For a century and a half, sclerotherapy has been the go-to treatment for people with venous insufficiency. Today, patients have the benefits of modern developments in this time-tested technique.


Conventional Sclerotherapy

With a very fine needle, sclerosing solution is injected into visible capillaries. This medication causes spider veins to shrink. Eventually, treated veins dissolve and are naturally absorbed by the body. Sclerotherapy is effective, and has minimal risk of side effects. Patients are advised to wear compression hosiery for about a week after the procedure, but there is little or no downtime. Sclerotherapy also closes “feeders,” so spider veins are not likely to reappear in treated areas.

Ultrasound assisted sclerotherapy

This advance takes the precision of sclerotherapy to a higher level. An ultrasound device gives the clinician visual guidance to deliver sclerosing injections and monitor placement of the solution. This method is appropriate for reticular veins and lesser varicose veins. It can also be used to identify and seal feeder veins.


Laser sclerotherapy

Energy from a laser is absorbed by the blood in spider veins, without harm to surface skin or adjacent tissues. The device has a built-in cooling mechanism, for patient comfort. This technique can be a good alternative for patients who are allergic to sclerosing solution, or who prefer not to have injections. Laser sclerotherapy is commonly used to treat facial spider veins, or those that are too small for injection.



Radiofrequency Ablation

A truly modern solution: radiofrequency ablation restores appearance and alleviates physical symptoms of venous insufficiency. Now available at Vein Institute & Pain Centers of America.


A nonsurgical approach

Historically, varicose veins were removed under general anesthesia with a surgical procedure called stripping. Incisions allowed the surgeon to pull problem veins from under the skin. Sutures were required, and there was a substantial recovery period.

Radiofrequency ablation, or RFA, is a minimally invasive alternative to eliminate abnormal veins, redirect blood flow to healthy veins, and relieve discomfort. Ultrasound images guide the doctor in precise insertion of a thin catheter. Radiofrequency energy is delivered through the catheter. It heats collagen in the vein wall, causing the vein to shrink and close.

The procedure typically takes an hour or less, and only local numbing is needed. You may get back to normal activities the same day.


Benefits of Rfa

Brief, non-surgical procedure with minimal downtime.

No general anesthesia or sutures needed.

Little discomfort.

Improvement in symptoms within a few days.

High success rate– more than 91 percent of treated veins remain sealed five years later.

Approved by the FDA.

Covered by most medical insurance plans and Medicare




A revolutionary treatment for varicose veins. VenaSeal is totally different than other nonsurgical and surgical methods for resolution of enlarged veins. Our patients are embracing VenaSeal technology for legs that look good and feel great.


The VenaSeal difference


Brief procedure– about 30 minutes.

Only one needle stick.

Does not heat the vein.

Tumescent anesthesia is not needed.

No need to wear a compression stocking.

In the past, varicose veins were eliminated with a surgical technique called stripping. Today, we have effective treatments that are much less invasive. Some use laser or radiofrequency energy to heat vein walls causing them to constrict and close. The VenaSeal closure system uses medical adhesive to seal a varicose vein. Blood is harmlessly re-routed to healthy veins, as the enlarged, twisted one gradually disappears. The secret to VenaSeal’s success rate is precision. Ultrasound images give the doctor a clear view of the vein, guiding him to the optimal injection site. Then, using a fine catheter, we deliver a carefully-controlled amount of adhesive. It closes the vein immediately. There is little discomfort, and only a small bandage at the access site. You may return to normal activities quickly.



Endovenous Laser Treatment (EVLT)

The new gold standard of vein care: laser energy is simply a concentrated beam of light. The use of lasers has advanced medical care dramatically since the 1960s. Today, endovenous laser treatment (EVLT) is quickly becoming the go-to method to resolve varicose veins, and we offer this safe, effective option at Vein Institute & Pain Centers of America.


No general anesthesia.

No sutures; usually no visible scarring.

Minimally invasive, no downtime.

Well-tolerated with little discomfort.

Mild, temporary side effects.

Immediate relief from symptoms.

High long-term success rate (up to 98%).

Covered by most insurance plans.


The procedure

The doctor begins by creating a precise ultrasound map of the path of the vein. Only local anesthetic is needed to numb the treatment area. Then the doctor inserts a thin laser fiber into the diseased vein, through a tiny entry point. The fiber emits a carefully controlled dose of laser light as it is pulled back through. Vein walls react to the energy by constricting and sealing. As the blood flow is naturally re-routed to deep, healthy veins, the superficial varicose vein dies and is eventually absorbed by the body.

You are encouraged to resume walking and normal activities right after the procedure. You may have some soreness or slight swelling, but it is easily managed with non-aspirin over-the-counter medications, and it lasts only a few days.



Ambulatory Phlebectomy

Ambulatory means capable of walking. Phlebectomy refers to surgical removal of all or part of a vein. Together, they describe an effective method of resolving superficial varicose veins. Our team at Vein Institute & Pain Centers of America offer ambulatory phlebectomy to patients in the Manhattan area.

The Procedure

01. Your skin is cleansed.

02. Problematic veins are marked.

03. Local anesthetic is injected to numb the treatment area.

04. The doctor makes incisions about the size of the tip of a ballpoint pen.

05. A special instrument is used to seize, extract, and close off diseased veins.

06. No sutures are needed– incisions heal naturally and are virtually invisible.

07. Depending on the individual patient and the number of veins treated, the procedure typically takes two hours or less.


There is no downtime– you may return to normal light activities right away.