Norman Chideckel MD Vein Center

Welcome to the Vascular Surgery and Vein Center

Welcome to the Vascular Surgery and Vein Center, a comprehensive vascular practice providing state-of-the-art care to patients throughout the tri-state area. Under the direction of board-certified surgeon Dr. Norman Chideckel, we utilize our advanced skills and many years of experience to help patients achieve clear, beautiful and healthy legs.

With our convenient Manhattan location, Dr. Chideckel offers patients a wide range of services to treat varicose and spider veins, deep vein thrombosis, and other vascular conditions, including:

Dedicated to helping patients achieve their desired results through the most effective and minimally invasive treatments available, Dr. Chideckel and his staff take the time to talk with each individual patient and address any concerns or questions they may have before undergoing treatment. Your comfort and satisfaction are among our top priorities.

To learn more about the services provided by Dr. Chideckel, please contact us to schedule an appointment. We always welcome new patients and look forward to meeting you.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016

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

We now offer Telemedicine sessions.  Please call us for more information or to schedule a Telemedicine appointment.

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Blog Posts Are Below:

What Type Of Exercises Are Helpful In Treating Varicose Veins?

What Type Of Exercises Are Helpful In Treating Varicose Veins? Most of us are not aware of what varicose veins are. They are a set of veins that develop underneath the surface of the skin. They are larger than the usual veins that become dilated and twist into each other.

A person may develop this condition due to many reasons, including genetics, pregnancy, living an unhealthy lifestyle, or performing tasks that include constant standing and heavy lifting. Obese people are also prone to developing varicose veins in legs or other parts of the body.

Exercises helpful in treating varicose veins

There are numerous ways to treat this condition, including a healthy lifestyle and regular exercise. Some exercises can help prevent varicose veins from developing. However, in case you already have this condition, some exercises may do the opposite.

First, let’s have a look at the exercises that may not prove beneficial if you have varicose veins.

Treating Varicose Veins: Dangerous Exercises

If you want to treat the condition with care and prevent it from worsening, try to avoid the following exercises:


Even though running is good for your health, it can worsen the symptoms. This is because running puts pressure on the legs, which can result in further swelling and pain in the affected area.

If running is an exercise that is part of your routine, try running on a softer surface. It will reduce strain on the legs, and stress on joints and feet. You can even wear compression stockings as this helps improve blood circulation. Thus, you won’t face any swelling, pain, or discomfort.

Weight Lifting

One of the main causes of developing varicose veins is lifting heavyweights. It increases strain and pressure on the abdomen and legs, which eventually blocks the blood flow to the heart. The blood starts accumulating in the veins, damaging the delicate vein valves. Hence, lifting weights would only result in the condition to worsen.

However, this doesn’t mean you should stop completely. Try to lift lighter weights and do more reps instead.

Tip: Exhale when you lift the weight and inhale when lowering the weights down.

Specific Leg Workouts

Putting any kind of pressure or overworking your legs can result in the varicose veins condition to become more severe. Avoid doing excessive lunges and squats, especially with weight.

Instead, do them without any weight and try to do less of them. Crunches can also exert pressure on the abdomen and leg veins, aggravating the symptoms of varicose veins.

Treating Varicose Veins: Beneficial Exercises

Now, let’s look into the exercises that are good for you and help treat the varicose veins. Make sure to include these exercises into your routine to treat the condition.


It is a no-brainer: Walking is a low-impact exercise that can keep you fit and healthy. It strengthens your calf muscles. You can also stand in one position and march. You don’t have to take any steps forwards or backward. This exercise will help pump blood from the veins to the heart, resulting in the blood to circulate more effectively.

Best exercises treating varicose veins

Make sure to lift your knees properly and swing your arms. This will let you achieve maximum cardiovascular benefits.


There is nothing better than an early morning stretch. This exercise has huge benefits for your veins and helps in strengthening the core. All the stretches are quite easy to do and allow the blood in your veins to flow more effectively.

Plus, the muscles that support your veins become stronger in the process. This exercise involves no weights at all. Thus there won’t be any sort of pressure on your legs or abdomen.


This is a great exercise for the heart and to treat varicose veins. Cycling helps in building the leg and calf muscles; these muscles improve your vein health.

However, remember not to cycle for a long distance as that would put pressure on your legs. Also, in case you don’t have a bicycle, you could simply lie on your back and mimic the cycling movement of your legs in the air.

Exercises Helpful in Treating Varicose Veins: Conclusion

A healthy lifestyle is an open secret to lead to a healthy life. You can improve, prevent, and treat the symptoms of varicose veins following some easy steps. Regular exercise is one way to stay fit and improve vein health. However, strenuous workouts can worsen the symptoms of varicose veins.

So, make sure to begin the exercises with low impact activities, such as walking. Wear compression stocks if needed, and take small breaks if your job requires you to stand for long periods.

 If the symptoms persist or get worse, contact the Vascular Surgery and Vein Center today. Dr. Norman Chideckel will examine your condition and discuss the best treatment options.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016

Vascular Treatments: Venous Ultrasound

Venous ultrasound produces images of the veins in your body with the help of sound waves. Usually, a doctor uses it to search for blood clots, especially in the veins of the leg. If there are blood clots, the condition is referred to as deep vein thrombosis. Ultrasound has no recognized damaging effects because it does not use ionizing radiation.

