Welcome

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 office conveniently located in Manhattan, 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.

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: Vein Disease

What are Varicose Veins? by Varicose Vein Treatment Doctor NYC

What are Varicose Veins?

what-are-varicose-veins-info-top-nyc-dr-specialist-01what-are-varicose-veins-info-top-nyc-dr-specialist-01The appearance of Varicose veins can make people feel self-conscious about their bodies, especially during the summer, leg baring months. Varicose veins can draw unwanted attention because they stand out with their blue or purple color and often bulge from the surface of the skin. Their bulging appearance is usually larger in diameter than a pencil and look like ropes underneath the surface of your skin. When these veins become swollen or enlarged, some people with experience discomfort and pain in the area of the Varicose Vein.

Why Does This Happen?

best-nyc-surgeon-for-varicose-vein-info-treatment-02The main function of veins is to return blood from the rest of your body back to your heart to recirculate.  Though, when the blood returns to your heart, your veins have to work harder as they working against gravity. Valves, or openings, within the veins allow the blood to circulate through. However, when those valves begin to weaken the backwards flow of blood, back to the heart is stopped (in the effected vein) while the damaged vein collects that uncirculated blood. This process explains why your veins appear as highly visible, swollen, wavy, pathways on your skin.

How Common are Varicose Veins?

Well that is subjective. While they are twice as likely to be found in women, if you are male, you may still suffer from Varicose Veins. This is a common condition and is hereditary for some individuals. If you have signs of varicose veins, there’s a large chance your mother had them as well.  Around 25% of the Caucasian population is projected to have the occurrence of varicose veins. This rate is greater with female hormones and age.

How Serious is This?

stages-of-varicose-vein-development-increased-risks-03Besides being a cosmetic dilemma, there are uncomfortable symptoms of varicose veins. Some of these symptoms can include, a throbbing sensation in the area of the vein, legs feeling heavy or sore, cramping of muscles at night, swollen feet, and itchy skin on infected area. These unwelcome side effects may worsen by the end of the day, especially if you have a job or lifestyle that consist of standing much of the day.

Sometimes Only a Cosmetic Issue

When you suffer from the appearance of varicose veins, though do not have any of the painful side effects, there are still emotional effects to these little nuisances. They often cause people to be reluctant to wear what they want to wear, such as shorts to work out or a swimsuit to the beach. Knowing they are there can cause stress and anxiety when you go out in public or attend outdoor functions during the summer.

If you suffer from varicose veins and want more information, or are interested in treatment from an experienced vein doctor, contact us today to schedule an appointment with Dr. Norman Chideckel.

 

What Diseases Can Cause Varicose Veins?

What Diseases Can Cause Varicose Veins?Varicose veins are not uncommon. In fact, they are growing in terms of how many people have them. In most cases, varicose veins are brought on by unknown conditions as well as factors such as the amount of pressure that builds up in the legs. This can be due to factors such as being overweight or obese. For individuals who are struggling with varicose veins, it may not be as important to understand the cause of them as it is to find treatment options. However, some people may have underlying causes that can be implications to their health.

Why Do You Have Varicose Veins?

People that are older, especially women, are more likely to develop varicose veins. If you are overweight or obese, you may also be at a higher risk of developing them. Some people develop them due to other conditions or diseases. For example, some congenital abnormalities can occur at the time of birth that can cause a weakening or loose vein. When this happens, it is more likely that blood will pool and create the varicose vein.

What Diseases Can Cause Varicose Veins?In addition to this, some people suffer from varicose veins due to inflammation. Inflammation can be caused by a variety of factors such as high blood pressure and high cholesterol. You may also be suffering from inflammation due to infections or other underlying diseases. When this is the case, it can lead to the development of weakening in the blood vessels, which can lead to varicose veins. In still other people, these veins can develop as a result of a blood clot. A clot can form at another location in your body’s bloodstream and become lodged in this area, causing the bulging. This can become a life threatening situation and requires immediate attention.

