Norman Chideckel MD Vein Center
212-993-6133

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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Category Archives: varicose vein treatment nyc

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
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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

Age

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.

Smoking

Smokers have a higher chance of developing this condition.

Gender

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

Weight

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.

Swelling

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

Pain

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
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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.

Elevation

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
212-993-6133

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
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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
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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
212-993-6133

2021 Treatments For Varicose & Spider Veins

In 2021, advanced technology is making its way into just about every industry. This especially pertains to the healthcare sector, which has been experiencing numerous changes for a decade. With this rapid increase in technological advancement, we can predict where the health sector will stand in the future.

Even at our Vascular Surgery and Vein Center, we ensure that you receive the best treatment with the latest technologies. That is how we can treat venous conditions in the safest and effective environment. In this article, you will understand the latest treatment options you have for varicose or spider veins.

What are Varicose and Spider Veins

The blood circulates throughout our body to provide oxygen and energy. On the way back to the heart, it carries carbon dioxide and waste materials. When the blood leaves the heart, pressure from the valves helps the blood reach the body parts. The blood leaves the body parts, and it needs a push to return to the heart, acting against gravity.

To run this process smoothly, your veins have valves at each end. The valves prevent blood from flowing backward. You start to noticing varicose and spider veins when valves are unable to close properly. This stops the blood from flowing forward, and eventually, it fills up your blood vessels.

2021 Treatments for Varicose & Spider Veins

1.    Endovenous Laser Ablation

Endovenous Laser Ablation or EVLA is an advanced heat technique that enables the vein specialist to destroy the varicose veins. This treatment is similar to Endovenous radiofrequency ablation, including utilizing the radiofrequency to remove the abnormal vein from your body. Likewise, radiofrequency ablation, EVLA, also includes a catheter to perform the procedure. The size of this thin tube may differ depending on how long the varicose vein is.

2021 Treatments for Varicose & Spider Veins
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The vein specialist will insert the tube inside the vein that you want to get rid of. Once the tube enters the vein, the specialist will push forward fiber laser optics through the tube. They will then use high beam laser technology to generate heat and destroy the cells on the vein’s inner layer. This scars the tissue, closing the ends.

This technique’s main purpose is to close the abnormal vein, so the blood starts circulating through other healthy veins. Once this happens, the damaged veins start to shrink. This enables tissues to absorb the damaged vein making everything normal.

2.    Ambulatory Phlebectomy

Many experts suggest this technique to remove bulging veins, making this the ideal option for you. During diagnosis, the specialist will rely on ultrasound technology to inspect the problem and bulgy veins. In contrast, the specialist will use a marker to map out the vein before starting the procedure. You should know that the varicose veins are deeper inside than they are visible from the skin.

After marking the veins, the specialist will massage the affected regions and numb them using local anesthesia. Once the bulging vein area is numb, the specialist will make small incisions, tracing the varicose veins. With the help of a hook-like tool, the specialist will drag out the vein, removing it from your body.

Once the specialist completes the procedure, they will use surgical tape to close the cuts and cover your leg with compression stockings. After the procedure, you can simply leave the doctor’s office normally and perform normal activities. During recovery, you will experience slight pain and swelling. Though, this period will last for a week or two. Doctors will prescribe medication such as Ibuprofen to ease the pain.

3.    Sclerotherapy

Sclerotherapy is a less painful treatment, including numerous variations such as normal sclerotherapy and ultrasound-guided sclerotherapy. Vein specialists usually recommend this technique for tiny varicose veins. This technique is simple and requires inserting a solution into the damaged vein via an injection. The solution will scar the veins, diverting blood flow to normal veins. Similar to EVLA, the vein will dissolve with the help of tissues surrounding it.

Firstly, the doctors will recommend simple sclerotherapy. In this treatment, you see instant results. Due to the solution’s sticky nature, the vein will immediately close while it enters inside your vein. But with heavy doses of the solution, some patients might experience side effects, such as irritation, for a few days (Source). The circulation process returns to normal after the recovery period.

