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
161 Madison Avenue
Suite 9SE
New York, NY 10016

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


See our main site at www.veinsdoc.com
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Category Archives: Vascular Surgeon

Venous Leg Ulcers – Treatment Options

Venous Leg Ulcers - Causes & treatment NYCWhat are venous leg ulcers? Open cuts between the knee and ankle joint that occur when the venous disease is present are usually the cause of venous leg ulcers. Bacteria find their way into the open wound and cause an ulcer. Veins are the tiny tubes that carry blood from your foot towards your heart.

The veins in the legs have one-way valves. What that means is that the blood flows up the leg and not back down. Sometimes these valves are not as efficient in some people. In damaged valves, the blood can flow the wrong way. Instead of going up, the blood starts flowing downwards. In turn, this results in high pressure in the veins when you stand up. This extremely high pressure can damage the skin, which results in ulcers.

Symptoms of Venous Leg Ulcers

When there is venous insufficiency present in the body, your skin can become itchy and thin, which can lead to statis dermatitis. This happens when blood overfills in the veins of the lower legs and the fluid leaks out into the skin and other tissues.

Early symptoms:

  • A tingling or itching sensation
  • Hardened skin with a dark red or a purple hue to the skin around the affected area.
  • Swelling of the legs, a feeling of heaviness and severe cramping

Severe symptoms:

  • Intense pain in the legs
  • An infection with a foul odor to it; pus may also come out from the wound
  • The skin of the affected area may become hot, shiny and tight

Treatment of Venous Leg Ulcers

There are three main methods for treating venous leg ulcers. This includes Medications, Conservative Management, and mechanical treatment. The goal, in general, is to reduce, heal, and improve the ulcer, and prevent it from occurring again.

  • Medication: Oral medication can be effective, but it depends on the medication. Dosage also plays a huge part such as Aspirin 300mg per day taken at once has proven to be efficient.
  • Conservative Management: 3 types of conservative management are used such as leg elevation, compression therapy, and dressings
  • Mechanical Treatment: Topical negative pressure is a good treatment option. However, there has been no direct relationship between it and venous leg ulcers

Who Is At a Higher Risk

  • Varicose Veins: When your valves malfunction it can cause your veins to become enlarged or swollen
  • Old Surgeries: Previous surgeries of the lug like knee replacement or hip replacement can make you more susceptible
  • Difficulty Walking: When there is less blood circulation in the legs because of lack of movement, it can damage weak calf muscles this affects blood circulation
  • Age: Old Age can play a huge factor; an estimate shows that 1 in 50 people over the age of 80 have venous leg ulcers.
  • Arthritis: If you, in particular, have arthritis it can be difficult to move around which again can cause slowed blood circulation in the legs which can, in turn, put you at a higher risk.

Final Verdict

Always go to a professional if the above-stated symptoms start to occur. At-home treatments can be ineffective at times. Visit Dr. Norman Chideckel, M.D., for the best vascular & vein treatment in NYC.

Varicose Vein Treatments

Vascular Doctor for Varicose Vein Treatments NYCSome alternative names for varicose veins are leg veins, varicosities, and spider veins. They cause a small bulge on your legs and are easily visible on the skin. They appear blue and purplish, and cause some discomfort too. A major reason for their occurrence is too much blood flowing through the veins.

Normally, the way your veins function is that they have one-way valves to keep the blood flowing towards your heart. However, if the valves incur damage or become weak, the blood can come back and overfill your veins. This, in turn, causes the veins to swell, which then leads to varicose veins.

Varicose Vein Symptoms

Oftentimes, varicose veins can be painful. Even though they usually occur on the legs and feet, they can also appear in other areas of the body sometimes. Symptoms of this illness are very apparent i.e. you will see large veins just under the surface of your skin. You will also notice some swelling on the affected area. Moreover, the affected area can also feel heavy with sensations of throbbing or cramping.

If the affected area is either your lower leg or ankle, they might feel itchy. This can lead to an incorrect diagnosis of dry skin at times. You might also see a slight discoloration on the affected area. In some cases, the veins can burst and start bleeding; this can result in ulceration. However, it only occurs in very severe cases of Varicose veins.

