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
Blog Posts are Below:


Category Archives: Vein Disease

Vein Disease Overview

What Is Vein Disease?

Vein Disease Specialist NYCTo understand vein disease effectively, you first need to know the general anatomy of veins.

Veins carry deoxygenated blood from all parts of the body to the heart. Also, veins have a one-way valve.

Unfortunately, there are few exceptional cases where these veins work two-ways, which is, taking the oxygen-depleted blood to the legs and creating severe inflammation and blood clots. This condition is vein disease.

Symptoms of Vein Disease

Blood clotting and severe inflammation can lead to accumulation of bulging varicose veins or spider veins. The immediate symptoms include itching, throbbing, pain, aching, cramping, heaviness, and swelling of legs.

These symptoms get worse with time. Your legs might turn numb if you stand or sit in one position for too long. Also, it can cause ulceration in the lower leg.

Moreover, extreme complications include damaged or darkened skin around the ankles.

Growing Risk of Vein Disease

Most individuals suffering from vein disease usually have parents or blood-related guardians who have gone through the same condition. Therefore, you can inherit this disease as well. The risk is 33% if one of your parents has had vein disease and 99% if both the parents have or had a vein disease.

Causes of Vein Disease

  • Obesity
  • Advancing Age
  • Standing for a prolonged moment
  • Sitting in one position for a long time, especially with legs crossed.
  • Wearing tight clothes
  • Vein disease circulating in the family
  • Vein injury

How to Diagnose Vein Disease?

Diagnosis of vein disease is easier with ultrasound study. According to this study, the function of veins is detected through sound waves. If the waves are smooth, then there is no blood clotting or inflammation, resulting in the reports being negative.

Moreover, the ultrasound study also includes taking images of the leg and the deeper veins within the skin. The test results are accurate and only an experienced vascular phlebologist performs it. The doctor who performs this test is a vein doctor. The best part, this examination involves no pain.

FAQs

How Can I Make Sure That I Have Vein Disease, Or I Need To Get Some Medical Test Done?

Some symptoms are easily detectable, and most people recognize them immediately. But for those who can’t, here are some alarming symptoms for you.

  1. Skin discoloration
  2. Legs itching, cramp, ache and feel heavy
  3. Ulcers
  4. Bulging spider vein (blue veins)
  5. Vein swelling

It is advisable to get a test as soon as you catch any of the symptoms.

Would Compression Stockings Help Reduce The Pain?

Compression stockings for vein diseaseIf you’re looking for temporary relief, sure compression stockings might reduce the pain levels to 50%. But in the long run, it won’t treat your vein disease.

How Long Does The Whole Treatment Take?

With the advanced diagnosis and treatments, the whole procedure will only take a few days.

Is There Any Insurance Available To Support Vein Treatment?

Insurance coverages usually cover this medical treatment. You can always inquire about your options from the doctor or the employer who’s providing the medical coverage.

Bottom Line

Suffering from a vein disease can be extremely painful. Therefore, if you think you have most of the vein disease symptoms, you should book your appointment with Norman Chideckel, MD, vascular surgery and vein center.  Dr. Norman Chideckel will help you achieve your healthy and beautiful legs through the most reliable and professional treatments.

Vascular Surgery & Vein Center
Dr. Norman Chideckel
212-993-6133

Sclerotherapy for Vein Disease

Can you treat vein disease with sclerotherapy? Sclerotherapy is a procedure that involves injecting a medicine containing solution into your veins to treat venous diseases mainly, spider veins and varicose veins. This solution enters the body by the use of injections that target the affected vein and causes them to shrink and scar. It is a non surgical method of treating vein disease and it is very successful. It has been around since the 19th century.

Sclerotherapy for Vein Disease: Vein Conditions

Varicose veins or venous insufficiency usually occurs in the patient’s legs. It causes the legs to swell up and the veins turn dark purple. The sufferer will also experience intense pain and weakness in their legs.  Varicose vein is the result of faulty valves forcing the blood to flow in the opposite direction. Sclerotherapy aims to close these damaged veins by shrinking them using the medicinal chemical solution. In some severe cases varicose veins cause inflammation in veins with the formation of a painful blood clot. This condition is thromophlebitis.

Spider veins are veins, as the name suggests, look like a spider web and require sclerotherapy as a treatment. Obesity, hormonal issues and heredity are all causes that may lead to the development of spider veins. Women are more likely to develop spider veins. Cramping, soreness and pain in legs are common symptoms of spider veins.