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On the other hand, if the bulgy veins are hardest to find, the vein specialist will perform ultrasound-guided sclerotherapy. With ultrasound images, the doctor will identify veins and decide between laser and liquid sclerotherapy to eliminate the veins completely. After the procedure, patients have to wear compression stockings to speed up the recovery process and avoid failure.

Conclusion

While you undergo the treatment process, you need to ensure that the vein specialist is highly qualified to perform the treatment.

If you want to visit a professional vein specialist in New York City, you can contact our vein treatment center at 212-993-6133. Dr. Norman Chideckel has extensive experience in performing all the latest treatments for spider and varicose veins. He will diagnose your condition and recommend the best possible treatment.

Are Varicose Veins Dangerous?

Many people want to treat varicose veins due to cosmetic reasons, but there are many more reasons apart from their unsightly appearance to treat these blemishes on your skin. Varicose veins that are left untreated can cause mild to severe symptoms, depending on the person, and can even become life-threatening.

Lipodermatosclerosis

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

Deep Vein Thrombosis (DVT)

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

Hyperpigmentation

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

Superficial Thrombophlebitis

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

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

Getting treated for varicose veins is always the safest option, so schedule an appointment with the best varicose vein doctor in NYC today.

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

Key Symptoms of Varicose Veins Not to Ignore 

varicose veinsWhen do varicose veins become more than just a problem to look at? In many men and women, these veins are not direct problems related to health. Some people can live most of their life with them and never feel any type of problem or ache from them. For others, the pain can be very intense and can lead to the inability to walk well. However, for everyone with varicose veins, it is very important to pay attention to the symptoms and to know when there are medical risks present.

Knowing the Symptoms of Varicose Veins

Some symptoms of varicose veins should be looked at closely by your medical doctor or a varicose veins specialist to determine if there is a need for improvement. These symptoms include the following:

  • HRC-SwollenFeetLeg-mainThe veins are large and protruding from the skin, which leads to uncomfortable aching or swelling in the leg.
  • There is swelling, often mild, that occurs in the legs, but most commonly in the ankles and the feet.
  • You have heavy legs. Your legs may feel painful or as if they are always aching.
  • Your legs may itch especially in the area surrounding the varicose vein.
  • You have discoloration present in the area of the varicose vein.

 
If you have clusters of varicose veins, which means the area has become more knotted and harder looking, it is important to seek out medical care from a varicose vein doctor. In addition to this, if you notice significant discoloration of any portion of your leg especially below the area of the varicose vein, seek medical help. This may indicate that the area is not getting the amount of level of oxygen necessary and it can lead to difficulty in organ tissue health.

 

Most importantly, a blood clot can form in these areas and these can be life threatening. Any sudden pain from the area or lower should not be ignored. In fact, if you have any exterior signs of distress, such as a scratched, irritated, or bleeding exterior of your skin, seek out medical care for the condition.

There is good news. Most types of varicose veins can be treated and you may be able to restore your overall quality of life while also reducing these common health risks. When you schedule a consultation with our Manhattan, New York varicose vein doctor, you’ll get answers to all of your questions.

Call us at 212.993.6133 to schedule a consultation.

Supplements for management of varicose veins

Many patients have asked if there are supplements that I can use to get rid of and/or prevent varicose veins.

There has been much printed in the health press with regards to supplements for different medical issues, and this is also true for venous disease and varicose veins.

