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
108 East 96th Street
Front 1
New York, NY 10128
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:

Vascular Disease

Vascular disease encompasses all diseases that affect your veins, arteries, capillaries and the entire circulatory system. This can include diseases ranging from your veins, arteries, and lymph vessels. They also include obstruction of blood flow from blood disorders which affect the circulation of blood.

Vascular Disease Specialist

It is important to understand how blood vessels operate inside your body. They are tubes that are elastic in nature and essentially carry blood to every part of your body.

Quite evidently, the appropriate functionality of blood vessels is of critical importance and is critical in defining the overall health of an individual.

Arteries, veins, and capillaries are all-inclusive of what comprises blood vessels.

Types of Vascular Diseases

Some vascular diseases occur in your arteries, while some diseases occur in your veins, and a vascular surgeon is responsible for diagnosing the kind of vascular disease you may have fallen victim to.

There are a number of vascular diseases that a vascular surgeon has to deal with:-

Peripheral Artery Disease

This type of vascular disease has to do with the buildup of plaque inside your arteries which is known as atherosclerosis. When you have built up plaque inside your peripheral arteries, eventually, your arteries start to narrow and cause a lesser flow of blood to your arteries.

Insufficient flow of blood to your body tissues can prove to be a serious health concern and may lead to ischemia.

There are a few different types of peripheral arterial diseases:

Peripheral Artery Disease

This type of disease has to do with blockage in your legs, and severe cases of loss of circulation in your leg may lead to amputation.

Renal Artery Disease

This type of disease is caused by a blockage in your renal arteries and, if not treated timely, may lead to kidney failure.

 Intestinal Ischemic Syndrome

When your blood vessels traveling through your gastrointestinal system are blocked, you may suffer from Intestinal Ischemic Syndrome.

Popliteal Entrapment Syndrome

This type of vascular disease generally affects athletes. The blood flow in your leg can sometimes be constrained when the tendons near the knee constrict the popliteal artery. This may lead to possibly damaging the artery.

Buerger’s Disease

Generally known to affect the small and medium-sized arteries, this type of disease is known to have an association with the use of tobacco and smoking. There may be a blockage in the arteries of your arms or fingers, essentially causing a lack of blood flow to your fingers, toes, feet, and hands.

There are chances of the tissue completely dying in the event of severe blockages, and the vascular surgeon may have to treat the affected area with amputation.

Carotid Artery Issue

This type of disease occurs in two main carotid arteries in your neck. There are three main carotid artery diseases.

Carotid Artery Disease

This type of disease may induce a stroke or a Transient Ischemic Attack. It can occur by a blockage in the arteries, which are essentially supplying your brain.

Carotid Artery Dissection

This type of carotid artery issue has to do with a tear in your artery wall and follows blood leaking through this tear and spreading across the walls of the layer.

Carotid Body Tumor

This type of disease induces growth in the nervous tissue around the carotid artery

Vascular Disease Surgeon NYC

Venous Disease

This type of disease occurs when the valves inside your veins are damaged, not being able to close completely. The valves may not be able to hold the blood as your muscles relax, which can cause the pooling of blood and block blood clots from forming.

Varicose Veins

Damaged valves in your veins may cause your veins to twist and turn purple under your skin, leading to varicose veins.

Spider Veins

Swollen capillaries can lead to small purple bursts on your knees or thighs.

Vascular Disease: Conclusion

Contact Vascular Surgery and Vein Center to consult about the best treatment options based on your specific needs.

Dr. Norman Chideckel is a board certified vascular surgeon specializing in the treatment of various vascular diseases like varicose veins, spider veins, blood clotting, and all other vascular conditions. 

Call today to schedule a free consultation.

Vascular Surgery & Vein Center
Dr. Norman Chideckel

108 East 96th Street
New York, NY 10128

Varicose Veins and Treatment Options

What are the main varicose veins treatment options? Varicose Veins are swollen blood vessels that usually affect the lower body. Since they appear just under the surface of your skin, they’re quite visible. As a result, you’ll see blue and purple bulges on your legs, feet, or ankles.

Varicose Veins and Treatment Options

While they can be painful, they’re not as dangerous in most cases. In certain cases, however, severe varicose veins can lead to blood clotting, which is a serious health concern.

If the varicose veins aren’t as severe, they can even be treated at home or by your healthcare provider.

What Factors Increase Your Chances of Getting Varicose Veins?

