Ultimate Guide for Vein Treatments

Are you tired of leg cramps? Restless legs?
Spider and Varicose veins?

You are in the right place.

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 that now. Utilizing office-based procedures with ultrasound guidance have been proven to achieve the best results for patients. Our Vein Doctors will tailor a personalized plan that fit your body specifically.

Vein Disease Overview

To Understand how vein treatments work, we have to understand how Vein Disease occurs first. The heart pumps blood through the arteries to various body organs, while veins return blood back to the heart. Lower extremity veins are equipped with valves to prevent accumulation of blood in the legs. For various reasons, the valves become incompetent and blood starts to pool in these veins, leading to swelling of the vein, which is known as varicose veins.

This process leads to leg swelling, cramping, dry itchy skin, numbness, achiness and eventually can lead to chronic venous ulcers. The goal of treatment is to identify these “leaky” veins and close them to divert the blood to healthier veins. The Choice of treatment option depends on: Size of the vein (Spider veins vs Varicose veins), depth of the vein from the skin, and the location of the vein.

It also depends on your health insurance. Some plans do not cover all treatment options. Upon your evaluation, our doctors will utilize advanced ultrasound to map your intricate veins connections and blood flow. A Vein Doctor must perform a venous insufficiency examination and administer treatment to stop the development of new superficial veins in order to permanently remove these unhealthy veins. Although this issue is often simple to cure, a board-certified Vein Doctor is needed.

Let’s take a closer look at the available procedures so you can choose the best vein doctor in the state of New Jersey for your particular needs and the best course of therapy.

Treatment Options:

1- Endovenous Ablation
2- VenaSeal
3- Sclerotherapy
4- ClariVein
5- Surgery (Vein Stripping or Mircrophlebectomy)


How Do Doctors Treat Varicose Veins ?

Graduated Compression Stockings

Work by providing pressure to your legs which helps your calf muscles to pump the blood against gravity back to the heart

Vein Ablation

Minimally invasive medical procedure that uses heat or laser to seal and close off varicose veins in the legs.


A procedure that involves injecting a solution directly into spider or varicose veins, causing them to collapse and eventually fade.


A small amount of medical adhesive (glue) is injected into the affected vein, causing it to seal shut and redirect blood flow to healthier veins.


A small device inserted inside the vein. When the device is activated, the rotating tip will injure the vein walls to close it.


Phlebectomy is a minimally invasive surgical procedure to remove varicose veins from the legs through small incisions, typically done under local anesthesia.

Endovenous Ablation

(Radiofrequency Ablation, Ablation, Laser Ablation, RFA)

This is the first line treatment for Venous Insufficiency with 98% success rate. Endovenous ablation treats the underlying vein disease in addition to the visible veins. It has replaced surgical interventions due to higher safety and efficacy.

Under ultrasound guidance, vein doctors introduce a small device into the unhealthy vein. The device releases thermal injury (via laser or high intensity sound wave) prompting the unhealthy vein to close. Therefore, blood is diverted into healthier circulation with competent valves.

The procedure is minimally invasive, painless, takes only 15-30 minutes, doesn’t require general anesthesia, and can be done in office for most patients. No required downtime and patients can resume daily activities immediately. Another advantage, it is covered by all insurances. The physicians at our New Jersey Vein Center in Wayne, North Bergen, and Clifton are skilled in a variety of endovenous ablation techniques, including laser and radiofrequency therapy.

Radiofrequency ablation is preferred over laser therapy due to better efficacy. Patient can feel significant improvement as soon as one week after the initial ablation, especially with leg heaviness, restless legs and cramps. Click here to learn more.


(Vein Glue)

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. The glue is a medical adhesive that is gradually absorbed by the body with time. It has long been used in other vascular medical procedures with a proven safety record.

The procedure is minimally invasive and can be done in office. No downtime and can resume daily activities immediately. 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. Many insurances do not cover VenaSeal yet. Click here to learn more.


(STS, vein injections, saline injections, salt solution injections, cosmetic sclerotherapy,  Foam Sclerotherapy)

With Sclerotherapy, using a fine needle, vein doctors inject Liquid Medication (FDA approved) directly into the vein, which causes instant closure of vein. There are two types of Sclerotherapy: Liquid Sclerotherapy and Foam Sclerotherapy.

