The Best Vein Treatment Options in Long Island

Our Vein Experts Help You Choose the Best Spider and Varicose Vein Treatment for You

 

If you suffer from painful varicose veins, leg heaviness, cramping or swelling, you should be evaluated for an underlying disease called venous reflux. You don’t have to live with unsightly and painful veins, thеrе are many safe and effective treatment орtіоnѕ available, often covered by insurance. Yоu should dіѕсuѕѕ уоur situation wіth уоur doctor, so thаt he or she can evaluate your venous disease and prescribe the bеѕt trеаtmеnt орtіоn fоr уоu.

Fоrtunаtеlу, if you’re seen by a center which offers the latest technology, the treatments dо not rеquіrе a long or uncomfortable rесоvеrу and often patients are back to work the same day. Due to new, minimally-іnvаѕіvе and nearly-painless рrосеdurеѕ, mоѕt vein dіѕеаѕе саn nоw be trеаtеd оn аn outpatient bаѕіѕ.

Are you Looking for Vein Treatment in Long Island?

Over the past decades, advancements in vein care and medical technologies have progressed rapidly. Thanks to cutting-edge technologies, we can now treat spider veins and varicose veins with minimally invasive procedures that address the root cause of your problems without harsh side effects, complications, hospitalization, or downtime. However, you now have so many vein treatment options that selecting the ideal vein treatment for your specific needs is challenging.

To find the ideal vein treatment for your specific needs, you must find a highly reliable and skilled vein doctor in Long Island. Your vein doctor must run advanced vascular imaging tests and discuss your symptoms and goals to recommend the ideal vein treatments. At our spider vein and varicose vein treatment center in Long Island, our Harvard-trained vein doctors are known for their comprehensive and personalized vein treatments.

It’s also important to understand the root cause of spider veins and varicose veins. In most cases, spider veins and varicose veins are the results of increasing pressure in the superficial leg veins close to the skin’s surface, which is caused by underlying chronic venous insufficiency. Our vein doctors in Long Island always run tests to identify underlying vein disease before curating a treatment plan.

Treating spider veins and varicose veins without addressing the underlying problem is similar to painting over a stained wall instead of fixing the leaking pipes underneath. As long as the leaky pipes (vein disease) aren’t fixed, the stains on the wall (spider veins) will keep returning. Our comprehensive vein care approach addresses the root cause of your problem, ensuring long-lasting results with a negligible risk of recurrence.

This comprehensive guide describes all the leading vein treatment options, including their advantages, drawbacks, and suitability, and we help you find the best vein doctors in Long Island.

Vein Treatment Options

Endovenous Ablation

Other Names: Ablation, Endovenous Radiofrequency Ablation, Endovenous Laser Ablation

Treats: Underlying chronic venous insufficiency, large varicose veins, and the symptoms of vein disease, such as leg heaviness, restless leg syndrome, throbbing leg veins, and leg cramps

What is endovenous ablation?

Endovenous ablation is a minimally invasive procedure wherein heat or laser energy is used to destroy the diseased vein responsible for your varicose veins. The unhealthy veins are usually located a few centimeters under the skin. While healthy leg veins carry blood from the legs to the heart, unhealthy veins with weak valves allow gravity to pull your blood back into the leg veins. The continued accumulation of pressure in the leg veins leads to spider veins and bulging varicose veins. Endovenous ablation destroys the diseased vein, rerouting the accumulated blood into healthier leg veins.

How does endovenous ablation work?

During endovenous radiofrequency ablation, the vein doctor administers local anesthesia to numb the affected region and make an incision. Under ultrasound guidance, a small radiofrequency device is driven through the incision and into the diseased vein. The vein physician delivers tumescent anesthesia to surround the diseased vein with a protective fluid and activates the radiofrequency device, which, in turn, produces high-intensity sound waves that convert into thermal energy. The diseased vein seals shut and get absorbed by the body, allowing blood to reroute into healthier veins.

Endovenous laser ablation is performed using the exact same methods as radiofrequency ablation, but with one major difference. Instead of thermal energy, the device used for laser ablation produces laser energy to destroy the diseased vein. Since laser energy is a lot hotter than thermal energy, it causes more post-procedural discomfort and pain. However, both ablation procedures are equally effective and conclude within 15 to 30 minutes with no downtime. Generally speaking, your vein doctor will have carefully-considered reasons to favor one method over the other to ensure optimal results for your specific situation.