While varicose veins can affect anyone, certain factors could increase the risk of developing them:

Inherited Condition

You may have an inherited condition that increases your chances of suffering from varicose veins


The older you get, the weaker your vein walls become. As a consequence, they lose their elasticity, leading to increased chances of developing varicose veins.


Smokers have a higher chance of developing this condition.


Female hormones cause the vein walls to stretch, making it likely that pregnant women or women on birth control pills will develop varicose veins.


Normally, overweight individuals have a higher chance of getting varicose veins because of increased pressure on the blood vessels.

When should you consult a Vascular Surgeon?

Bulging veins

Twisted veins under the surface of your skin may cause a specific region of your body to turn purple. It’s an obvious indication that you need to visit a vascular surgeon.

Heavy Legs

When walking, your leg muscles may feel heavy and tired.


You start to see swelling in your ankles, feet, and legs


You feel a throbbing pain in your legs and suffer from muscle cramps.

Discoloration of Skin

You’ll start to see noticeable changes in the color of your skin because of varicose veins right below the surface of your skin. Mostly, you’ll see your ankle or leg changing color to blue or purple.

Varicose Veins and Treatment Options Vascular

Reasons for Getting Varicose Veins

Varicose veins are the result of your vein walls getting weaker, so when your blood pressure increases, the weakened vein walls cause the vein to grow bigger. As your vein stretches, your blood valves become less efficient, causing sluggish blood flow and blood clots in the veins. This leads to the vein bulging or swelling up.

Why Your Vein Walls Could be Weak?

  • You wear restrictive clothing
  • You’re suffering from aggravated pressure inside your veins
  • You’re overweight, and excess weight is slowing down your blood flow.
  • You’re older, and your vein walls are relatively thinner.

How Can You Treat Varicose Veins?

While there’s no cure for varicose veins, there are a few ways to reduce its occurrence.

Injection Therapy

More popularly known as sclerotherapy, doctors perform the procedure by injecting a solution into your vein. This causes the vein walls to join together.


Normally, elevation doesn’t require the help of your healthcare provider and is something you can do at home. It means elevating your legs above your waist a few times throughout your day to increase blood flow and decrease the pressure in your veins.

Vein Surgery

It involves a procedure called ligation and stripping in which the surgeon ties the affected vein, known as “ligation.” This stops blood from pooling. Then, the surgeon removes the vein to prevent the reappearance of varicose veins.

Varicose Veins & Treatment Options: Conclusion

Contact the Vascular Surgery and Vein Center to explore your treatment options. Dr. Norman Chideckel, MD, offers a wide range of services, including the treatment of varicose veins as well as other vascular related disease.

Vascular Surgery & Vein Center
Dr. Norman Chideckel

108 East 96th Street
New York, NY 10128

Causes of Vascular Disease

What are the main causes of vascular disease? Vascular related disease directly affects the blood vessels in our bodies. These vessels play an important role in our bodies as they carry oxygen and other vital nutrients throughout the body.

Blood vessels remove any waste from the tissues and provide them with essential nutrients. When these vessels suffer from damage, it can disrupt the whole circulatory system, which has dire consequences.

Causes of vascular disease

There are different causes of vascular diseases since many factors contribute to the development of the condition. To understand the topic better, let’s take a look at some key information.

What is the Vascular System?

The vascular system consists of three main components that include arteries, veins, and capillaries.

·       Arteries

They carry oxygen from the heart to every part of the body.

·       Veins

The veins help in carrying blood back to the heart, where it is refilled with oxygen.

·       Capillaries

The capillaries help connect arteries to veins. Any complications in capillaries can cause the blood flow system to become unstable and lead to vascular diseases.

The vascular system comprises three parts that are integral to a healthy life. Any complications in any of the systems may lead to life-threatening complications.

Causes of Vascular Disease

Vascular disease can negatively impact your arteries and veins and pose life-threatening complications. In most cases, vascular diseases are the result of blood clots that block blood flow. In other cases, causes may include genetics or inflammation within the vessels.

One of the most popular reasons for vascular disease is atherosclerosis, which occurs when there is a build-up of fatty substances inside the arteries and veins. This plaque can slowly build up inside the arteries can cause them to narrow. Over time, it can stop the blood flow altogether, which poses significant risks.

There are other risk factors involved as well. They include:

  • High cholesterol levels in the body
  • High blood pressure
  • Diabetes and smoking
  • Obesity and physical inactivity
  • Fat diet

One of the concerning things about vascular diseases is that they may show no symptoms at all. For instance, a heart attack or a stroke can happen at any time. Therefore, it is important to alleviate risk factors associated with vascular diseases and adopt a healthy lifestyle.

