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What Are The Best New Varicose Vein Treatment Options?

Posted by Dr Faisal Siddiqi on 14-Nov-2019 11:36:37

Best Vein Doctor Near Me

 Are you currently suffering from large unsightly varicose veins?  You are not alone and like most patients, you want to explore the latest treatments available before making a decision.  Leg veins — both spider veins and varicose veins — usually occur because of an underlying vein disease called chronic venous insufficiency. This is a medical condition in which the valves in the veins are dysfunctional due to a host of issues.   Mainly, the circulation becomes impaired and early signs can include the development of spider and varicose veins.  If left untreated, vein disease can lead to progressive conditions like swelling, skin discoloration and even deep vein thrombosis.

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Topics: Spiderveins, Varicose, healthy legs, princeton, Mt. Laurel, spider veins, spider vein treatment, west windsor, Hopewell, Vein Doctor near me, Plainsboro, Cherry Hill, Moorestown, Voorhees, willingboro, Ivy league doctors, Vein clinic, Vein doctor, Vein specialists, vein center, East Brunswick, Ewing, Robbinsville, South Brunswick, Trenton, Burlington, Camden, Cinnaminson, Delran, Haddonfield, Mount Holly, Pennsauken, Vein disease, Varicose vein treatment

What Should You Do After a Sclerotherapy Session?

Posted by Dr Alissa Brotman O'Neill on 28-Oct-2019 10:47:24
Sclerotherapy is the primary treatment for spider veins and is very effective.   Despite the simplicity of the procedure, there are few good tips to follow post procedure to ensure the best outcome: 
  • Stay active!   Take frequent walks during the first few days to encourage proper new circulation
  • Wear compression stockings as directed by your vein doctor.  Studies demonstrate improved cosmetic results with at least 1 week of compression post-treatment
  • Avoid long, hot baths, whirlpools and saunas
  • Avoid strenuous exercises for 1 week following injections
  • Avoid direct exposure to sunlight and stay out of the tanning bed.  Use proper sun protection with SPF >50 for the first few weeks.
Is there any benefit to topical agents post-sclerotherapy?

We do not routinely prescribe topical agents after treatment, however there are certain instances to consider a trial.  Sclerotherapy is injected into spider and varicose veins as a chemical irritant. However this can be associated with hyperpigmentation especially in larger veins where the sclerosant can trap blood inside the collapsed vein.   Blood contains hemosiderin which can leak out of the treated vein into the surrounding tissue. Oxidation of these pigments can cause bronzing of the skin (hemosiderin staining), which can last up to 12 months.  It’s difficult to predict who will be prone to staining, however with proper technique, the occurrence can be minimized. For this reason, it is important to wear compression stockings post-treatment and follow up as recommended with your vein specialist. During your visit, your doctor will also be able to determine if any topical agents are advisable.  Most commonly, medications containing hydroquinone have been prescribed for skin lightening directly targeting melatonin producing skin-cells. The medication is for short-term use only and is generally well tolerated, though efficacy is not proven. Any potential side effects of hydroquinone-containing medications should be discussed with your treating physician.  Exfoliants such as chemical peels can also be considered but carry a risk of causing inflammation and potentially further pigmentation. 

What about natural substances?

More recently, a natural fade substance, Sclerolucent was developed by VenaSmart that combines Alpha Arbutin, Jojoba Oil, Squalane and Sodium Hyaluronate in a proprietary non-hydroquinone skin brightening blend. Sclerolucent can reduce hyperpigmentation and fade bronzing and skin discoloration while nourishing and conditioning the skin.  

Should I purchase over the counter creams or pain relief medications?

Although there is little downside to trying alternative treatments, we still recommend that you discuss any new treatment with your vein specialist first.

This article was contributed by Dr. Alissa Brotman-O’Neill.   Dr. Brotman is recognized as one of the top varicose vein doctors in New Jersey. Dr. Brotman uses the latest innovations in vein management including radiofrequency ablation (VNUS), endovenous laser therapy (EVLT), and also VenaSeal for management of vein disease.  If you are looking for a vein treatment center in New Jersey, contact us for details on how you can see Dr. Alissa Brotman-O’Neill in NJ.
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Topics: healthy legs, spider veins, sclerotherapy, post-procedure, spider vein treatment

Vein Disease in Men

Posted by Dr Faisal Siddiqi on 16-Oct-2019 10:51:54

Men, listen up! Don’t underestimate varicose veins.  There is more than meets the eye. 

While it is true that treatment is primarily sought by  women, up to 50 percent of men in the United States may develop varicose veins in their lifetime. 

And varicose veins are not just a cosmetic concern—they can lead to discoloration, bleeding, skin ulcers, and a “heavy leg” sensation that may hinder daily activity.  These are signs of poor blood circulation through the body, especially in your lower extremities, which can be a major cause for concern.

What Causes Varicose Veins in Men?

The problem involves veins in the lower extremities that suffer from high pressure from within.  Naturally, blood pools in these veins due to gravity,  resulting in high pressure within the veins.  Whereas the deeper veins are supported by the muscles within our legs, the superficial veins that cause varicose veins will stretch.  Over time, these vein walls can become weakened from the constant pressure and start to develop reflux or venous insufficiency.   This is when symptoms such as leg cramps, heaviness, and swelling should no longer be ignored.  Venous insufficiency is more common in individuals who sit or stand for prolonged periods, increasing age, obesity, and most importantly patients with a family history.  Developing varicose veins is linked to our DNA and this affects men and women alike.

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Topics: Spiderveins, Varicose, healthy legs, menshealth

Pregnancy and Varicose Veins

Posted by Dr Alissa Brotman O'Neill on 27-Sep-2019 09:48:00

Many women first develop varicose veins or find that they get worse during pregnancy. This is particularly true for women carrying twins or during subsequent pregnancies. You may have little if any, discomfort from varicose veins, or they may make your legs feel heavy and achy. The skin around a varicose vein may also itch, throb, or feel like it's burning. The symptoms tend to be worse at the end of the day, especially if you've been on your feet a lot.
Pregnancy increases the volume of blood in your body, but it also slows the blood flow from the legs to the pelvis. This change in circulation is designed to support the growing fetus and prepare the body for labor and delivery, however, it can produce the unfortunate side effect of enlarged veins in your legs.
You may have also noticed tiny blood vessels near the surface of the skin, especially on your ankles, legs, or face. These are called spider veins because they spread out like tiny tree branches and appear as a network of small red or blue veins.
The good news is that most varicose veins tend to improve after you give birth, especially if you didn't have any before you got pregnant. However for patients with no improvement or pre-existing vein disease, family history, and multiple pregnancies--there are safe and effective treatments that are available.

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Topics: Spiderveins, Varicose, healthy legs

Back to School: What teachers can do to improve their leg health

Posted by Dr Alissa Brotman O'Neill on 01-Aug-2019 11:07:51

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Topics: Spiderveins, Varicose, back to school, healthy legs

Can CBD help treat Varicose and Spider Veins: The definitive guide

Posted by Dr Faisal Siddiqi on 02-Jul-2019 18:21:28

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Topics: Spiderveins, CBD, Varicose, hemp, cannabinoids

About The Princeton Vascular Center

The Princeton Vascular Center is the first of its kind to have established a multidisciplinary approach in the management of spider and varicose vein disease. In bringing together the expertise of vascular surgery and cardiovascular specialists, we have developed best practice models for all types and presentations of vein disease.  

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