Occasionally, your doctor might ask you not to drink or eat anything. You can only have water six to eight hours before surgery. In some cases, you may not require any particular preparation for this procedure. Do not carry any jewelry with you; wear loose and comfortable clothes. You might have to wear a gown before going for surgery.

Vascular Treatments: Venous Ultrasound

Ultrasound is painless and safe. Ultrasound imaging is also known as sonography or ultrasound scanning. Ultrasound examinations do not utilize radiation, whereas x-rays do. Because ultrasound captures images in real-time, it can show the movement and structure of your body’s inner organs. Ultrasound can also demonstrate the flow of blood in vessels.

The Procedure of Venous Ultrasound

Venous Ultrasound is also known as a lower extremity duplex scan. A lower extremity duplex scan is a combination of Doppler and sonography. This scan is a noninvasive and precise test that allows doctors to detect venous thrombosis (clots of blood in the veins of your leg), or damaged valves on the surface of the veins that can cause varicose veins. You can always rely on us to perform the procedure in the most reliable manner. Our doctors are licensed and experienced to perform these procedures with the utmost accuracy every time. Take a look at some of the treatments we offer at our clinic.

As stated above, doctors perform ultrasound by using a transducer and place it over the lower extremity. They apply a clear warm gel on a particular body part and move the transducer across the area to visualize the internal images. Usually, they do it with the patient in the supine position, but they can also perform it while the patient is standing. However, the standing position will allow you to have the most precise evaluation of a defective valve in the vein. The images will appear on the screen in real-time so that you and your doctor can review them together.

Vascular Treatments: Venous Ultrasound

What Are the Common Uses of This Procedure?

Surgeons commonly use venous ultrasound procedures to detect blood clots, particularly in the veins of your legs. Hence, whether the doctor chooses this method or some other often depends upon the condition of DVT or vein thrombosis. Unfortunately, the clots in the veins of your legs can pass into the lungs, causing a dangerous disease called pulmonary embolism. If you find blood clots in your leg at an early stage and start your treatment, you can prevent it from transferring to the lung.

Moreover, the following are some more uses of a venous ultrasound study;

  • Determine the cause of long-standing swelling in your leg. Many people have a common condition called “varicose veins.” Normally, the valves in the veins that regulate the flow of blood may be damaged. A venous ultrasound can help you identify the unusual blood flow and defective valves.
  • Aid in directing the placement of a catheter or needle into a vein. Through Sonography, a doctor can locate the accurate area of the vein and avoid damage to nerves and nearby arteries.
  • Identify the veins in your leg or arm so that doctor can remove the pieces of the vein and use it to block blood vessels or bypass a narrowed vessel.
  • Inspect a blood vessel graft used for dialysis to know whether the blood vessel is working accurately or not.

Doppler Ultrasound

Doppler ultrasound is a unique ultrasound technique; doctors can us this technique to evaluate the movements of unwanted substances in your body. Doppler ultrasound also allows your doctor to see and examine blood flow through veins and arteries in your body. A physician can use Doppler ultrasound for a variety of conditions. Some of these conditions are as under.

  • Obstructions in blood flow
  • Thinning of vessels
  • Congenital vascular and tumor malformations
  • Absent or reduced blood flow to different organs of the body
  • Blood flow is more significant than before, which might be a symbol of an infection

Consult NYC Vascular Surgeon Norman Chideckel MD for all Vascular Conditions

Even the most harmless conditions can sometimes indicate a serious problem. Not paying attention on time can result in irrevocable damages. You have to make sure that you consult a specialist before your situation shifts to the worse side.

When you need help, you can always call us at 212-993-6133 to book an appointment. Meet Dr. Chideckel to discuss your options and find the best treatment to your problem. You can also book your appointment online

Venous Skin Ulcers: Causes & Treatment

A skin ulcer is like an injury that expands on your skin. A venous skin ulcer occurs when your leg veins do not return the flow of blood towards the heart as they regularly do. You can also refer to venous ulcers as insufficiency, stasis, or varicose ulcers because they are the result of faulty venous valves. Veins carry deoxygenated blood back to the heart from various tissues of your body.

Usually, this type of ulcer affects lateral distal (lower) or medial leg. As a result of venous hypertension, it can gather blood in a particular area of the vein. The formation of blood pools takes place when blood is not pumped efficiently back towards the heart. Also, you can refer to it as venous insufficiency.

Venous Skin Ulcers: Causes & Treatment

Additionally, the increasing pressure can stretch the walls of a vein, due to which the protein in the blood cells leaks into the subcutaneous tissues. A lack of nutrients and oxygen in an individual vein can result in the eventual breakdown and edema of the subcutaneous tissues.

Particularly, it deposits all over the capillaries of the protein fibrin. As a result, it develops clotting; preventing nutrients and oxygen from flowing around the tissue and muscle, which can lead to ulceration and necrosis.