Causes of Vascular Disease Specialist NYV

Types of Vascular Diseases

There are different types of vascular diseases that people might face. Here are some of the notable vascular diseases:

·       Peripheral Artery Disease

Just like the arteries inside your heart, peripheral arteries (present outside the heart) can develop plaque. This mixture of fat and cholesterol narrows these arteries and disrupts blood flow. This may lead to different complications, such as a blockage in the legs, which may lead to the loss of a limb.

·       Venous Diseases

Veins are flexible vessels that contain valves. These work as flaps to control the blood flow, and if these valves inside your veins incur any damage, it may lead to serious consequences. This may cause blood to pool in your veins, causing them to swell. The blood will ultimately start moving slowly and will trigger additional diseases.

·       Blood Clots

A blood clot is a common occurrence that can disrupt blood flow. These blood clots inside blood vessels may cause significant risk factors, which include a heart attack and strokes.

Causes of Vascular Disease: Final Thoughts

If you are facing any symptoms of vascular diseases, makes sure to reach out to Norman Chideckel, MD, a highly experienced vein surgeon expert at the Vascular Surgery & Vein Center in New York City.

Schedule a free consultation today.

Vascular Surgery & Vein Center
Dr. Norman Chideckel

108 East 96th Street
New York, NY 10128

Types of Vascular Surgeries

What are the different types of vascular surgeries? Vascular surgery specializes in surgical procedures which focus on the vascular system like blood vessels and the lymphatic system. The lymphatic system involves moving white blood cells fighting infections through the body.

Vascular surgeons, under normal circumstances, don’t perform procedures that involve the brain or heart.

Types of Vascular Surgeries

Apart from performing surgical procedures, vascular surgeons also focus on lifestyle modifications as well as providing medications for individuals who have vascular diseases.

These surgeons are MDs and DOs who have advanced training in diagnosing, preventing, and treating blood vessels related problems and any vascular-related diseases.

Vascular Tests

Before assigning any surgical procedures to their patients, vascular surgeons initially require having vascular tests to essentially assess the condition of blood vessels and diagnose if the patient is eligible for surgery. Some vascular tests include:


Surgeons use an angiogram to diagnose any arterial blockages that may occur in patients and use vascular imaging procedures that employ the use of X-Rays with iodine contrasting.

Computed Tomography Angiography (CTA) and MRA (Magnetic Resonance Angiography)

Surgeons use these vascular tests to generate three dimensional pictures of blood vessels using highly advanced imaging technology.

Carotid Duplex

Doctors use this type of vascular test to measure the blood flow in arteries and essentially visualize any blockage in arteries through the use of ultrasounds.

Vascular Surgeries

Vascular surgeons are responsible for performing a number of different surgical procedures that require complex skills and advanced training, and specialization in vascular-related diseases. The surgical procedures could differ, with some being done traditionally with open incisions. However, others are done with an endovascular procedure, which is done inside the blood vessel. It requires using tiny incisions and small, flexible catheters.


Vascular surgeons use this minimally invasive procedure to open a blocked artery to restore blood flow. This type of procedure involves the use of a device like a balloon or a stent.


This procedure closely resembles that of angioplasty in that it requires using a balloon catheter inserted into the blocked artery, which fixes any impediment within the blood vessel.

As the catheter reaches the blocked artery where there is obstruction of blood flow, it uses nitrous oxide, which causes the balloon to inflate and eventually freeze the tissue surrounding the artery.

This type of surgery treats vascular diseases like Peripheral Arterial Disease (PAD).

Vascular Bypass

This procedure requires using surgery to redirect the blood vessels in an effort to prevent any hindrance of blood flow around a blockage.

Carotid endarterectomy

Surgeons use this type of surgery under circumstances when they need to open a carotid artery or remove atherosclerosis. This is normally done to prevent strokes from happening.

Dialysis Access

Vascular surgeons use this type of procedure for patients with failing kidneys. It requires dialysis treatment by essentially accessing a blood vessel that allows the blood to travel from soft tubes to the dialysis machine. This machine cleans the blood when it is passed through a filter known as a dialyzer.

Types of Vascular Surgeries NYC Top Surgeon

Open Abdominal Aortic Surgery

This type of surgical procedure entails using an abdominal incision which helps give access to the abdominal aorta. In the event that the patient has an aneurism, surgeons open the aneurism and insert a fabric graft into the ends of the aorta, which is then closed over the graft. Surgeons treating patients with a blockage in the aorta sew a graft in the aorta to redirect the flow of blood.

