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Frequently Asked Questions(FAQs)

Treatment of Vein Disease used to be complicated and surgery used to be the only solution. The innovation of cutting-edge minimally invasive techniques dramatically transformed the landscape of vein treatments. It has never been more swift, safe and simple to treat Vein Disease till now.

Utilizing office-based procedures with ultrasound guidance have been proven to achieve the best results for patients. Schedule a consultation with a Vein Doctor today !

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Frequently Asked Questions

How do I make an appointment ?

You can make an appointment either by calling us at (973) 363-2029, or our patient portal on our website or send us an email on our contact page.

Do you accept my insurance ?

We work with all insurance companies (including Medicare), depending on the type of your plan. Contact us for quick free verification at (973) 363-2029 or submit contact info online. We let you know up front of your out of pocket cost before we start any treatment plan. Oftentimes, your treatment is completely free as your insurance will cover the total cost. If you have a high deductible, we also work with you if you have financial difficulty.

What to expect on the first visit ?

We are obsessed about patient experience and strive to provide the best care you can get. We will confirm your insurance coverage prior to your visit. Our staff will communicate with you to confirm your appointment. On the day of the visit, your doctor will gather your medical history and evaluate you. Together he/she will divide a treatment plan for you. You may need an ultrasound on your visit to confirm the correct diagnosis. Then we will contact your insurance company to verify your out pocket cost and obtain prior authorization. Once we have the green light from your insurance and you are fully aware of the costs, we can start the treatment procedures.

How soon you resume daily activities after treatment ?

All of our treatments are non invasive procedures that can be done in office under guidance of X ray or Ultrasound. You can resume your daily activities on the same day.

Do we provide Tele-Health Visits ?

Yes ! Call us for same day appointment at (973) 363-2029.

Ultimate Guide for vein treatments – Frequently Asked Questions

What kind of doctors treat veins ?
The treatment of varicose and spider veins is the primary focus of vein physicians. These are physicians who received specialized training to diagnose and treat vein-related conditions including spider veins and venous insufficiency. We are proud to have nationally recognized Board Certified physicians by the American Board of Venous & Lymphatics medicine (ABVLM), which is the most prestigious certificate for vein disease treatment worldwide.
What are symptoms of Vein Disease?
Leg cramps, restless legs, heaviness or soreness, vein discomfort or swelling, itching or burning, numbness/tingling, swelling of the legs or ankles, skin discoloration and pigmentation, non-healing wounds or ulcers, calf pain after standing for few minutes, chronic pelvic pain, blood clots and others. Most vein disease patients are undiagnosed. Delay of treatment can lead to serious complications.
What are the risks of not treating Varicose Veins?
Varicose veins can become crippling if they are not addressed. Leg discomfort, achiness, cramps, swelling, itching, burning, or restlessness are all symptoms that can start to interfere with your everyday activities. Untreated vein symptoms may make it difficult for you to exercise, fit into a typical shoe or boot size, obtain a decent night’s sleep, or stand all day at work. Moreover, untreated Venous insufficiency can lead to debilitating venous ulcer making you prone to infections.
Are vein treatments covered by insurance?
Yes, most vein treatment are covered by insurance. We will work with you to confirm and verify your plan coverage so that you are aware of the costs up-front. We do not surprise bill out patients and all financial agreements are clearly communicated with our patients prior to starting any treatment plan. To get a free insurance verification, please call us at (973) 363-2029 or submit the form below and we will call you shortly.
Are vein treatments painful?
Treatments are basically pain-free procedure. We inject “numbing” medication (Lidocaine) at the site of needle insertion to avoid pain. We also inject tumescent anesthesia to “numb” pain sensation around the ablated nerve.
What is Tumescent anesthesia?
Tumescent anaesthesia describes the practice of injecting a very dilute solution of local anaesthetic (lidocaine) combined with epinephrine and sodium bicarbonate into tissue. It serves as a “numbing medication” and protects surrounding structures from the heat generated by the endovenous ablation catheter.
What to expect at our Vein Clinic?
We are obsessed about patient experience and strive to provide the best care you can get. We will confirm your insurance coverage prior to your visit. Our staff will communicate with you to confirm your appointment. On the day of the visit, your doctor will gather your medical history and evaluate your complaints. Together we will devise a treatment plan for you. You may need an ultrasound on your visit to confirm the correct diagnosis. Then we will contact your insurance company to verify your out-of-pocket cost and obtain prior authorization. Once we have the green light from your insurance and you are fully aware of the costs, we can start the treatment procedures.
Do I have to wear compression stocking after vein treatments?
Yes, for a few days to a week following your treatment, you will be required to wear compression stockings. Your doctor will decide how long you must wear compression stockings, and it may differ from patient to patient depending on the number of veins treated and the degree of your venous insufficiency. Your vein doctor will help you choose the right compression stockings and determine their size.
Can Varicose Veins recur after treatment?
With vein therapies like Endovenous ablation, the majority of patients see outstanding outcomes; nonetheless, there are a few reasons why varicose veins may still recur even after treatment. A strong genetic propensity, an underlying disease like deep vein thrombosis (DVT), or becoming pregnant multiple times after therapy are some examples of these causes. We work with you to make sure you have the best results.
How soon can you resume daily activities after Venous Ablation or Sclerotherapy?
Immediately. There is no required recovery time? You can come during your lunch break to obtain the treatment and return to work after 60 minutes !