Indeed, the system of venous works at relatively low blood pressure. Thus, it also relies on the growth and contraction of skeletal muscles to push blood through the one-way valves in the veins and back to the heart. you’re your circulatory system depends on this pressure incline to push blood from the arteries and into the veins.

What Are the Causes of Venous Skin Ulcers?

Poor circulation of blood from your leg can cause venous skin ulcers, which can also be a sign of venous insufficiency. The valves inside your veins let the blood flow through them in only one direction. In venous insufficiency, you may experience damaged valves, blood clots, and pools in the vein.

The blood inside the veins will possibly will leak out and spread in the surrounding tissues. The following are the factors that can increase the risk of venous skin ulcers.

  • Deep vein thrombosis can cause blood clots (thrombus) in the deep veins of the legs
  • Lack of physical activity in your daily routine
  • Smoking
  • Obesity
  • Standing in the same position for long hours

Moreover, there are two types of skin ulcers, and they can occur on the lower feet or legs. They are dissimilar from venous skin ulcers.

  • Arterial skin ulcersare not as common in people as venous skin ulcers; they take place when you have diseases related to your artery (in some cases, it occurs with the venous disease). These ulcers are awfully painful. Usually, they appear on the feet and toes.
  • Neuropathic skin ulcerscan also be referred to as diabetic neuropathic ulcers. People with small or sensitive feet are more prone to these ulcers.

Venous Skin Ulcer Treatment

Besides having complications with the flow of blood, a damaged vascular system can also affect the skin and other parts of the body. A venous skin ulcer is a tiny injury that takes place on your skin when your veins stop carrying blood back to the heart. This condition is also known as stasis leg ulcer.

Venous skin ulcers occur on the lower part of your leg as a long-term complication, and they become untreatable if left unattended for too long. You will experience pain, pus, odor, redness, and tenderness in this type of ulcer. Venous skin ulcer treatment is usually successful, but this condition can often prevent venous insufficiency from being treated.

The patients who refuse to have venous insufficiency treatment can increase their risk of ulceration in areas where blood is gathering. People suffering from deep vein thrombosis and/or obesity and pregnant women are also at a high risk of having ulcers.

You can help yourself in reducing the risk of developing ulcers by quitting smoking and alcohol. Other than quitting these injurious habits, it would help if you also involved healthy exercises in your daily routine. Also, a balanced diet and frequent breaks from standing for a long time can decrease the risk of ulcers.

Venous Skin Ulcers | Top Vascular Surgeon NYC

Consult Top NYC Vascular Surgeon Dr. Chideckel Today

As soon as venous skin ulcers appear, you must seek help to prevent infection. You will usually not find yourself dealing with this situation if the blood circulation in the area is sufficient. To treat ulcers, you may need vein surgery or skin grafting, but you have to wait for six months of healing time after either of these treatments.

Contact us today to learn more about venous skin ulcers and their treatment. You can call us at 212-993-6133 and book an appointment to meet Dr. Chideckel. He will offer you the best advice and treatment based on your condition.

What Makes The Best Vascular Surgeons?

What makes the best vascular surgeons? Maintaining vein health is as important as taking care of other bodily systems. There are many vein conditions and diseases that you could suffer. Following the right lifestyle can prevent any of these conditions from developing. However, in some cases like genetics, the condition is bound to develop in you, but you can treat it before it gets severe.

What Makes The Best Vascular Surgeons NYC

Who does one look for when they need to treat their veins? Vascular surgeons specialize in treating conditions that may develop in the arteries and veins. Conditions such as varicose veins, spider veins, and aneurysms are a few of the conditions they treat.

Now since you know who to seek advice from whenever you face any concerns regarding the health of your veins, it is time to talk about what makes the best vascular surgeon. This post focuses on how a patient can determine whether a vascular surgeon is good and what makes a surgeon the best.

Continue reading as this will surely benefit you in making the right decision while choosing the right surgeon.

Degrees & Education

Of course, having a degree is highly important for a surgeon to practice treatments. Vascular surgeons must earn a bachelor’s degree and attend medical school. Once medical school is over, the student must enroll in a one-year internship program. This will help them in developing an understanding of the environment and polish their skills too.

It is important that a vascular surgeon undertakes the U.S. medical licensing examination to register as an official surgeon.

The best surgeon is one who has completed the necessary training and education to become a vascular surgeon. Earning board certification is also essential as this includes a vascular surgery qualifying examination and the vascular surgery certifying examination.


In any field, if you have the experience, you’re probably better than any newbie in that particular field. The same goes for vascular surgeons. A surgeon who has performed surgeries with good results for a long period is likely to be more skilled than other surgeons.

As we know, doctors and surgeons earn popularity due to their experience rather than the education they have completed. Therefore, a surgeon with the most experience is considered the best one to select for your treatment.


A surgeon that has a passion for this field is bound to be more successful and earn a reputation that allows patients to trust them. Passion allows vascular surgeons to continue learning and understanding changing trends and advancements to develop better treatment plans and find solutions to the most severe cases.

Therefore, finding a surgeon that has a passion for what they do is always a plus point and will surely benefit you.