Ambulatory Phlebectomy

This kind of surgical procedure uses stab incisions to remove superficial varicose veins. The incisions are minimally invasive and are closed with a steri striped bandage. Surgeons normally use Ambulatory Phlebectomy for larger veins.

Types of Vascular Surgeries: Contact Dr. Chideckel NYC Vascular Expert

Please contact Vascular Surgery and Vein Center to explore the various treatment options we offer according to your needs. Specializing in the treatment of  vascular disease, Dr. Norman Chideckel offers a wide range of services which include vascular surgical treatments.

Dr. Chideckel and his staff take the time to cater to each individual patient’s concerns that they may have before undergoing treatment. Contact us to book an appointment today.

Vascular Surgery & Vein Center
Dr. Norman Chideckel

108 East 96th Street
New York, NY 10128

Spider Vein Treatments

Looking for information about spider vein treatments? Small, damaged veins that may appear on the surface of your face or legs are called spider veins. If you’re affected by it, you most likely won’t feel any pain, and they’re not harmful to you.

Some people, however, get them treated for cosmetic reasons because they appear as thin lines in blue or purple just under the skin hence the name.

Spider Vein Treatments NYC

People usually get it treated to minimize its appearance, and vascular surgeons offer a range of treatments to treat this type of venous disease.

How are Spider Veins Different from Varicose Veins?

It is important to note the distinction between spider veins and varicose veins. Venous insufficiency essentially has two different forms called spider veins and varicose veins.

The two conditions are somewhat similar in nature, and both of them are a result of damaged valves in your veins.

The key distinction between the two, however, is the symptoms associated with each form of venous disease.

Spider veins are normally very small. Slim lines underneath the surface of your skin often appear blue or purple in color. While they may normally cause a little distress, people affected by spider veins often report facing no pain at all.

Varicose veins, on the other hand, appear deeper and larger in contrast to spider veins. They’re twisted in nature, normally taking the appearance of a lumpy red color.

People affected by varicose veins may normally face a number of symptoms:

  • While spider veins are mostly painless, varicose veins, on the other hand, can be painful and cause major distress to the person affected.
  • Some individuals have reported feeling itchy while being affected by varicose veins.
  • Severe cases of varicose veins may lead to the leg swelling.

The symptoms of varicose veins are generally dictated by the severity of the condition.

Causes of Spider Veins

Spider veins are a result of the valves of the vein being damaged or weakened. Essentially the function of veins is to carry the blood to the heart. The veins have a one way valve which comes to a close as the blood passes through.

This can explain how a weakened valve may affect the disruption in the flow of blood. The blood may not be able to flow in the right direction and develop a pool of blood or a clump that results in a bulge in the veins. This leads to an individual being affected by spider veins.

Spider Vein Treatments

There are various treatment options for spider veins, and some treatment options don’t even require the services of a medical professional.

Wearing compression stockings

Wearing a compression stocking will help put pressure on the lower leg, which may help increase the flow of blood and help stop these spider veins from aggravating any further.

Compression stockings may also help reduce the risk of the formation of blood clots in your leg.


In this type of treatment option, the doctor injects a type of irritant in the affected portion of your leg in an effort to reduce the swelling and cause shrinkage in the veins. The spider vein starts to fade over time as you take this treatment multiple times until you get the desired results. Sclerotherapy has proven to be very effective in helping spider veins fade.

Spider Vein Treatments Sclerotherapy NYC

Closure System

This type of treatment very closely resembles that of sclerotherapy. Doctors use this system of treatment by injecting a sticky substance into the affected vein, which closes the vein from any flow of blood. With the passage of time, the spider vein starts to fade.

Spider Vein Treatments: Conclusion

Contact the Vascular Surgery and Vein Center to learn more about the different types of vascular diseases and the various vein treatment options offered.

Dr. Norman Chideckel specializes in the treatment of vascular related diseases like spider veins, varicose veins, and other vascular diseases and conditions. 

Schedule an appointment today:

Vascular Surgery & Vein Center
Dr. Norman Chideckel

108 East 96th Street
New York, NY 10128

Methods of Varicose Vein Removal

What are the main methods of varicose vein removal? A surgeon might recommend numerous ways to remove varicose veins. While some might remove the varicose vein as cosmetic surgery, others might choose it for its discomfort and pain.