 

Pros

Endovenous radiofrequency ablation and laser ablation are safe, comfortable, and effective procedures that address the root cause of varicose veins — chronic venous insufficiency. Ablation procedures are significantly safer than traditional vascular surgeries, such as vein stripping. They’ve been around for over a decade, so they have a proven safety record. Furthermore, patients truly appreciate the comfort and convenience — most patients can squeeze the treatment within a packed schedule and return to work immediately.

Pros Summary:

  • Incredibly high success rate
  • Proven track record
  • Extremely safe and comfortable
  • No recovery period
  • Covered by most insurance plans

Cons

Endovenous ablation is a completely safe and comfortable procedure, but it must be performed by highly-experienced vein doctors using cutting-edge technologies. Endovenous ablation can be performed using numerous platforms and devices — the results can vary based on the device. Furthermore, the procedure involves injecting tumescent anesthesia to ensure optimal comfort. Using an outdated device, injecting an inadequate volume of anesthesia, or using too many injections can cause pain and discomfort.

 

Cons Summary:

  • Extremely difficult procedure to perform
  • Laser ablation may cause some post-treatment discomfort
  • Must be performed by a highly-skilled vein doctor

Is endovenous ablation a good option for you?

Most patients make great candidates for endovenous ablation procedures, especially since these procedures are covered by most insurance plans. However, our vein treatment centers in Long Island  generally prefer radiofrequency ablation because it causes less post-treatment bruising and discomfort than laser ablation.

 

VenaSeal 

Other Names: Vein Glue

Treats: Underlying chronic venous insufficiency and its symptoms, such as leg heaviness, restless leg syndrome, throbbing leg veins, and leg cramps

What is venaseal?

VenaSeal is a cutting-edge device manufactured by a highly reputable scientific company called Medtronic. It’s a relatively new procedure that uses a substance called cyanoacrylate glue to seal the diseased vein’s walls — rather than destroying it with thermal or laser energy. Cyanoacrylate glue is a long-standing medical adhesive that’s been used for numerous vascular treatments for a long time, so it boasts a stellar success rate.

How does venaseal work?

During your venaseal procedure, your vein doctor will use an ultrasound scan to identify the affected vein. They’ll numb the skin over the affected vein to make a small incision and insert a medicine delivery system known as a catheter. The catheter is driven into the diseased vein under ultrasound guidance to deliver the cyanoacrylate glue, making the affected vein shut down. After the diseased vein is sealed off, the accumulated blood automatically reroutes into healthier leg veins.

Pros

VenaSeal is preferable to the ablation procedures because it doesn’t involve tumescent anesthesia, so you don’t have to deal with post-treatment swelling. Furthermore, the cyanoacrylate glue easily travels around the veins, making it suitable for distribution in veins with multiple branches.

Pros Summary:

  • No post-treatment swelling
  • Suitable for veins with multiple branches
  • Suitable for vein disease recurrence
  • Uses an extremely advanced technology

Cons

VenaSeal is a relatively new procedure that’s only recently received FDA approval, so its long-term effects haven’t been studied yet. Due to its relative newness, it’s not yet covered by all insurance plans. Some patients may exhibit allergic reactions to the vein glue. Furthermore, the vein glue eventually hardens and becomes a permanent implant inside the body, which psychologically bothers some patients.

Cons Summary:

  • Long-term effects are unknown
  • Not covered by all insurance plans
  • Must be performed by exceptional vein doctors
  • Possibility of allergic reactions
  • The vein glue becomes a permanent implant

Is venaseal a good option for you?

VenaSeal is the ideal option for people suffering from a vein disease recurrence after already undergoing treatment before. It’s also suitable in cases where the diseased vein has multiple branches. However, your vein doctor must determine if you can get insurance coverage for the treatment and if you have any allergic reactions to the medical glue.

 

Sclerotherapy 

Other Names: Saline Injections, STS, Salt Solution Injections, Cosmetic Sclerotherapy, Vein Injections

Treats: Small varicose veins and spider veins

What is sclerotherapy?

Sclerotherapy is a procedure wherein a special medication called a sclerosant is injected into small varicose veins or spider veins. Sclerosant is a medication that irritates the vein walls, making them fuse together and turn into scar tissues eventually absorbed by the body. Over time, the spider veins shrink, fade, and disappear.

How does sclerotherapy work?

During sclerotherapy, your vein doctor will identify all the affected veins either visually on the skin’s surface or using an ultrasound scan for the deeper veins. Using a small needle, the vein doctor will inject the sclerosant medication into the spider veins on the skin’s surface. If the veins are slightly beneath the surface, they’ll inject the sclerosant under ultrasound guidance. The procedure is incredibly quick, safe, and effective.