A well-reputed surgeon is likely to have more patients than other surgeons. This is because they have achieved the success needed to build their reputation. How does a surgeon earn a reputation? Well, by using all the experience, training, and education, they have achieved over the years in treating patients with a high success rate.

Best Vascular Surgeons Surgery New York

A surgeon that lacks reputation will not get referrals or recommendations. They have to build a relationship with the patient, which is impossible if they fail to earn a good name. This will automatically lead the patients to look for other surgeons instead.


Heading into the surgeon’s office with a critical condition, coming back out with a promising treatment and smile on your face is only possible if your surgeon has a great personality. These specialists should not only know how to solve the patient’s problems by treatment but also should be able to have a deeper connection.

This connection includes an understanding of the patient’s emotional and mental state. By understanding this, surgeons can motivate the patient and help them get through the condition they are facing with much more efficiency.

Patients who have received treatment from a surgeon who has not only found a solution to their condition but also developed a connection have had a higher success rate in the treatment.


As you can see, finding the right surgeon for you is not that complicated as it seems. All you have to do is research. Determine whether a surgeon is the best using the characteristics mentioned above as a checklist. Your health is in the hands of these doctors and specialists; thus, it is important that when you receive treatment, you find the best one.

If you are looking for the best vascular surgeon in NYC to treat your vascular condition, consider Dr. Norman Chideckel, MD. Dr. Chideckel is an award winning vein surgeon with advanced skills, training, and education in the field of vascular and vein health.

Contact us today to schedule an appointment for the treatment of your vascular conditions.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016

Vascular Surgeon for Venous Insufficiency

Do you need a vascular surgeon for venous insufficiency? Many people are unaware of the conditions that may occur in their veins. Therefore, they tend to neglect the health of their veins, which can result in several minor and severe conditions. One of the conditions that affect the veins in the lower area of the legs is known as venous insufficiency.

This condition can cause a lot of pain in that particular area. However, in some cases, the area may swell up, resulting in edema, discoloration of the skin, and ulcers in the leg. This condition develops when the venous valves do not function as they should and result in blood flowing backward, especially when the person stands or sits. If you are an expecting to-be mother, you should thoroughly check your body because pregnant women are highly prone to this condition. Other risk factors of venous insufficiency include genes and obesity.

Vascular Surgeon for Venous Insufficiency

When you have blockages in your veins, the blood flow inside your body slows down automatically. Your veins are blocked and the blood cannot reach your heart normally. This exerts extra pressure on the walls of your veins and may result in the swelling of your legs and feet. Do not let this information scare you because medical science progressed enough to provide you with multiple options to treat this condition. Continue reading if you want to know more about venous insufficiency and the treatments that surgeons use to treat this condition.

What Causes Venous Insufficiency To Develop?

Well, there are numerous reasons for someone to develop this condition. Here is a list of the factors that can increase the chances of vascular insufficiency in a person.

  • Genetics (meaning this condition runs in the family)
  • Being overweight (obesity)
  • Pregnancy
  • Lack of exercise
  • Smoking
  • Standing for hours or even sitting
  • Age (women over 50 seem more prone to this condition)

How Can You Identify Venous Insufficiency?

Venous insufficiency will come with some clear symptoms that allow you to identify if you have it or not. Here are a few of those symptoms you should keep in mind so that you can prevent the condition from developing further and worsening.

  • Swelling in the lower leg area
  • Pain in legs
  • Feeling of stiffness or fullness in the legs
  • Slight discoloration of the skin around your ankles
  • Ulcers

How Do Vascular Surgeons Treat Venous Insufficiency?

In most cases, doctors will choose a non-surgical method to treat venous insufficiency. These treatments can help prevent swelling and ulcers from worsening over time. Here is a list of treatments a patient would need to get rid of venous insufficiency and other similar conditions:

  • For a more efficient circulation of blood, you can use compression stockings – they have proven to be the simplest and easiest method to treat this condition in people
  • An injection might be needed for the veins in the event that the superficial veins are affected
  • In some cases, this condition affects the deeper veins in your body – specialists would advise a treatment, such as angioplasty and stenting, to treat this particular condition
  • A surgical bypass might be needed if the case is severe and none of the above treatments work

It is imperative to mention here that a variety of vascular conditions can occur inside the body. For this particular reason, you will not see two patients with apparently similar vascular conditions receiving the same treatments. The severity of the condition also plays a major role in the choice of treatment. If your condition is keeping you confused, you can always call us to talk and get appropriate advice from our expert doctors.

Other factors, such as health-related concerns, might also result in the doctor opting for additional treatment options so that the current condition and other health conditions do not aggravate. All of the treatments mentioned above help you treat all the possible effects of vascular diseases effectively.

Vascular Surgeon treatment options for Venous Insufficiency

Call Top NYC Vascular Surgeon Norman Chideckel MD for Venous Insufficiency

By now, you understand what venous insufficiency is and how surgeons can treat it. In case you ever experience any of the above symptoms, be sure to check with a specialist who can help prevent the disease from worsening. Keep in mind that you can avoid huge treatment costs and other serious medical conditions if you get medical assistance as soon as you notice the symptoms of venous insufficiency in you.