Methods of Varicose Vein Removal

There are minimally invasive and non-invasive methods available for varicose removal. These complications can occur in different parts of the body, which include the feet, legs, and hands.

What are Varicose Veins?

A varicose vein is an enlarged or twisted vein that can occur anywhere in the body. However, it is very common in the legs than in any other part of the body. Although it is not a dangerous medical condition, it can lead to discomfort and escalate other problems.

Therefore, many people try to get rid of the issue as soon as possible to keep it from escalating any further.

Treatment Options

There are numerous methods that vascular vein patients can use to get rid of their unsightly veins. The procedure is often an outpatient surgery. Therefore, you can go home the same day of the surgery. If you choose to get surgery for cosmetic reasons, your insurance company may not cover it.

Let’s take a look at some of the notable treatment options for vascular vein removal:

1.     Self-care and Compression Stockings

Usually, the vascular veins may go away by themselves, which is why some mild cases may require the patient to adopt self-care techniques. Exercises and proper rest are a couple of notable options that a patient can adopt.

Another solution could be using compression stockings. These stockings provide pressure to the legs, helping the blood in your legs more effectively. These compression stockings are easily available in many leading pharmacy and medical stores.

2.     Sclerotherapy

In this practice, the healthcare practitioner injects the affected area with a solution that helps close down the veins. It only takes a few weeks to heal and will eventually fade away. The physician might repeat the procedure more than once for the best results.

3.     Laser Treatment Options

Another notable and proven treatment option is laser treatment, which involves applying a burst of light to the affected area. It is a seamless process that is not invasive, ensuring a seamless process. Since it does not include any cuts or needles, it makes for one of the safest options for the patient.

Methods of Varicose Vein Removal Treatment NYC

4.     Catheter based Treatments

This is one of the most advanced techniques to get rid of varicose veins. It involves the inserting of a small tube into the affected vein, and the tip is heated with the help of radiofrequency or laser technology. With the help of the heat, the vein collapses and seals shut.

5.     Microphlebectomy Treatment

This method is a minimally invasive treatment used when sclerotherapy does not work. The surgeons use small and microscopic cuts to treat the large varicose veins.

Methods of Varicose Vein Removal: Final Thoughts

Vascular veins can cause discomfort while not being pleasing to look at. If you need reputable, proven, and reliable varicose vein removal, then you can choose the services of Norman Chideckel MD, at the Vascular Surgery & Vein Center in New York City.

Vascular Surgery & Vein Center
Norman Chideckel MD

108 East 96th Street
New York, NY 10128

When Does Chronic Vein Disease Require Surgery?

At what point does chronic vein disease require surgery? Vein disease can be one of the more painful complications for any patient. It occurs when the veins in your legs do not allow the blood to flow to your heart. In normal circumstances, the valves inside your veins make sure that the blood flows back to the heart.

However, when these veins get damaged, the blood flows backward (with gravity), which causes it to pool in your legs. This disease is also known as chronic venous insufficiency.

This complication requires urgent treatment and recovery since it may lead to dire circumstances. The increased pressure in the legs can pile up and permanently damage the valves in the veins.

When Does Chronic Vein Disease Require Surgery?

Symptoms of Chronic Vein Disease

At the beginning of the disease, you may begin to experience mild symptoms. But slowly and gradually, these symptoms can start to become more serious and complicated. Some of the symptoms include:

  • Swelling in the lower legs for an extended period of time
  • Legs feeling heavy and tired
  • Itching on legs and feet
  • Discolored legs due to pooling of blood.

If these complications are not dealt with on time, they may require surgical assistance to overcome the issue.

Chronic Vein Disease Surgical and Other Treatment Methods

Since the issue can escalate quickly, it is important for the patient to seek professional help immediately. The early treatment methods may focus on helping the blood move back to the heart. One of the positive things is that over 90% of the patients suffering from this disease do not require surgery or incisions.

1.     Compression Stockings

Most healthcare professionals often go with compression stocking to help the patient alleviate the problem without having to go with surgical options. These are essentials for the treatment plan without surgery. These stockings put pressure on your veins and squeeze them in order to push the blood back towards the heart.

The regular usage of these stockings may help in reducing the symptoms of the disease. Doctors usually advise the patient to wear them throughout the day and only remove them at night.

2.     Ligation and Stripping

This option is a surgical method where the surgeon cuts the affected veins and ties them off. Usually, during ligation and stripping, the surgeon makes two small incisions to get rid of the problem.