Pros

Sclerotherapy can treat the twisted veins that you can’t reach with the ablation techniques because the liquid medication easily flows all around the veins. When performed correctly, sclerotherapy is one of the safest and most effective treatments for spider veins, far more effective than skin laser therapy.

Pros Summary:

  • Safe
  • Convenient
  • Highly effective
  • No downtime

Cons

 Sclerotherapy can be performed using various types of sclerosant solutions, each having different outcomes. Traditionally, sclerotherapy was performed using a concentrated salt water solution (hypertonic saline), which caused considerable pain and discomfort.

While most vein clinics now avoid hypertonic saline, some vein doctors still use solutions that cause more discomfort than necessary. Furthermore, some vein doctors don’t dilute the sclerosant medication sufficiently, leading to an incorrect dosage that may cause skin discoloration or other side effects. In rare cases, inexperienced vein doctors may also inject the sclerosant medicine into the arteries, leading to necrosis of the skin.

Our vein doctors in Long Island use the safest and most comfortable sclerosant medications, dilute them to the correct dosage, and carefully inject them under ultrasound guidance to ensure optimal results and safety.

Cons Summary:

  • Must be performed by board-certified vein experts
  • Results depend on the specific sclerosant medication used

Is sclerotherapy a good option for you?

Sclerotherapy is the ideal option for cosmetic spider vein treatment, i.e., removing spider veins if you don’t have underlying vein disease. It’s also suitable for treating recurrent vein disease if ablation and venaseal procedures aren’t deemed appropriate.

 

Foam Sclerotherapy

Other Names: Vein Injections

Treats: Reticular veins (larger than spider veins but smaller than varicose veins) and varicose veins

What is foam sclerotherapy?

Foam sclerotherapy is similar to liquid (standard) sclerotherapy — a sclerosant medication is injected into the affected veins to seal them shut. However, liquid sclerotherapy is only suitable for spider veins and small varicose veins because the vein doctor can only use a small quantity of the medication. Foam sclerotherapy involves mixing the sclerosant medication with air to create a bubbly foam that can fill larger areas. This allows the vein doctor to seal larger veins using the same amount of medication, making foam sclerotherapy suitable for reticular veins and varicose veins.

How does foam sclerotherapy work?

During foam sclerotherapy, your vein doctor will use ultrasound technology to visualize the diseased veins. The foam solution must be fresh when injected, so the vein doctor will prepare the solution (mixing it with air) just before injecting it into the targeted veins. The foam sclerosant solution will be injected under ultrasound guidance to ensure optimal precision, and the vein doctor will observe the ultrasound image to ensure it travels through all the affected veins.

Pros

Foam sclerotherapy is the ideal solution for twisted or tortuous veins that can’t be addressed with ablation techniques. It’s also suitable for treating recurrent vein disease, i.e., your vein disease returns after the vein treatment.

Pros Summary:

  • Suitable for tortuous veins
  • Suitable for the treatment of recurrent vein disease
  • Covers a larger area with a smaller volume of medication

Cons

Foam sclerotherapy is the ideal solution for twisted or tortuous veins that can’t be addressed with ablation techniques. It’s also suitable for treating recurrent vein disease, i.e., your vein disease returns after the vein treatment.

Pros Summary:

  • Suitable for tortuous veins
  • Suitable for the treatment of recurrent vein disease
  • Covers a larger area with a smaller volume of medication

 

Cons:

Foam sclerotherapy is a delicate procedure that must be handled by highly-skilled and board-certified vein doctors. The vein specialist must assess the varicose vein for connections with perforating veins (deeper veins within the legs). They must ensure no medication enters the perforating veins.

 

Cons Summary:

  • Must be performed by the most talented vein doctors

Is foam sclerotherapy a good option for you?

You’re the ideal candidate for foam sclerotherapy treatment if you need cosmetic relief from reticular veins or varicose veins. You can also consider this treatment if you experience vein disease recurrence.

Pre-Mixed Foam Sclerotherapy 

Other Names: Foam Sclerotherapy

Treats: Chronic venous insufficiency, large varicose veins, and the symptoms of vein disease, such as leg fatigue, restless legs, cramps, and leg heaviness

What is pre-mixed foam sclerotherapy?

Pre-mixed foam is a more advanced form of foam sclerotherapy wherein the solution is available in special canisters, so there’s no need to prepare the foam solution in the physician’s office. Pre-mixed foam sclerotherapy addresses the primary risk associated with traditional foam sclerotherapy — air embolism. The term “air embolism” refers to a situation wherein air enters the bloodstream and gets carried into the lungs, preventing the optimal transfer of blood cells or oxygenated blood. This can happen when patients are treated with a sclerosant mixed with room air. Pre-mixed foam sclerotherapy consists of sclerosant medications mixed with carbon dioxide and nitrogen, which allows the solution to disperse through the veins quickly without being carried into the lungs.