Other than consulting with an expert, it is necessary that you follow a healthy lifestyle to keep the valves in the veins from malfunctioning. The best treatment is care and prevention before a condition occurs.

If you already have this condition and are looking for the best vascular surgeon, look no further as Norman Chideckel, MD can help you with your situation. To receive a confidential consultation & the best treatment options, book an in person or online appointment now by calling 212-993-6133.

Do You Need A Varicose Vein Surgeon?

Do You Need A Varicose Vein Surgeon? If you have a job that requires you to stand for extended periods, you may develop varicosities or varicose veins. Many people are not aware of what varicose veins are, what causes it, and how you can identify if you have this condition. Well, note that vascular surgeons can treat this condition using surgical and non-surgical procedures.

Top NYC Varicose Vein Surgeon

What Are Varicose Veins?

Varicose veins are a set of misshaped veins that become dilated due to excessive pressure, usually in the leg area. These veins are larger than usual veins and mostly appear as bluish-purple. Varicose veins are faulty veins that affect the blood flowing in the affected area. Thus, the veins become enlarge and get twisted into each other.

What Causes Varicose Veins?

Varicose veins may develop due to several reasons. Our body has a complex network of veins. The arteries circulate blood from your heart to the tissues. Next, the veins in the body pump the blood back to the heart for recirculation. Your vein legs play an essential role in the process and act against gravity.

However, when the leg veins don’t perform their task properly, you develop varicose veins. Damaged vein valves affect the blood circulation, and it begins to accumulate in the veins, making them enlarged. The most common reason is the excessive pressure on the lower body veins. Pregnant women and obese people are more prone to develop varicose veins.

What Are The Symptoms?

If you want to identify whether you have this condition, be aware of any signs of pain, irritation, the feeling of fullness, discoloration of the skin, and stiffness in one particular area. Besides, you may experience muscle cramps and swelling in legs and ankles.

These are a few of the symptoms of varicose veins that can also lead to spider veins. It is best to contact your doctor for examination and treatment if you observe any of these symptoms.

How Does A Varicose Vein Surgeon Treat This Condition?

There are many ways of treating varicose veins; however, the treatment would depend on the patient’s skin characteristics and whether they have any other health conditions. Maintaining a healthy lifestyle is one way of preventing varicose veins.

In worse cases, the surgeon may recommend undergoing surgical intervention. The four best ways to treat varicose veins in patients are:

Endovenous Laser Ablation

During this procedure, a specially trained surgeon will first numb the area and penetrate the vein using a catheter. The surgeon uses ultrasound for mapping the vein; he moves the catheter around the vein to the walls of the vein and seals it with thermal energy. Hence, the vein shuts, resulting in instant relief in some cases.

Once the EVLT is complete, the doctor will provide the patient with a compression stocking to place over the leg. It will allow circulation to improve. The benefit of this treatment is that it does not involve incisions. Hence, no stitches needed, and you can go about your day as normal.


This procedure involves injecting a liquid into the vein. This results in irritating the wall of the vein; hence, causing the veins to collapse. The first step of the procedure involves cleaning the area where the injection will enter. Once the vein receives the injection, the patient might feel a burning sensation, or in some cases, nothing.

Surgeons don’t always use anesthesia during sclerotherapy and might even advise patients not to apply any lotion before the procedure.

Once the procedure is complete, the surgeon will gently massage that area to ensure the blood does not enter into that particular vein again. The doctor will also provide compression stocking to assist in proper blood flow.

This treatment does require a follow up to ensure there aren’t any more varicose or spider veins. A patient needs to avoid after this treatment is sunlight because that can cause dark spots on the treated area.


This procedure involves a small scalpel or needle, which will help make an incision in the skin where the vein is. The first step during this procedure is to numb the area with local anesthesia. The scalpel or needle will help penetrate the skin, making a tiny hole. After this, the surgeon will use a Phlebectomy hook to pull the vein out gently.

Once the procedure is complete, the surgeon will close the incision scar with a bandage. Therefore, the stitches won’t be needed.

Venous Ultrasound

This is another procedure surgeons opt for to understand the condition of the veins better. The ultrasound uses sound waves to detect how far the vein is and produce pictures of the veins. This ultrasound assists in searching for blood clots that might reside in the legs veins.

This procedure can help to understand the condition of the varicose veins and treat them with efficiency and safety.

Contact the Top Varicose Vein Surgeon in NYC Today

Remember, it is important that you discuss the best treatment for you with your doctor. If you’re looking for the best vascular surgeons to treat varicose veins, contact Dr. Norman Chideckel at the Vascular Surgery and Vein Center. We provide our patients with the highest level of care. Book an appointment to discuss your options and concerns about the treatments mentioned above.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016

Sclerotherapy for Damaged Veins

In Sclerotherapy, doctors inject a chemical known as a sclerosant in your damaged vein to eliminate it entirely. The sclerosant damages the deepest lining of the vessel (the endothelium). As a result, a blood clot will appear that blocks the circulation of blood in the vein. The veins inside your body bring unoxygenated blood from the tissues back to your heart.