Other conditions that require sclerotherapy include malformed lymph vessels. These produce lymph fluid that is responsible for fighting immune diseases. Hemorrhoids, this is a condition in which blood vessels in the rectum area or surrounding it swell up and cause discomfort. This may also make it hard for the sufferer to pass bowel movement with ease. Take the example of Hydroceles, in which there is formation of unhealthy fluid mainly in the testicles.

Risks of Sclerotherapy for Vein Disease

Sclerotherapy is a relatively safe procedure because it is non-surgical and does not require anesthesia. Treated veins take about 3 to 6 weeks to respond to treatment and such veins do not reappear after the treatment. Bruising and swelling in the affected area is normal and tends to go away in some weeks.

Mild side-effects are normal. However, if side effects get severe and inflammation or blood clotting occurs, you must go to the doctor immediately.  In some cases air bubbles start to form in your blood stream which is not safe and requires medical attention. Also, larger veins sometimes harden and take several months to fade. That is why doctors test the effects of the chemical solution on your body before injecting it in a large portion, in order to avoid risk of complications.

If you are pregnant or breast feeding, you must delay your sclerotherapy treatment plans. If someone senses unbearable chest pain after sclerotherapy treatment, they must consult the doctor on emergency basis.

Bottom-Line

Do not be afraid of the bruises and darkened skin, it is a common side effect of sclerotherapy. It requires multiple fine needles entering your body to get in contact with the affected vein, so it may be painful. You must consult the doctor if you experience pain in your veins but you do not know the exact underlying problem.

Your doctor will conduct a physical exam and ask you about your existing medical conditions, if there are any. Your medical history is very important for proper diagnosis. An ultra sound test also helps give a clear image of the exact size and location of veins.

Schedule an appointment with Dr. Chideckel and treat your venous condition now.

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

How to Keep Your Legs Healthy and Your Veins Invisible

Noticeable veins that are bluish purple in color can appear slightly unpleasant because they are right beneath the surface of your skin. This happens because valves in our veins weaken as we age and tend to swell due to blood pressure. It is also common in obese individuals.

Oftentimes, people get vein conditions like spider or varicose veins. As we age, we must do certain things to avoid and prevent such conditions and promote smooth blood circulation throughout the body. Here, you will read about ways to keep your legs healthy and free of vein problems. Read carefully, especially if you notice spider-like veins on your legs.

Vein Problems: Leg Vein Health Tips

Movement & Exercise

First and foremost, make movement your best friend. Physical movement is vital for circulation. So, avoid sitting or standing for hours. That will cause stiffness of muscles and soreness in the legs. If you work long hours and your job requires you to sit in one seat most of the time, take short breaks in between.

Go to the hallway for a short walk or climb a flight of stairs. Try taking the stairs instead of the lift. Install an app in your cell phone that monitors your heart rate and steps you take throughout the day. Set a step target for yourself.

Soothing Baths

After a tiring day at work, take a refreshing and soothing bath that will help you relax and revitalize your legs. Remember, the water must be cool because hot water showers tend to trigger veins dilation and swelling, which results in pain. Add working out to your routine and try to control your weight to keep muscles feet and prevent excessive blood pressure in your veins.

Good Shoes

In addition, invest in comfortable shoes that have a good quality sole. Do not wear heels often. Make it a ritual to gently massage your ankles and your feet every other night and keep your legs in an elevated position if you sense even a little bit of pain in your veins. You can even go to a professional masseuse for monthly massage therapies because they know all the pressure points. They use essential oils, which can be greatly benefitting for your skin and legs.

Veins & Pregnancy

The pressure in leg veins increases if you are pregnant. It is usually harmless and ignorable for some women. However, things can be irritating and uncomfortable for pregnant women who have hemorrhoids, which are varicose veins in the legs and rectum.

These veins make it hard for them to pass stool. In such a case, avoid sitting with your legs crossed and wear maternity panty hose which helps push blood back towards the heart. Go for brief walks everyday and wear the maternity support hose from initial days of your pregnancy to ensure healthy legs.

Veins & Age

For aging individuals, pharmacies stock compression stockings that regulate flow of blood and prevent valves from swelling up, which means blood can flow easily towards healthy veins that can carry it to the heart.

Bottom-Line

This brings us to the conclusion that prevention is better than cure. However, sometimes even those who are extra careful and apply all self-help ways still end up getting varicose veins or spider veins.

Schedule an appointment with the best vein specialist in NYC:

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

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

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

Treatment

  • 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
212-993-6133

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.

212-993-6133

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.