How does pre-mixed foam sclerotherapy work?

During pre-mixed foam sclerotherapy, your vein doctor will use ultrasound technology to visualize the diseased veins. A small needle is used to inject the foam sclerosant solution into the targeted veins just under the skin’s surface. The only procedural difference between pre-mixed foam sclerotherapy and standard foam sclerotherapy is that there’s no need for the vein physician to prepare the foam solution in-office.

Pros

Pre-mixed foam sclerotherapy is safer than traditional foam sclerotherapy because it disperses faster, negating the possibility of air embolism. It’s the ideal treatment for recurrent vein disease, and it can treat larger varicose veins because it spreads more than traditional sclerotherapy. As such, pre-mixed foam sclerotherapy may help the patient avoid surgery.

Pros Summary:

  • Highly effective
  • Safer than traditional foam sclerotherapy
  • Suitable for larger veins than liquid sclerotherapy
  • Ideal for the treatment of recurrent vein disease

Cons

Pre-mixed foam sclerotherapy must be performed by highly-skilled and trained vein doctors because the foam solution must not enter the perforating veins, i.e., the deeper leg veins often connected to varicose veins. Furthermore, pre-mixed foam sclerotherapy isn’t accessible to everyone because it’s expensive and not yet covered by all insurance plans.

Cons Summary:

  • Must be performed by exceptional vein doctors
  • Not covered by all insurance plans
  • Expensive treatment without insurance coverage

Is pre-mixed foam sclerotherapy a good option for you?

You’re a suitable candidate for pre-mixed foam sclerotherapy if you have the appropriate insurance coverage. It’s also suitable for the treatment of large varicose veins or recurrent vein disease.

 

ClariVein

Other Names: Mechanochemical Ablation

Treats: Chronic venous insufficiency and its symptoms, such as leg heaviness, throbbing leg veins, restless leg syndrome, frequent leg cramps, and leg discomfort

What is clarivein?

ClariVein is a cutting-edge treatment performed using a special catheter with a rotating tip. The catheter is inserted into the diseased vein, wherein the rotating tip causes mechanical trauma to the vein’s walls. The device also delivers sclerosant medication to damage and seal the diseased vein, restoring effective blood circulation to the heart.

How does clarivein work?

During the clarivein treatment, your vein doctor will prepare the treatment area with a cleaning solution, identify the affected veins using ultrasound technology, and numb the region just over the diseased vein. The specialized catheter will be inserted into the vein under ultrasound guidance, and the device’s rotating tip will damage the walls of the vein while delivering the sclerosant solution. The vein doctor will drive the catheter all along the vein’s length to ensure optimal treatment.

Pros

ClariVein is a suitable alternative to venaseal because it doesn’t leave an implant, and it’s a suitable alternative to endovenous ablation because it doesn’t involve tumescent anesthesia. Furthermore, the catheter is small enough to treat twisted veins as well.

Pros Summary:

  • Minimal post-treatment swelling
  • Doesn’t leave an implant
  • Suitable for tortuous veins

Cons

In recent years, there have been a few reports of complications, with patients experiencing some discomfort and pain during the process. Furthermore, clarivein isn’t covered by all insurance plans, and it can be expensive without insurance coverage.

Cons Summary:

  • Not covered by all insurance providers
  • May cause discomfort

Is clarivein a good option for you?

ClariVein is a great option for you if your insurance providers can cover the treatment. It’s especially suitable for you if you’re allergic to lidocaine (used for tumescent anesthesia during ablation) or if you don’t like the idea of having an implant in your body.

 

Surgery 

Other Names: Vein Removal, Vein Stripping, Phlebectomy

Treats: Large varicose veins

What is vein stripping?

Vein stripping is a traditional vascular surgery wherein an open incision is used to expose and remove the diseased vein using various surgical techniques.

How does vein stripping work?

During vascular surgery, the vein doctor uses ultrasound technology to identify the diseased vein, following which you’re put under anesthesia and taken to the operating room. The vein doctor makes an incision on the skin and uses various surgical techniques to extract the diseased vein. The most popular surgical technique is the forcible extraction of the diseased vein using a hook-like device.

Pros

Vascular surgery is a suitable treatment option for extremely large and tortuous varicose veins that can’t be treated with minimally invasive procedures.