Who Is More at Risk?

  • Pregnant Women: What happens is that there is a lot of pressure on the mother’s legs due to increased weight. Varicose veins that occur during pregnancy take about 3 to 12 months to heal.
  • Obesity: When you are either overweight or obese, it can put extra pressure onto your veins, which can lead to obesity.
  • Gender: Women are at a higher risk of developing Varicose veins in comparison to men because of the hormonal changes they go through during puberty, pregnancy, and menopause. It can lead to them developing Varicose veins.
  • Leg Trauma: There is also a higher risk of developing it if you have had any previous damage or blood clot in the valves. Such conditions weaken the ability of the veins to move blood back to the heart.

Vascular Treatments

There are multiple treatments available for Varicose veins; you can find options ranging from at home treatments to treatments at the hospitals.

 Here are some treatments you can do at home:

  • Exercise: For better blood circulation in the leg, you need to exercise at least a minimum of 25 minutes every day. This helps circulate the blood that has stagnated into the veins. Exercise also helps in regulating a person’s blood pressure, which can also be the cause of Varicose veins. Exercise can include walking, cycling, swimming, and running.
  • Compression Stockings: They are available at almost any pharmacy. They help the muscle and veins to move the blood along.
  • Dietary Changes: You need to minimize water retention in the body, which you can attain by cutting down the intake of foods that are high in sodium. An increased intake of Flavonoids such as garlic, cocoa, citrus foods and spinach can help shrink Varicose veins.

Some treatments you can get at the hospital are:

  • Laser Treatments: New laser technology can help slowly fade the veins by sending a burst of light.
  • Sclerotherapy: Includes injecting of foam gets into the Varicose veins, which helps close them. After this treatment, they should fade in a couple of weeks.
  • Ambulatory phlebectomy: The doctor will make tiny punctures into the affected area, and the then remove the smaller Varicose veins; the scarring is minimal.

Final Thoughts

If you see more than three symptoms from the list above, you should book an appointment with Norman Chideckel, MD as soon as possible. We provide excellent and reliable treatments that you deserve.

Minimally Invasive Vein Surgery

What is minimally invasive vein surgery? The term “varicose veins” refers to veins that have jumbled up to look like a spider. Legs, ankles and feet are the spots where they usually occur. Individuals with varicose veins experience pain and discomfort in their legs and feet. Since varicose veins are just beneath the surface of your skin, they are very noticeable. Increased blood pressure in veins mainly causes them to happen.

To relieve irritation and discomfort, there are several treatment options available for vein conditions like varicose veins and spider veins. Here, we will look at one of the latest treatment options – minimally invasive vein surgery.

Vein Function

Veins have a vital role in the circulatory system. Their function is to carry blood back to the heart with the help of their valves. In the case of varicose veins, these valves tend to deform. As a result, they do not perform their function properly. This is a common problem in older people.

Minimally Invasive Vein Surgery Options

Typically, this condition is not very serious. However, if it becomes extremely bothersome to the extent that it comes in the way of your routine activities, then you need to consider, minimally invasive vein surgery. One such option is, ‘Sclerotherapy’, which involves the injecting of a sclerosant (chemical solution containing medicine).

This solution targets the varicose veins and causes them to shrink so that the blood goes towards healthier veins. It contains sodium-tetradecyl-sulphate and usually, only a well-trained dermatologist performs it.

Internal therapy is another method of endovenous techniques. With the help of ultra sound examination, the doctor spots the affected veins. The method requires a small catheter that produces radiofrequency energy when it reaches the vein. This energy damages the vein and the blood shifts to other healthier veins. Your specialist will ask you to wear compression socks after your internal therapy, to ensure smooth blood flow.

Surface therapy or laser therapy targets varicose and spider veins by applying laser techniques to the affected veins. It is applied to the surface of the skin and is external, hence the term, surface. The laser emissions produce heat that helps shrink and destroy varicose veins. It is a need-less process but that does not guarantee the fact that there will be no pain. There can be stinging and pain, if it gets intense, you can apply a good quality numbing gel.