Sclerotherapy for Damaged Veins 01

Since venous blood pressure in your veins is low, it pumps the blood forward with heart contractions. Most veins contain valves that only allow blood to flow towards the heart. When these valves become useless, veins become large.

Smaller veins that nourish varicose veins can also become distended and appear as blue or red spider veins on your skin. You can have chronic swelling on your leg due to varicose veins. This condition is known as venous insufficiency. Venous insufficiency can cause blood clots, swelling on the legs, and skin ulceration.

Side Effects of Sclerotherapy

You might experience slight stinging, burning, and cramping on the affected area or in the injected vein during sclerotherapy. Sclerotherapy might be painful, especially when the sclerosing agent pours out into nearby tissues. Below are the common side effects of sclerotherapy.

  • Bruises
  • Stinging
  • Swelling
  • Discoloration of skin
  • Discomfort

All of the above side effects will disappear in a few days. You might also notice some brown spots or lines in the treated area. Typically, these brown spots and lines disappear after three to six months, but in some scenarios, they will last longer or can become permanent. Here are some more side effects of the treatment.

  • Allergic reaction due to sclerosing agent
  • Ulceration of skin near the treated area
  • A blood clot might develop in the treated veins
  • Mild inflammation and discomfort around the injection site

Therefore, you must stay in contact with your healthcare provider after the sclerotherapy treatment. They will help you increase the efficiency of the procedure and manage any possible side effects.

Sclerotherapy Procedure

There are numerous methods used in order to treat conditions like varicose veins and spider veins. One of these methods is sclerotherapy. This involves an injection penetrated through an incision in the skin and into the vein.

The fluid from the injection affects the wall supporting the vein. As a result of this action, the wall disintegrates. Once that happens, the body absorbs the remnants of the vein. Doctors use two different types of chemicals while performing Sclerotherapy. The FDA has approved the use of these chemicals. These chemicals are tremendously helpful in treating the veins during this procedure.

Best Sclerotherapy for Damaged Veins

Foam sclerotherapy involves an injection and the use of air. It is quite effective and one of the best procedures for treating larger veins. During the procedure, the doctor empties the vein by removing all the blood from it. As a result of that, it is easier to identify and locate the wall for the injection. With the help of ultrasound, sclerotherapy can be quite an effective way to treat veins in an efficient manner.

After Sclerotherapy

One of the benefits of this treatment is that you won’t need bed rest after it. You can go about your day as you usually would immediately. However, doctors will suggest and provide compression stockings, which help with blood circulation. Make sure you don’t wear them while bathing or sleeping. It is also common to feel discomfort and pain once the treatment is over. However, doctors will prescribe the right medication like Tylenol to reduce pain and discomfort. In some cases, the area treated may swell up a bit but you can remain calm, as it is not an alarming situation.

Once the treatment is over, it is best to avoid going out in the sun, as it may cause discoloration of the treated area. The doctor will suggest the patient to not go for a swim or head to the beach at least for a few days after the treatment.

It is also imperative to stay active to lower the risk of blood clots. However, you should also avoid exercises like aerobics, running, and weight lifting for a couple of days after the treatment.

Call An Expert Vascular Surgeon Today

Sclerotherapy is an outpatient procedure, and you can immediately leave the office/clinic on the day of the treatment. When you need varicose veins and spider veins treated by the best doctors, you can come to us. Call us to know more about your condition or to schedule an appointment and meet one of our knowledgeable vein doctors.

Vascular Surgery & Vein Center
Dr. Norman Chideckel
161 Madison Avenue
Suite 9SE
New York, NY 10016

Best Vein Treatment: Varicose Veins & Endovenous Ablation

What do you know about varicose veins & endovenous ablation? Usually, the veins in the legs push the deoxygenated blood back to the heart for oxygenation. They do this with the help of the valves present inside them. These valves work as a system of locks preventing the blood from flowing back down.

Varicose Veins & Endovenous Ablation

However, in varicose veins, the veins enlarge and twist inside the leg; this is because the valves become damaged. What it means is that the valves stop closing properly, which causes blood to flow back to the lower valves, forming clots and blockage as a result. This condition can lead to severe pain, ulcers, bleeding, and poor wound healing, among others.

Varicose veins are most common in people who stand or sit for an extended period. The condition worsens during pregnancy due to hormonal changes. Genetics and family heritage also play a vital role in its development. Apart from family history, you are at a high risk of getting varicose veins if you are obese or elderly.

When to Seek Help For Varicose Veins

You should book an appointment with the doctor as soon as possible when you notice any of the following symptoms:

  • Restless legs at night or muscle cramping
  • Throbbing or burning sensation in an enlarged vein
  • Bleeding in the varicose veins
  • Feeling of heaviness or aches in the legs that feel better when you raise your legs for 15 minutes
  • Unexplained swelling around the ankle or in the lower leg

What Type of Vein Treatments Are There?

Fortunately, varicose veins are one of those conditions that don’t take more than a day or two to get treated. Most people opt for cosmetic treatment to reduce discomfort. However, if you leave your veins untreated, then you risk developing more significant problems. For instance, blood clots can break free and travel to vital organs like lungs and cause severe damage.