If you are struggling with varicose veins, do not overlook the importance of turning to an experienced, specialized varicose vein doctor for proper diagnosis and treatment of the condition. You’ll want to know what your treatment options are, but you may also need to know why you have these veins. It could signal another or otherwise connected type of illness or disease that could be impacting your health now or down the road. To learn more about your condition, contact the best varicose vein doctor in Manhattan, New York. Talk to our team about the options that are available to you today and what can be done.

Raynaud’s (Cold Intolerance)

During this cold winter that we have been experiencing, I would like to take this opportunity to highlight the issue of cold intolerance, also known as Raynaud’s.

Vasospasm

Raynaud’s (vasospasm) is the body’s response to stress or a traumatic event.  It may be a freestanding problem, also known as Raynaud’s disease, or may be a secondary reaction to an underlying medical problem, known as Raynaud’s phenomenon.

Is more common in women, and families, and those people living in colder acclimates.  It will feel as if you have lost the circulation in your hands or feet, but in fact the reason for this feeling is due to vasospasm, and not lack of circulation.  Vasospasm is the regulation of blood flow, and as a result of the stress the body’s protective mechanism will dilate those blood vessels that supply essential portions of the body (heart, liver, brain, kidneys, etc.),  and constrict the blood vessels that feed into the periphery (tips of the fingers, tips of the toes, lips, nose, and ears).  When the stress has passed there will be a re-dilatation to the blood vessels in the periphery.  Hence, the associated color changes; white, then blue, and upon rewarming red.  There may also be associated symptoms of numbness, throbbing, tingling, and or swelling.

Raynaud’s diseaseraynauds_disease

The most common type is Raynaud’s disease, without an identifiable underlying medical condition.

Raynaud’s phenomenon or secondary Raynaud’s, will occur as the result of an underlying medical condition, and may occur later in life.  Several of these medical issues include: Thyroid disease, lupus, scleroderma, rheumatoid arthritis, and carpal tunnel syndrome.  Other factors that contribute include; smoking, repetitive stress injuries, and/or vibration (such as use of power tools and jackhammer’s).  Certain medications have also been linked to these symptoms, and these include the beta blockers, used to treat hypertension, medications used to treat migraines, and medications that are used to treat attention deficit disorder, and hyperactivity.

Diagnosis

When first diagnosed is important to have a thorough medical workup, to determine if there is an underlying issue which can be treated.  Once this treatment begins, very often the symptoms will resolve.

Treatment Of Raynaud’s Disease

In general local measures are recommended as the mainstay of treatment.  Keeping the area warm, by using mittens instead of gloves on the hands, and heavy woolen socks on the feet to protect the toes.  Try to get indoors as quickly as possible into a warmer environment.  Massaging your hands and feet will be of benefit, wiggling the fingers and toes may also be beneficial.  Using hot water on the area affected would be more detrimental; however, using warm water from the tap will help in the rewarming process.

raynauds_disease

Other measures to help reduce the symptoms would include cessation of smoking, exercise, and controlling stress.

The goals of treatment are to reduce the severity of attacks, prevent tissue damage, and if applicable to treat the underlying medical condition.  No one medication as a treatment has had any great success.  However, certain medications have been used including nifedipine, Norvasc, Minipress, Cardura, Cozaar, and even Viagra.  Use of local nitroglycerin cream to the toes or the fingers may help dilate the local blood vessels in the area.  However, the use of any of these medications must be discussed with your medical doctor.  As they all have potential side effects.

There are those medications that may worsen the symptoms, including beta blockers which are being used to treat high blood pressure, including Lopressor, Toprol, Corgard, and Inderal.  Over the counter cold remedies which include pseudoephedrine should also be avoided.  Excessive alcohol consumption should also be avoided, as it initially may cause a vasodilatation, but then cause a rebound in the vasospasm, making the symptoms feel even worse.

Other options for treatment may include use of fish oils, biofeedback, acupuncture, and where applicable local nerve blocks to maintain the vessels at maximum dilatation.