3.     Angioplasty and Stents

This surgical method is used to open a blocked pathway in a vein. The angioplasty opens up the blocked pathway on the vein with the help of a tiny balloon. Meanwhile, the stent is one of the mesh tubes that prevent the pathway from ever narrowing again. They are implemented with a small puncture near the affected area and then inside the vein.

When Does Chronic Vein Disease Require Surgery NYC?

How to Minimize the Risk Factors?

There are numerous ways anyone can minimize the risk factors related to chronic vein disease. These    precautions include:

  • Avoid long periods of standing up or sitting
  • Elevate your legs and workout
  • Quit smoking and exercise regularly
  • Protect your skin against open wounds and infections
  • Lose weight and adopt a healthier lifestyle.

Adopting these changes will help you overcome the complications and keep you safe from risk factors.

When Does Chronic Vein Disease Require Surgery? Final Thoughts

If you are facing any symptoms related to chronic vein diseases, you should not waste time. Reach out to Norman Chideckel, MD, an expert vascular surgeon working at the Vascular Surgery & Vein Center in New York City.

Schedule an appointment by calling 212-993-6133, or visit us at:

Vascular Surgery & Vein Center
Norman Chideckel MD
108 East 96th Street
Front 1
New York, NY 10128

Main Causes of Varicose Veins

When your vein walls and valves are weak, it could result in a medical condition called varicose veins. When the vein walls stretch and start to lose their elasticity, which leads to weaker valves that disrupt blood circulation.

Main Causes of Varicose Veins

Because of lost elasticity, the valves fail to function properly and may result in the blood leaking out. This may cause the blood in your veins to clump together, which can cause swelling in the affected area. The area normally affected by varicose veins is usually in the legs or ankle.

Main Causes of Varicose Veins

Generally, there are a lot of factors that may increase the likelihood of you getting varicose veins.


Usually, women are more likely to be affected by varicose veins because of female hormones that essentially help relax the vein walls making it easier for the valve to leak. Certain segments of the female population are even more likely to be affected by varicose veins.

Pregnant women, in particular, are at an even greater risk because of obvious hormonal imbalances during pregnancy. Women on birth control pills are also likely to suffer from varicose veins.


If you have someone in your close family who has this condition, it is possible for you to contract the same condition. Your inherited genes play a somewhat significant factor in analyzing if you will have this condition in the near future.


Age is an important factor in determining if you can have varicose veins. Under normal circumstances, older people are also more likely to suffer from this medical condition. The older you get, the weaker and more elastic your vein walls become, and the more likely you are to have weakened valves.

Being Overweight

Patients struggling with obesity have increased pressure on their veins as sending the blood back to the heart would require extra effort. As a result, the increased pressure on the valves makes them more susceptible to leaking.

The effects of varicose veins are especially prevalent in women who are overweight.

Jobs that may Require Standing for Extended Periods

Research indicates that standing for an extended time may disrupt the flow of blood. If blood circulation isn’t as efficient could potentially increase your chances of getting affected by varicose veins.

Jobs that require standing for a long time can increase your chances of developing this condition.


Hormonal imbalances during pregnancy give rise to increased hormone levels, which result in the relaxation of muscular walls of the blood vessels.

Moreover, the flow of blood naturally increases to support the fetus developing inside the womb, which adds stress to the veins.

Varicose veins may also form as the uterus begins to grow, and once the womb expands enough, it gives added stress to the veins in the pelvic area.

Main Causes of Varicose Veins Treatment

Other Conditions

Sometimes other conditions may trigger the appearance of varicose veins like abnormal veins, an already existing blood clot, or a tumor in the pelvis. These conditions may invoke an appearance of varicose veins.

Main Causes of Varicose Veins: Conclusion

Please contact the Vascular Surgery and Vein Center to explore our vein treatment options. Award winning vein surgeon Dr. Norman Chideckel offers a wide range of vein treatment services, including treatment of varicose veins as well as other vascular diseases.

Dr. Chideckel and his caring and expert staff take the time to cater to each individual patient’s concerns before undergoing treatment. Call to book an appointment today.

Vascular Surgery & Vein Center
108 East 96th Street
New York, NY 10128

Venous Ultrasound

What is venous ultrasound? Vein specialists use venous ultrasound to create images of the body veins. The ultrasound machine emits sound waves and creates vein images. Doctors use this diagnosis procedure to identify blood clots, especially in the leg veins. For instance, when you suffer from deep vein thrombosis, the doctor takes ultrasound images to identify the severity of the condition. Ultrasound is a safe diagnostic procedure because it doesn’t use ionizing radiation. These radiations are harmful to the body.