BestVaricoseVeinDoctorNYC1Flavonoids, a natural plant pigment, have been recommended as a way of preventing varicose veins. These can be found in the peel and white pith of citrus fruits, such as oranges, grapefruits, and lemons, which are a great source of antioxidants. They are also found in berries; blueberries, and cranberries especially those that are darker and riper. Blackberries, black grapes, and bananas also are rich in flavonoids. With regards to vegetables, those that are of the green and red family contain flavonoids. The method of action is to strengthen vein walls making them less likely to rupture, as well as increasing venous tone, and reduce the possibility of pooling of blood flow in the veins. People who do not wish to go the natural route can take mineral supplements to accomplish the same goal: Hesperidin 50 mg per day and Diosmin 450 mg per day are reasonable options. It is unclear as to how long you can take the supplements without potential for risk, as these are not regulated by the FDA.

More recently there has been literature on the Internet with regards to Gotu Kola 60 mg a day to reduce progression of varicose veins, and strengthen the valves in the veins. The plant from which Gotu Kola comes from is found in the India, and South Africa. The American cancer Society has reported preliminary data that this works to reduce swelling of the lower extremities, and reduce leakage of the blood vessel walls, both of which reduce symptoms and presence of varicose veins. However, they recommend that this product usage requires further study.BestVaricoseVeinDoctorNYC2

BestVaricoseVeinDoctorNYC3Pycnogenol derived from the pine bark of a tree known as Pinus Pinaster, is yet another supplement which may help reduce leg pains, heaviness and fluid retention. The tablet may be derived from extracts of peanut skins, and grape seeds.

Horse chestnut extract has also been used as a natural supplement to improve venous circulation.

While these may have beneficial effects, in terms of trying to improve venous health, please remember that these supplements are not regulated by the FDA, and as such oversight is not watched correctly. People who are on medications for various medical issues, such as diabetes, hypertension, and hyperlipidemia should consult with their physician prior to adding any of the supplements into their daily regimen, as cross-reaction’s and drug incompatibility is a risk.

For questions about supplements or anything related to varicose veins, contact the top doctor for varicose veins in NYC, Dr. Norman Chideckel!

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Travel tips for Vein Health

Vein health when traveling

As we are entering the Summer travel season, I would like to highlight a few thoughts with regards to maintenance of vein health while traveling.

varicose vein doctor nyc vein health when traveling p01Airplane travel poses a potential risk for venous thrombosis, or more commonly known as blood clots. This occurs due to the high altitude that the airplane takes, and even though the cabin is pressurized, this may cause the vein blood flow to thicken, leading to difficulty in recirculating to the heart. You can think of it as trying to drink a very thick milkshake through a straw. This increased thickness causes the blood cells to become sticky to the walls of the vein, which then can cause a clot. Other factors include sitting in a confined space in a narrow seat, limited movement, or keeping your legs dependent for long periods of time. Women using oral contraceptives, or hormone replacement therapy, are at a slightly higher risk.

How to prevent blood clots when flying

So what can you do to prevent blood clots; follow these guidelines.

  1. Keep well hydrated, drink plenty of nonalcoholic non-caffeinated beverages. Water is the best.
  2. Walk around as often as possible.
  3. Ankle pumping exercises will help in recirculating the blood flow.
  4. Support hose-this is probably the most important of all the options, as it physically squeezes the muscles of the foot and calf at all times allowing for more rapid venous blood flow return. To get the maximum benefit from the stockings, put them on prior to boarding the airplane. You can purchase these support hose at your local drug store chain or at the hosiery section of a department store.

How to prevent blood clots when driving

varicose vein doctor nyc vein health when traveling p02Driving long distances or long bus rides may also pose a risk of blood clots, and besides the above guidelines, I would suggest stopping every few hours and “stretching your legs”.

When should you be concerned?

  1. If you develop swelling of the legs soon after traveling.
  2. New onset of shortness of breath or chest pain. This may be as a result of a blood clot that has traveled to the lung, more commonly known as a pulmonary embolism.

If any of the symptoms occur –go to the nearest hospital Emergency Room as soon as possible for evaluation.

I hope that these pointers will be of help, and in the words of Benjamin Franklin “an ounce of prevention is worth a pound of cure”.

For any concern about your vein health, contact the best vein specialist in NYC, Dr. Chideckel.