left untreated for a long period of time, it can cause excess blood to leak into the tissues of the affected area. This will cause painful inflammation and swelling of the tissue and the skin can become discolored and dark. Once hyperpigmentation occurs on the skin, it can be hard to get rid of. Although usually medically harmless to the body, it can cause body confidence issues for many people.

Superficial Thrombophlebitis

Superficial Thrombophlebitis is another inflammatory condition caused by a blood clot in the veins beneath the skin. This affects the vein more than the surface of the skin, although the skin may become red around the affected area. The vein may feel very sensitive to touch, which can cause ongoing discomfort. Left untreated, this can cause other complications such as cellulitis, which is a skin infection caused by bacteria.

Are Varicose Veins Dangerous?Leaving varicose veins untreated can cause many other problems within the veins and surrounding tissues. Many problems that occur are very similar and it can be hard to know which one you are suffering from.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

nyc varicose vein doc