Endogenous and exogenous approaches to vein treatment exist. Exogenous are methods that are external and nonsurgical, such as, compression stocking method. While, endogenous ones treat venous valvular deformities and require hospitalization. Minimally invasive treatment options are relatively safer and mostly anesthesia free.

You can go back to your routine almost immediately after treatment, in fact, brisk walk is advisable for proper blood flow. The success rate of applying such methods is pretty high, 75% to 80% patients find relief and see improved results.

Bottom-Line

If you have noticed intense pain in your leg veins and pressure in your ankles and you are unable to walk, then you have varicose veins that require medical attention. If you are overweight, these conditions will make you more uncomfortable so it is wise to shed some kilos and reduce the pressure in your legs.

 You must seek professional guidance from a trained professional. We can help you plan a healthier lifestyle and suggest treatment & therapy options that will improve your condition.

Schedule your appointment with the top vascular surgeon in NYC today and explore your options.

Vascular Surgery & Vein Center
Dr. Norman Chideckel
212-993-6133
https://www.veinsdoc.com/

Do I Need A Vascular Surgeon To Treat My Varicose Veins?

Varicose veins can get bothersome and frustrating. If you have tried every natural method for prevention and control, but you still experience pain in your leg veins, it is time to visit a vascular surgeon. You have to go for a medical checkup if you start noticing that your blood is clotting.

Vascular surgeons recommend treatment options and medical procedures based on certain factors. These include, your age, extent of your varicose veins, severity of symptoms and existing health conditions (if any). Some people consider treatment because they want to get rid of the unpleasant look of purple veins that are very clearly visible. They do not cause pain, but also look ugly.

Vascular Treatment Options

If you are clueless as to what is going on with you and immense pain hinders your every-day activities, you need a vascular surgeon to treat your varicose veins. After thorough physical examination, your surgeon will get to the root of the problem. It is important to understand what is causing the pain so your doctor will explain to you the entire science.

Varicose veins get all disrupt the blood flow and doctors conduct medical procedure to close the deformed veins. The affected veins cause the blood to pool in one place. The doctors make the effort of shifting the pressure of the blood towards healthier veins through surgical procedures. There are various treatment procedures to close defected varicose veins.

Sclerotherapy is one of them. The doctors use a solution to shrink the veins. They might use the solution on your skin first. Your doctor will not proceed with this option if your body does not respond to this chemical well. It does not require anesthesia so slight pricking and stinging is normal.

Other than that, Endovenous Ablation Therapy also helps treat varicose veins. This is a very safe and effective procedure which involves the inserting of laser waves that target the deformed veins and makes them fade away. After the application of a numbing agent on your skin, the surgeon makes a small perforation in the skin for the thin tube that carries the device that emits laser waves. Once, finished, you will have to wear compression socks.

Endoscopic vein surgery is not a very difficult surgery but only a professional and experienced vascular surgeon should perform it. In this surgery, they insert a tiny camera on a thin tube with a surgical device at the end of it. It aids the surgeon in locating the exact spot of the vein and closes it using the device attached. You will need this treatment if you are suffering from skin ulcers.

In more severe case of varicose veins, vein ligation and stripping is the right treatment. Vascular surgeons typically give general anesthesia or medicine so that you don’t feel any pain. They reach the affected veins by making tiny cuts in your skin. They then tie them and remove them. This procedure is a little risky because there is a chance of inflammation. Recovery takes about 1 to 4 weeks after the treatment.

Bottom-Line

It is essential to know about your health conditions in detail so that you are well aware of the things you need to do and things you must avoid. You should know what activities trigger your vein pain, for example standing in one position for hours can increase pressure in the veins in your legs. You can learn about these intricacies and explore treatment options if you consult a vascular surgeon.

So what are you waiting for, schedule your appointment with the best vascular surgeon in NYC today!

Vascular Surgery & Vein Center
161 Madison Avenue
Suite 9SE
New York, NY 10016
212-993-6133