Pros Summary:

  • Might be the only option for extremely severe cases

Cons

Vascular surgery should never be tried as a primary vein treatment — it should only be attempted in severe cases or if minimally invasive procedures fail. Generally speaking, minimally invasive procedures can treat vein disease and varicose veins with far better results and fewer side effects.

 

Cons Summary:

  • Outdated vein treatment method
  • Less effective than minimally invasive procedures
  • Higher risk of complications than minimally invasive treatments

    Is vein surgery a good option for you?

    A vascular surgery should only be considered if all minimally invasive treatments fail or if you have blood clots. It’s only suitable for the severest cases of tortuous varicose veins.

    If you have any other concerns about spider vein and varicose vein treatments, please consult the exceptional Harvard-trained vein doctors at our vein treatment centers in Long Island. Our vein doctors have performed hundreds of minimally invasive procedures while maintaining perfect track records due to their exceptionally comprehensive vein care approach.

    Selecting the Best Vein Treatment Center for Minimally Invasive Vein Treatments in Long Island

    You must select the best vein treatment center for minimally invasive vein treatments in Long Island. The vein treatment center must have a stellar track record for comprehensive vein care, diagnosing and treating the root cause of all vein problems. The following are the factors to consider when looking for the best vein treatment center in Long Island:

    1. You must find a vein doctor who patiently listens to your symptoms, goals, and expectations. That’s the only way to address the root cause of your problems using procedures that address your specific needs. Our vein doctors are committed to ensuring a painless and comfortable vein treatment experience.
    2. Your chosen vein treatment center in LI must emphasize the need for ultrasound diagnosis. Inexperienced vein doctors often treat the visible spider veins and varicose veins without diagnosing the underlying vein disease, which inevitably leads to a recurrence. However, our board-certified vein specialists always run vascular imaging tests to identify and treat the underlying vein disease, ensuring long-lasting results.
    3. Diagnosing the underlying venous insufficiency is important, but it’s not everything. Our vein doctors calibrate and personalize each vein treatment according to your specific goals, expectations, insurance coverage options, medical history, and lifestyle. We also discuss every step of the vein treatment process with you, so you know what to expect.
    4. Our vein treatment centers in LI are accredited and certified by the IAC (intersocietal accreditation commission), an organization that formally certifies vein clinics using cutting-edge technologies and treatments with the highest standards of vein care. As such, you can rest assured that you’ll receive the best vein care at our vein centers.
    5. Finally, you must look for registered physicians in vascular imaging, i.e., vein doctors with specialized training in ultrasound diagnosis and ultrasound-guided vein treatments. Many vein doctors rely on assistants to handle the ultrasound, but you must find vein doctors capable of doing it themselves.

    If you have any of the signs or symptoms of venous insufficiency, such as varicose veins, spider veins, leg heaviness, restless leg syndrome, leg cramps, or more, we encourage you to reach out. Our Long Island vein doctors will discuss all your treatment options and help you identify the best minimally invasive vein treatment for your unique needs.

     

    Sclerotherapy

    60 min
    NON-INVASIVE | NON-SURGICAL

    Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

    RF Ablation

    NON-INVASIVE | NON-SURGICAL

    Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

    VenaSeal

    60 min
    NON-INVASIVE | NON-SURGICAL

    Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

    ClariVein

    60 min
    NON-INVASIVE | NON-SURGICAL

    Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

    EVLT

    60 min
    NON-INVASIVE | NON-SURGICAL

    Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

    ClariVein

    60 min
    NON-INVASIVE | NON-SURGICAL

    Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore vericose veins woo. Learn more

    Not sure if you’re covered or which procedure to choose?

    Fill out this form and we will contact you asap.

    All vein treatments are covered by most health insurance, including medicare. Submit this form to verify coverage and book a consultation. Once you visit us, one of our vein doctors will create a custom treatment plan for you.

    Questions? Call us right away (555) 555-5555

    Vein Treatment Overview

    Our Vein Doctors are some of the top experts in the field and have published numerous books and articles on vein disease. We regularly search for new and novel treatment modalities. If we feel that a new treatment is safe to use in our center, we add it to our options to ensure that our patients are getting the least invasive, least painful, and most effective vein treatments on the market. After evaluating numerous treatment modalities, we consider sclerotherapy, radiofrequency ablation, venaseal, and laser vein ablation to be the best options for most vein disease.

    Contact us

    Call to the Vein Clinic Of Long Island

    Call us

    Speak instantly with an agent to verify your insurance and book an appointment

    hand-icon_1

    Book online

    Speak instantly with an agent to verify your insurance and book an appointment

    Vein Clinic LI locations

    Get directions

    Speak instantly with an agent to verify your insurance and book an appointment