Enlisting the aid, guidance and advice of board-certified surgeons, like Dr. Norman Chideckel, can help you with proper treatment of your condition.

What Are Varicose Veins & Endovenous Ablation?

Some ways you can avoid the pain in your legs include keeping the leg elevated, exercising, losing weight, and wearing compression stockings. You can treat the more severe forms of this condition by following these methods:


In this treatment, physicians inject a solution into the vein, which causes it to disintegrate gradually. To get the desired effect, it takes three to four treatment sessions.

Endovenous Ablation or Laser Therapy

Endovenous Laser Ablation is a minimally invasive procedure, which makes an efficient treatment, faster, and safer out of all the others. This treatment takes place under ultrasound guidance, which enhances the precision of the treatment in targeting the affected vein. Consider it as a safe replacement of the surgical stripping and ligation, which means that instead of removing the vein, they seal it with thermal energy.

The Procedure for Endovenous Ablation of Varicose Veins

The procedure does not require any skin incisions or even general anesthesia. However, most surgeons use intravenous sedation to ease the anxiety of the patients.  After mapping and deciding the entry point using the ultrasound, the surgeon inserts the ½ mm laser fiber into the vein. The laser fiber uses fluid to compress the veins.

The operation includes the surgeon inserting a catheter or tube into your great or small saphenous vein. With the help of that catheter, a small laser fiber passes through the point of connection between the deep vein and saphenous. Once the fiber is through, your physician will remove the catheter, sending pulses of energy down the fiber, which causes the vein to seal shut.

This entire procedure usually takes less than an hour.

After the Endovenous Ablation Treatment

Many people report feeling instant relief from their symptoms, all with little to no pain after the procedure. Feeling slight bruising on the treated vein is normal, but for the most part, almost all the patients go home the same day.

Surgeons place a compression stocking over the leg. You should not wet the stockings or take them off for the first three days, after which you should wear the compression stocking only during the day and remove it at night before going to bed.

Although physicians encourage the patients to start walking immediately, they also advise them not to travel for at least two weeks just to be on the safe side. On the whole, you should be able to resume work and routine exercises in a few days.

Do You Need A Vein Doctor?

Contrary to popular belief, varicose veins can affect anyone and will progress into something more complicated and complex if left untreated. This is why if you notice the symptoms mentioned above, don’t hesitate to book an appointment with a professional expert.

You can get dedicated attention and have all your concerns answered by Dr. Chideckel. For further queries, concerns or appointment scheduling, call us today at 212-993-6133. Our offices are conveniently located at 161 Madison Avenue, Suite 9SE, New York if you are in the area.

Do You Have Reticular Veins?

If you have heard about spider veins and varicose veins, you probably know a little about reticular veins as well. They appear similar to the veins that appear because of chronic venous insufficiency (CVI). The size of the reticular veins is smaller than varicose veins; they are hardly 2mm (millimeter) in diameter. Also, they do not stick out above the skin like varicose veins.

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One out of three people is living with varicose veins. A varicose vein is a common disorder with different levels of severity. Some of you have already seen spider veins; they are small in size but more reddish, and they tend to appear as lines on the backside of your legs, cheeks, and sometimes, on your neck.

Reticular and varicose veins appear similar because of the same color. Both of them can become visible on many parts of your body. The back and inner side of your thigh are common areas where this condition occurs. They frequently appear on the ankle and lower leg too.

Sometimes, you will see people referring to reticular veins as feeder veins because of the fact that they feed into spider veins. When reticular veins feed spider veins, they serve as a source of blood for the spider veins. In such cases, eliminating the reticular veins can help you get rid of spider veins too.

Symptoms of Reticular Veins

You can refer to reticular veins as ‘feeder veins’ or ‘blue veins.’ Such a condition takes place when enlarged veins allow the outgoing flow of blood in the opposite direction (backward). It will increase the pressure of blood flow, which can cause the veins to become enlarged. They can twist and turn into blue or green lines under the surface of your skin. An unsightly marbling effect will often be created as well.

The presence of reticular veins on your body could point to another health condition. Furthermore, they may also leave a negative effect on your lifestyle. For example, the blue veins on your skin possibly will restrict you from wearing shorts in summers or attending pool parties to enjoy freely.

Feeder veins look like either blemished marbles or an unattractive group of blue or green lines. Typically, reticular veins are not as painful as varicose veins are. However, if you or someone you know has several feeder veins, he or she might experience similar symptoms to those of varicose veins. Following are the common symptoms and signs you will witness.

  • Aching
  • Heaviness
  • Discomfort
  • Fatigue
  • Irritation

The people who have this condition may experience tenderness, itching, and/or a burning sensation in a particular area, especially the area surrounding the blue veins.

Reticular Veins Treatment

Here are some treatments for the reticular veins.

Occasionally, doctors perform a mini-phlebectomy to identify the feeder veins immediately. However, surgeons perform sclerotherapy frequently to treat your unattractive veins. Know that this procedure is more invasive than a mini-phlebectomy. After the completion of one of these treatments, you will be able to enjoy smoother and clearer skin.