Venous Ultrasound

Before the procedure, the doctor may ask you to avoid drinking and eating for six to eight hours. Also, you should wear comfortable dresses and leave jewelry items at home. The doctor may also ask you to wear a gown.

Venous Ultrasound Imaging – What is it

Ultrasound imaging helps vein specialists to diagnose venous and determine effective venous procedure. This is essentially a noninvasive medical procedure that helps doctors to produce pictures of veins through sound waves. The doctor applies gel on the skin and uses a transducer to take the image. The transducer is a small one that releases high-frequency sound waves. The probe collects the sound waves and produces an image on the computer.

The ultrasound machine creates images in real-time. This helps doctors to understand the vein structure. Also, doctors can view blood flow and spot the right position of the disorder. Venous ultrasound creates a picture of veins throughout the body.

The Common Uses of Venous Ultrasound

Vein specialists use ultrasound machines to identify blood clots, especially in the legs. Healthcare providers refer to this procedure as deep vein thrombosis. These blood clots travel throughout the body and block the blood supply to the lungs. These clots can cause life-threatening conditions such as pulmonary embolism. Upon early identification of blood clots, doctors can prevent the clot from passing to the lungs. The healthcare provider performs a venous ultrasound for the following reasons:

  • It identifies long-standing leg swelling and varicose veins. When the valves inside the veins are damaged, the blood pools in the vein. The venous ultrasound identifies the blood pool due to varicose veins. Doctors can identify the problem and remove the veins from the body.
  • Venous ultrasound helps in performing treatment efficiently. While performing invasive procedures, the doctor can check the right position to enter needles and catheters. This helps doctors to prevent bleeding and nerve damage.
  • Healthcare professionals can mark the veins and arteries before performing a procedure. Also, they can identify whether it is safe to perform the procedure or there are complications. For instance, when doctors remove the superficial varicose veins, they should assure the right location for incision.
  • They can assess a blood vessel graft for dialysis, especially when the graft is blocked or narrowed.

The doctor might also use venous ultrasound in children. During congenital vascular malformation and dialysis fistula, the doctor may use venous ultrasound. It helps them identify the connection between a vein and an artery.

While performing a surgery, the doctor places a tiny incision on the children’s leg. This might cause blood clotting due to small vessel size. Also, a blood clot might appear on the arm due to compression. In both conditions, the doctor uses venous ultrasound to evaluate the arteries. Here are some benefits of using venous ultrasound for doctors:

  • Identification of blood clotting
  • Increase in blood flow due to infection
  • Reduced blood flow to various organs
  • Tumor and congenital vascular malformation
  • Narrowing of vessels

Venous Ultrasound | Vascular Surgeon NYC

Things to Remember Before the Procedure

Before the procedure you should:

  • Consume every medication prescribed by the doctor
  • Wear comfortable clothes
  • Arrive 15 minutes before the appointment

During Your Exam

When you arrive at the doctor’s clinic, they will ask you to:

  • Lie on the examination table with your hands on the side. The doctor will apply a gel and place the transducer on the veins and arteries they want to capture.
  • When the physician will perform the diagnosis, you might hear the blood pumping throughout the room. You don’t need to be afraid as this is normal.
  • The examination might take up to 15 to 30 minutes.

After Your Exam

After the examination, you can walk and even leave for your home. There isn’t any post-exam instruction. A vein specialist will review your results and identify your health condition.

Venous Ultrasound: Conclusion

A venous ultrasound is a simple and harmless procedure that doesn’t include any side effects. The device uses sound waves to captures the veins. With the help of this diagnosis, vein specialists can identify varicose veins and other venous conditions. Furthermore, they can also spot blood clots and performs procedures to prevent life-threatening conditions.

Do you live in New York and want to consult a vein specialist? If yes, then you should contact the Vascular Surgery and Vein Center in New York. Our experienced vein specialist, Dr. Norman Chideckel treats a wide range of venous diseases. He uses advanced procedures, both non-invasive and invasive to treat conditions such as varicose veins.

For more information, give us a call at 212-993-6133.

Vein Litigation & Stripping

What is vein litigation & stripping? In simple words, vein litigation and stripping involve incisions and the removal of bulging/twisted nerves from leg or thigh areas. It’s usually done for varicose vein removal to remove all the swollen twisted veins that cause an unpleasant appearance and impose severe health issues. Varicose veins usually appear bluish-green or purplish in some instances. They can be a serious issue if left untreated. Aside from the legs and thighs, they can develop on other body parts.