Sclerotherapy – Frequently Asked Questions

Is Sclerotherapy FDA approved?

Yes, both Liquid and Foam Polidocanol are FDA approved for vein treatments.

Is Sclerotherapy painful?
Treatments are basically pain-free procedure. We inject “numbing” medication (Lidocaine) at the site of needle insertion to avoid pain.
What is the best vein treatment?
The best vein treatment for you will be determined by your vein doctor after your initial consultation, and a conversation about your specific goals when pursuing vein treatment. Some of the best treatments for varicose and spider veins include sclerotherapy, radiofrequency ablation, and VenaSeal.
Which sclerosant is best for you?
Polidocanol is the preferred treatment solution. Polidocanol has a significantly better safety profile than hypertonic saline, sotradechol (STS), and glycerin.
How soon can you resume daily activities after Sclerotherapy?
Immediately. There is no required recovery time? You can come during your lunch break to obtain the treatment and return to work after 30 minutes !
Hоw Effective Iѕ Sсlеrоthеrару?
After the initial treatment session, many patients experience noticeable improvement within 6 to 8 weeks. For the best outcomes, some patients will need two or three therapy sessions.
Are all patients suitable for Sclerotherapy?
No treatment is suitable for every patient. Sclerotherapy is not recommended for patients who are pregnant, or suffer from active deep venous thrombosis, or active infection, or in bed ridden state.
What are the possible side effects of Sclerotherapy?
The risks associated with sclerotherapy are very low. Most common side effect is local irritation or bruising at the needle insertion site. More serious but rare side effects are local skin damage or blood clots. Long-term negative effects are rare when competent sclerotherapy techniques are used.
Is Sclerotherapy covered by insurance?
Sclerotherapy can be used for cosmetic treatment or for medical treatment of venous insufficiency. Only medical treatments are covered by insurance. However, treating underlying often-undiagnosed venous insufficiency will correct cosmetic defects in most cases.
What to expect at our Vein Clinic?
We are obsessed about patient experience and strive to provide the best care you can get. We will confirm your insurance coverage prior to your visit. Our staff will communicate with you to confirm your appointment. On the day of the visit, your doctor will gather your medical history and evaluate your complaints. Together we will devise a treatment plan for you. You may need an ultrasound on your visit to confirm the correct diagnosis. Then we will contact your insurance company to verify your out-of-pocket cost and obtain prior authorization. Once we have the green light from your insurance and you are fully aware of the costs, we can start the treatment procedures.

ClariVein – Frequently Asked Questions

What is ClariVein Treatment?
Also known as Mechanochemical Ablation. It is a relatively newer treatment technique. it works faster and more effectively than other conventional procedures. While Endovenous or Laser Ablation utilize thermal energy to destroy unhealthy veins, ClariVein works by using an injectable drug and a rotating wire to shut the vein from the inside by mechanically injuring the walls of the vein..
How is ClariVein performed?

After numbing the skin with Lidocaine, the ClariVein Cather will be inserted through a tiny skin incision and will be advanced through the unhealthy vein. When the device is activated, the rotating tip will injure the vein walls while injecting a sclerosant agent at the same time. This rotation induces injury the wall of the vein, prompting the unhealthy vein to fuse and close. Therefore, Blood will be diverted to healthy veins with competent valves.