After the treatment of the reticular veins, the possibility of having spider veins in that particular area will decrease. Since a reticular vein is a widened vein that comes out as a blue or green line on your skin, it can affect almost 80% of all adults.

As a result of your genetic factors, you are at a high risk of having these veins. However, they can also occur due to weak veins or hormonal imbalances. You may notice them appear on your body even if you do not have any painful symptoms or any other medical complications. The appearance of reticular veins can bother many patients, which makes them seek for all possible treatments.

Like other people, you must also desire for smooth and clear skin. If that’s so, you can always come to us for having your condition treated effectively. Our knowledgeable vascular surgeons will suggest the best treatment based on your condition and other requirements.

To treat reticular veins, surgeons often prefer sclerotherapy. While in some cases, surgeons choose a mini-phlebectomy procedure for the treatment. If you want, you can go for mini-phlebectomy, which is a less invasive alternative of sclerotherapy.



While reticular veins aren’t particularly a sign of a serious medical condition, you should avoid listening to non-expert advice from people around you. Talk to a professional doctor and pay attention to what they have to say about your condition. A vein doctor can always guide you in the right direction about your condition and provide you with the right treatment needed to get rid of the issue.

Call Award Winning Vascular Surgeon Dr. Norman Chideckel

If you have reticular veins or if someone you know is worried about this condition, our vein expert Dr. Norman Chideckel will provide you with the much-needed assistance. Call us at 212-993-6133 to book an appointment immediately or you can explore our website to know more about this and other vein conditions.

COVID Virus & Vein Health

COVID Virus & Vein Health

All of us are now somewhat familiar with what the Coronavirus is. It all started in the city of Wuhan in China and has rapidly spread into numerous countries across the world. COVID is claiming lives and infecting people worldwide. The governments of countries affected by the virus are making sure each individual is aware of how to prevent the virus from spreading even more.

In these times, social distancing is very important, and each individual must take precautions to ensure their safety and others.

Most of us are not aware of what the virus can do to the body. Therefore, today we want to focus on what affects the virus has on the vein health. Continue reading further as this information will help you a lot.

What Effect Does The COVID Virus Have On Veins?

Recent studies have shown that the Coronavirus patients can develop blood clots. When the blood in a person changes from a liquid to a gel-like state, it is an indication of blood clots. Blood clots can help prevent a person from losing a lot of blood in cases where there is a cut. However, these clots don’t heal on their own.

Blood clots require treatment as it can be risky and even a severe condition. Patients infected by the disease may develop blood clots in the leg veins, which can move up to the lungs. This eventually will result in causing a pulmonary embolism.

COVID Corona Virus & Vein Health

This results in preventing blood from flowing naturally. Not only this, but the patient also has a hard time receiving the right amount of oxygen. Blood clots can result in heart attacks and even strokes due to the lack of oxygen.

Is It Treatable?

We all know there is still no vaccine for the virus. People are always looking for updates regarding the vaccine on the news and social media, but nothing promising is here yet. However, doctors are finding ways to treat Corona patients.

Firstly, when a Coronavirus patient arrives at the hospital, doctors make sure to provide low-dose blood thinner. This helps in preventing blood clots from developing. However, the amount of dosages a patient needs depends on the severity of their condition. It may vary from one patient to another. Therefore, there are still some complications with the clotting of blood and how to treat it.

Testing and trials are underway to conclude how to fight the virus and prevent patients from developing further issues in the veins.

However, there must be something the doctors can do to treat the veins? Well, methods to test the blood clots are one way to understand how severe the case is. Once the doctors can determine the severity, they can move on to treat it accordingly.

Why Does The COVID Virus Have An Effect On The Veins?

Doctors and specialists are still figuring out what the virus is and how they can get rid of it or cure it completely. The question that comes to mind is, why does the virus have an effect on the veins? When we first heard about the virus, it seemed it could only attack or impact the lungs of the patients. However, with time we are getting to know more and more about what this virus holds.

One reason that the virus may have an impact on the veins is that it impacts the cells that line in our blood vessels. When our body is trying to fight off an infection, our immune system activates itself to destroy and remove the invaders as soon as possible. Research has shown that once the immune system comes into action, it can result in blood clots, which we see in many of the virus-affected patients.

Another reason for the development of complications in the veins could be the blood clots that trigger as a result of the invasion by the virus. As we mentioned earlier, the blood clots also occur in order to prevent a person from losing too much blood during an injury. However, in this case, it is an infection that damages the cells.


As you can see, the unprecedented virus can also damage or attack the veins. Therefore, doctors are making sure they find the right way to treat these cases. Further testing and trials are to take place, which will give the results needed in order to help COVID patients further.

Meanwhile, it is important to take care of your vein health and consult a doctor who specializes in vein treatment. So, if you observe any visible faulty veins, contact us at the Vascular Surgery and Vein Center. You can also schedule an appointment with Dr. Norman Chideckel, MD to learn how to prevent such conditions. He will guide you on how to maintain your vein health in these times.

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016