Each patient’s sclerotherapy regimen for varicose and spider veins is customized for their specific case depending on the size of their veins, desired treatment target and extent of vein disease.

Liquid Sclerotherapy is the preferred method for tiny spider veins. Liquid Medication is injected directly into the vein. On the other hand, Foam Sclerotherapy is the preferred method for larger varicose veins. This procedure involves creating a frothy, cream-like substance by mixing a small amount of liquid Medication and air.

The bubbles in this foam allow the injected medication to cover larger surface area, making it more potent and effective, which is why it is preferred for larger varicose vein treatments.

If the vein is located at the surface, your doctor can inject it under direct visualization. However, If the vein is deeper, Ultrasound is utilized to deliver the medication precisely. Click here to learn more.


(Mechanochemical Ablation)

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. ClariVein is performed using one 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 15-30 minutes, doesn’t require general anesthesia, and can be done in office for most patients. No downtime and can resume daily activities immediately. Not covered by all insurances yet. Click here to learn more.


(Vein Stripping or Mircrophlebectomy)

Ambulatory phlebectomy is an advanced minimally invasive procedure done under local anesthesia. It’s reserved for patients who are do not qualify for sclerotherapy or venous ablation. Your vein doctor will make a series of tiny skin incisions over the targeted vein. A small phlebectomy hook is introduced through the incision to extract and remove the unhealthy vein physically.

This allows the accumulated blood to divert into healthier competent veins. The procedure requires 30-60 minutes to complete and may be repeated depending on the severity and extents vein disease. Click here to learn more.

Vein Stripping is no longer a first line of treatment as modern, minimally invasive procedures are clearly superior to surgery. Surgery is only reserved for the extremely rare patients who are not candidates for any other treatment modality or those who failed all other treatment modalities that we just discussed.

Which treatment is the best treatment for you?

Meeting with an experienced vein specialist for a proper diagnosis is the greatest approach to decide on your optimum course of action. A skilled vein specialist will create a personalized treatment plan using cutting-edge technology, taking into account your medical background, treatment objectives, and venous anatomy.

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 !

Before & After

Personalized Treatment Plan

Our team of doctors are experts in getting the best results for your legs. We can evaluate your concerns and make a custom plan to treat your varicose and spider veins today.

Meet your Vein Doctor Today !

We treat people, NOT symptoms

Step 1 : Complimentary Verification:

Following the submission of your information, a member of our front desk will be in touch with you to ask if your insurance will cover the appointment. Then, we’ll schedule your first visit at one of our Pain Centers that are nearby.

Step 2 : Meet Your Vein Specialist:

When you arrive at our center, the front desk will register you into our system. Then one of our skilled vein doctors will see you right away. Please call us at (973) 363-2029 as a courtesy if you will be late.

Step 3 : Ultrasound Vein Mapping:

Your vein treatment specialist will evaluate your condition and develop a personalized treatment plan during your initial consultation. When we create your vein treatment plan, all your needs are taken into consideration.

Step 4 : The beauty you deserve:

you will appreciate the results within 6-8 weeks! We love walking the journey with you, answering every question you have. Are you ready? You can begin now!

Contact Us Today!

401 Hamburg Tpke STE 105
Wayne NJ 07470

Phone: (973) 363-2029

Mon:  09:00 AM – 05:00 PM
Tues:  09:00 AM – 05:00 PM
Wed:  09:00 AM – 05:00 PM
Thur:  09:00 AM – 05:00 PM
Fri:      09:00 AM – 05:00 PM

975 Clifton Ave #1
Clifton, NJ 07013

Phone: (973) 363-2029

Mon:  09:00 AM – 05:00 PM
Tues:  09:00 AM – 05:00 PM
Wed:  09:00 AM – 05:00 PM
Thur:  09:00 AM – 05:00 PM
Fri:      09:00 AM – 05:00 PM

7823 Bergenline Ave Second Floor
North Bergen, NJ 07047

Phone: (973) 363-2029

Mon:  09:00 AM – 05:00 PM
Tues:  09:00 AM – 05:00 PM
Wed:  09:00 AM – 05:00 PM
Thur:  09:00 AM – 05:00 PM
Fri:      09:00 AM – 05:00 PM