What are the advantages of ClariVein over Laser or Radiofrequency ablation?

ClariVein is performed using one single injection. It doesn’t utilize thermal or laser energy and it doesn’t involve injecting any glue into your body, so it’s virtually painless.  The procedure is minimally invasive, takes only 30-45 minutes, doesn’t require general anesthesia, and can be done in office for most patients. No downtime and can resume daily activities immediately.

What are the disadvantages of ClariVein?

ClariVein is not suitable for smaller veins and veins in areas with a dense arterial supply (such as the feet).  Not covered by all insurances yet.

Is ClariVein preferred over Radiofrequency ablation?

Radiofrequency ablation remains the gold standard and first line for Venous Insufficiency. However, it can be used as an adjunctive and complimentary treatment for specific cases. Your Vein doctor will guide to create a personalized treatment plan that suits you specifically.

Is CalriVein covered by insurance?

Most insurances do not cover ClariVein. However, we can work with you to arrange coverage if ClariVein is needed as part of your treatment plan.

Venous Ablation – Frequently Asked Questions

Can Varicose Veins recur after treatment?
With vein therapies like Endovenous ablation, the majority of patients see outstanding outcomes; nonetheless, there are a few reasons why varicose veins may still recur even after treatment. A strong genetic propensity, an underlying disease like deep vein thrombosis (DVT), or becoming pregnant multiple times after therapy are some examples of these causes. We work with you to make sure you have the best results.
When can I expect to see results after Venous Ablation?
Patients can feel significant improvement as soon as one week after the initial ablation, especially with leg heaviness, restless legs and cramps.
What happens to the ablated vein?
Similar to other methods, blood is redirected to healthy veins once the sick vein has been blocked. The affected vein gradually collapses and is absorbed by the body.
What are the risks of not treating Varicose Veins?
Varicose veins can become crippling if they are not addressed. Leg discomfort, achiness, cramps, swelling, itching, burning, or restlessness are all symptoms that can start to interfere with your everyday activities. Untreated vein symptoms may make it difficult for you to exercise, fit into a typical shoe or boot size, obtain a decent night’s sleep, or stand all day at work. Moreover, untreated Venous insufficiency can lead to debilitating venous ulcer making you prone to infections.
Does insurance cover Venous Ablation?
Endovenous ablation is covered by insurance. If you are confused with the complex insurance terms eg. deductible and maximum out of pocket …etc. We let you know your cost up front prior to doing any treatments. We also work with you if you have financial difficulty. No surprise or hidden bills!

VenaSeal – Frequently Asked Questions

What is VenaSeal treatment?

VenaSeal, also referred to as vein glue, is a safe, distinctive, and minimally intrusive medical adhesive that is used to treat varicose veins quickly and effectively. Approved by the FDA in 2015 after it has been investigated thoroughly in Europe and the United States. With VenaSeal, there is no need for a local anesthetic injection around the vein, unlike with radiofrequency ablation or endodontic laser ablation, which both require many injections. The Gеrmаn VeClose Study showed a 98.9 реrсеnt сlоѕurе rаtе at six mоnthѕ.

How is VenaSeal Performed?

Under ultrasound guidance, doctors introduce a device into the vein. The devices releases “cyanoacrylate glue”. The glue works as an adhesive to close the unhealthy vein. It has long been used in other vascular medical procedures with a proven safety record. VenaSeal is performed using one single injection and it doesn’t utilize thermal or laser energy, so it’s virtually painless and it avoids the risk of nerve injuries. The vein will permanently harden after a few hours and progressively be absorbed by the body as time passes. After the damaged vein has been closed, blood will naturally begin to reroute through the healthy competent veins in the leg creating a healthy circulation. The procedure is minimally invasive and can be done in office.

What are the advantages of VenaSeal over Laser or Radiofrequency Ablation?

One advantage of VenaSeal over Radiofrequency ablation is the ability to close the vein without the use of heat delivery. As a result, using anesthetic solution is not required.

What are the pros and cons of VenaSeal?

The procedure is minimally invasive, takes only 30 minutes, doesn’t require general anesthesia, and can be done in office for most patients. No downtime and can resume daily activities immediately. On the other hand, hypersensitivity and allergic reactions are more common with VenaSeal due to injecting the “glue”. There is also a higher rate of vein inflammation (phlebitis) following the procedure. It’s also not covered by most insurances.