Vein Litigation & Stripping

Vein stripping involves completely removing the affected vein for health and cosmetic concerns. Since total removal occurs, the chances of varicose veins appearing in the same region are fewer. For your information, vein litigation and stripping is an invasive surgical procedure. For a minimally invasive procedure, you can go with radiofrequency ablation.

A Typical Vein Litigation & Stripping Procedure

Before the procedure is discussed, your professional vascular surgeon will assess your physical condition. First, your surgeon will require the best analysis and idea about your underlying health conditions and current status. Using ultrasound is common for surgeons to assess the internal condition of the valves and vein walls. Through a comprehensive venous scan, the surgeon will produce images to help your procedure. In easier words, the surgeon will get a better idea of any hidden venous health issues such as a thrombus, etc.

You must discuss the ongoing medication that any other doctor prescribed you for taking care of the venous disorder or disease. Moreover, you must discuss any OTC medication beforehand, so your surgeon has the best information before qualifying you for the litigation or stripping procedure. If you’re on blood thinning prescriptions or OTC medication, your surgeon will suggest you don’t take it before the procedure.

During the Procedure

Generally, you will receive either of the three to make sure you’re comfortable throughout the procedure:

  • A heavy sedative
  • Regional anesthesia
  • General anesthesia

Once you’re comfortable/sleeping/partially unconscious, the surgeon will make minor incisions around your groin and the area below your calf. Then, the professional will safely remove the dilated vein or tie it off, depending on the severity of your condition. Your surgeon might also prefer ablation therapy on your dilated vein if deemed necessary.

Overall, the procedure will take no more than 2-3 hours. So, you don’t have to worry about staying in the hospital for longer than necessary. The entire procedure usually takes place on an outpatient basis. After a few hours of the surgery, you will start recovering. The recovery process can take anywhere from 7 days to a few weeks. Further, the surgeon will guide you with informative tips for full recovery while ensuring regular checkups to monitor recovery.

About Post Procedure Recovery

Despite heavy sedatives or anesthesia, you will experience minor pain from the small incisions that your surgeon made. Moreover, your leg may appear stiff and feel slightly sore for the first couple of weeks. However, the soreness and stiffness go away in 1-2 weeks for most people. Don’t be alarmed to notice bruising on your legs right after the procedure. It’s entirely common since incisions were made.

You may also require compression dressings such as tight stockings or socks to keep the legs supported and incisions tight. Regarding the stitches, there’re two scenarios as follows:

  • Dissolvable Stitches: Dissolve on their own during the recovery process
  • Removable Stitches: Removed by the surgeon after 7-14 days of surgery

Lastly, don’t forget that your recovery will also depend on how many veins you got removed during one or several procedures. It can take 3-7 days for one dilated vein but can take several weeks for more. If you experience any chronic symptoms or unbearable pain, contact your surgeon immediately.

Best Vein Litigation & Stripping Surgeon NYC

Varicose Vein Litigation & Stripping: Procedural Health Risks

As far as most medical reports are concerned, vein litigation and stripping are extremely safe. It’s usually a low-risk surgery. However, being under the hands of the right professional surgeon is necessary. Most of the time, when you’re dealing with the wrong type of surgeon, the following symptoms can occur post-procedure:

  • Nerve injuries
  • Excessive bleeding
  • Unstoppable blood clots
  • Scarring and bruising
  • Incision site-targeted infections
  • Anesthesia-associated allergies and severe reactions

Although the ratio of most people experiencing such symptoms is extremely low, mishandling during the procedure can be detrimental. That’s why you should seek the perfect vascular surgeon who is well trained and experienced in carrying out vascular surgeries. Commonly, professional surgeons deem the following people ineligible for vein litigation and stripping procedure:

  • Pregnant women
  • Poor leg circulation-affected individuals
  • People with skin infections
  • Obese people
  • People facing blood clots (severe cases)

Vein Litigation & Stripping: Conclusion

You can minimize the risks of experiencing any difficulties or symptoms after typical vein litigation & stripping procedure by choosing the best vascular surgeon near you. We offer the most appropriate and caring medical services in New York. At the Vascular Surgery & Vein Center, Dr. Norman Chideckel cares for all his patients equally. Finding a similar level of experience, knowledge, and training is difficult.

Feel free to reach out and schedule a consultation with Dr. Chideckel at 212-993-6133. We will ensure all healthcare services are based on your best interests and needs.