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
Blog Posts are Below:

Category Archives: Vein Disease

Chronic Venous Insufficiency (CVI)

When the venous wall or the vein-valves in your legs are not as effective, chronic venous insufficiency (CVI) can occur. As a result, blood cannot travel from your legs to the heart with ease. CVI causes blood to overfill in the veins. Stasis is the medical term for the pooling of blood in the veins

Damage in the valve might occur because of old age, sitting for long periods, or standing for extended periods. When the valves and veins are weak, stable blood circulation is difficult, and it can lead to CVI.

Causes of Chronic Venous Insufficiency (CVI)

CVI usually occurs because of DVT (Deep vein thrombosis). In DVT, blood clots form in the deep veins of the legs, which then cause CVI. Another reason for the occurrence of CVT could be pelvic tumors or vascular malformations. Sometimes, there is no specific cause for the condition. The swelling of legs can also occur because of the valves failing to hold blood, which can lead to the slow movement of blood out of the veins.


Symptoms of CVI may include:

  • Ulcers on the leg that can be difficult to treat
  • Varicose veins are one of the key symptoms
  • Severe pain in the legs or itchiness in the calves
  • Restless leg syndrome is also a symptom you should keep an eye out for; in restless leg syndrome, as the name suggests there is an urge to move your legs
  • Feeling a shooting pain when you start walking but then the pain stops as you sit down.
  • Painful cramping in the legs or spasms in the muscle because of CVI; often known as charley horse
  • Skin changes
  • Swelling


  • Medicines:The medicines that thin out your blood and thus increase blood flow through the vessels have proven to be helpful. Healthcare professionals recommend that you treat the condition alongside compression therapy to help heal leg ulcers. A dose of 300mg of Asprin can also be effective when treating CVI.
  • Improving Blood Circulation: Exercising and working out is the first recommendation from health care providers because they are the more natural ways to help with CVT. Exercises such as cycling, running, swimming, and walking help increase blood flow and make it easier for the heart to pump blood as well.
  • RFA: Radio frequency ablation is a minor invasive procedure; a heat-radiating tube treats the affected vein, which in turn closes the vein that was once open. This way, less blood overfills the leg and the blood flow improves naturally.
  • Surgery: This option is for severe cases. The type of surgery doctors perform for this treatment is Ligation. The surgeon ties the affected vein or removes the valve if it is not working properly.

Final Verdict

The severity of each case helps decide the right treatment for the patient. You should always make sure you go to a trusted healthcare professional for the best results and treatment options. CVI is not a life-threatening illness. However, it can be the cause of a lot of discomfort and pain in the patient’s life. For this reason, you should visit Dr. Norman Chideckel, M.D. for a confidential consultation.

We achieve top results treating spider veins.

Call today:

Vascular Surgery & Vein Center

Venous Conditions That Require a Vascular Surgeon

venous-conditions-require-vascular-surgeon-01Sometimes medical assistance is needed as it relates to veins in the body. There are a variety of venous conditions which often necessitate the help of a vascular surgeon, who is a specialist dealing with in the medical arena of veins.

Some venous conditions are lower in urgency whereas others are more urgent as to how and when they are performed. Regardless of the urgency level, a well-versed professional such as a vascular surgeon can help you to tend to your venous medical needs. If you are wondering, what are the venous conditions that require a vascular surgeon, read on to learn the finer details regarding venous conditions and how a vascular surgeon can assist.

Venous Conditions Which Require a Vascular Surgeon

nyc-surgeon-fix-vein-issues-02From time to time, venous conditions will arise which require a vascular surgeon to help correct these issues. The venous conditions may range from concerning to seriousness, but no matter what category your venous condition falls within, a vascular surgeon is available to help you pursue a treatment method to correct it. There are quite a few conditions which require the assistance of a vascular surgeon and some of these include the following:

  • Varicose veins
  • Reticular veins
  • Venous telangiectasias (spider veins)

When you have any of these conditions listed above, the vascular surgeon is the one to consult in order to remedy these medical conditions and pursue blemish-free skin. The vascular surgeon is well-versed in this medical specialty and knows the various intricacies surrounding these conditions.

Procedures Which Vascular Surgeons Perform

Vascular surgeons perform a wide array of procedures in conjunction with the venous conditions listed above. From procedures consisting of less than an hour from start to finish to those which are a bit more timely in nature, the vascular surgeon is your go-to medical professional when you need assistance with one or more venous conditions.

Although the list is quite extensive as to the procedures which vascular surgeons perform when it comes to venous conditions, some of the procedures include the following:

  • Sclerotherapy
  • Endovenous laser ablation
  • VeinGogh treatment
  • Phlebectomy
  • Thrombolysis
  • Perforator treatment

These procedures listed above are ones which can be performed by a vascular surgeon as it pertains to vein related conditions which individuals may face. The exact type of treatment will depend on the venous condition which exists and what the doctor wishes to pursue, and the patient agrees to, as the best possible treatment method for a particular condition.

Contact Norman Chideckel, MD, for Your Vascular Surgery Needs

If you are in the New York City area and find yourself seeking a vascular surgeon who offers treatment for venous conditions, Norman Chideckel, MD, is here to help. He will thoroughly evaluate your venous condition, provide a diagnosis, and offer treatment options for you to consider in order to make your venous conditions a thing of the past.

Contact Dr. Chideckel today at the Vascular Surgery and Vein Center to schedule an appointment at his office in Manhattan and get started pursuing a treatment plan for your individual venous condition needs.


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.


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.


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.


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.