• Manhattan
  • Brooklyn
  • Queens
  • Staten Island
  • Bronx
  • Brighton Beach
  • Jackson Heights
  • Flatbush
  • St. Nicholas
  • Mott Haven
  • Tilton Falls, NJ

(718) 407-0704

Welcome to USA Vein Clinics

We are a network of state of the art facilities dedicated to the treatment of venous insufficiency. In each vein center, cardiovascular doctors specialize exclusively in problems with circulation to provide a comprehensive evaluation and treatment plan utilizing the most modern equipment and individual approach to each of our patients.

Despite the common belief that people with vein problems always have varicosities, majority of patients do not have visible signs of the disease at all. Instead, they suffer from tiredness, heaviness, swelling, aching pains, burning, itching, cramps, restless leg syndrome, and even non-healing ulcers. While some people develop varicose veins, the others have so-called “spider” veins, yet other ones have swollen legs as a single sign of vein disease. Eventually and regardless of the type of venous disorder, the condition can lead to serious complications, including trophic ulcers, bleeding, infection and even blood clot formation.

All of the above-described problems, as well as many others, can be caused by abnormal circulation in the veins of the lower extremities, a condition called “venous insufficiency”. In each vein center, you will receive a comprehensive consultation, appropriate diagnostic procedures and individually selected treatment provided by caring members of our staff specializing in management and treatment of vein diseases.

Since venous insufficiency is a serious medical condition, it is important to know that the diagnosis and treatment of venous disease are covered by Medicare and most insurance plans. USA Vein Clinics has a dedicated insurance department that will assist you with the process.

USA Vein Clinics is the Customer Rated #1 Vein Doctor in the USA

Video Testimonials

What Causes Vein Disease?

The veins in your body play a vital role in circulation, transporting blood from various parts of your body back to your heart. As we age, problems can develop in the veins, creating a number of complications. More than one in three Americans over the age of 45 has some kind of vein disease.

Healthy Veins

Diseased Veins

The circulatory system consists of veins and arteries. Arteries are blood vessels that bring the fresh oxygenated blood full of nutrients from the heart to the rest of the body. Veins are vessels that transport blood without oxygen and nutrients back to the heart against gravity. In healthy leg veins, one-way valves allow blood to move only in one direction: upstream towards the heart. In order to do this, when you walk, your leg muscles squeeze the deep veins of your legs and feet pushing the non-oxygenated blood back to the heart. In your veins there are one-way valves that are placed about one inch apart that keep blood flowing in the right direction. When your leg muscles relax, the valves inside your veins close preventing the backward flow of blood back down the legs.

There are three types of veins in your legs: superficial veins, which lie close to the skin, deep veins, which lie in or beneath the muscles, and perforating veins, which connect the superficial to the deep veins. Deep veins bring the blood back to the major vein in your abdomen called the vena cava, which brings the blood straight to the heart.

When a valve fails to function, the blood can begin to pool in your legs and cause a variety of health problems including swollen ankles, blood clots, leg pain, spider veins, varicose veins, and even ulcers. When your leg veins cannot bring enough blood back to the heart, the blood stays in your legs, causing various problems due to venous blood stasis.

If the blood does not move through deep veins, a condition called deep venous thrombosis may arise. If the valves in the superficial system of veins are not working properly, the condition is called superficial venous insufficiency.

Our Locations

USA Vein Clinics offers 17 convenient locations in the New York area.

122 Fulton St, 5th Floor New York NY, 10038 New York NY, 10038Fulton St.

1153 First Avenue Manhattan NY, 10065Manhattan

59-20 Myrtle Ave Queens NY, 11383Queens

30-33 Steinway Astoria NY, 11103Astoria

2444 86th St, Ste A Brooklyn NY, 11214Bensonhurst

2511 Ocean Ave, Ste 102 Brooklyn NY, 11229Ocean Ave

116-02 Queens Blvd Forest Hills NY, 11375Forest Hills

4159 Broadway Washington Heights NY, 10033Washington Heights

1975 Hylan Blvd Staten Island NY, 10306Staten Island

260 W Sunrise Hwy, Ste 102 Valley Stream NY, 11581Valley Stream

5221 Broadway Bronx NY, 10463Marble Hill

766 Shrewsbury Ave, Ste 300 Tinton Falls NJ, 07724Tinton Falls

2965 Ocean Pkwy, Brighton Beach NY 11235Brighton Beach

740-04 Forley St, Elmhurst, NY 11373Jackson Heights

924 Flatbush Ave, Brooklyn, NY 11226Flatbush

1264 ST Nicholas Ave New York NY, 10035St. Nicholas

384 E. 149th Street, Suite 201 Bronx NY 10455Mott Haven

Fulton St.

122 Fulton St 5th Floor New York NY

10038 New York NY 10038

Telephone: (718) 407-0704

HOURS:

Manhattan

1153 First Avenue Manhattan NY 10065

Telephone: (718) 407-0704

HOURS:

Queens

59-20 Myrtle Ave Queens NY 11383

Telephone: (718) 407-0704

HOURS:

Astoria

30-33 Steinway Astoria NY 11103

Telephone: (718) 407-0704

HOURS:

Bensonhurst

2444 86th St Ste A Brooklyn NY

11214

Telephone: (718) 407-0704

HOURS:

Ocean Ave

2511 Ocean Ave Ste 102 Brooklyn NY

11229

Telephone: (718) 407-0704

HOURS:

Forest Hills

116-02 Queens Blvd Forest Hills NY 11375

Telephone: (718) 407-0704

HOURS:

Washington Heights

4159 Broadway Washington Heights NY 10033

Telephone: (718) 407-0704

HOURS:

Staten Island

1975 Hylan Blvd Staten Island NY 10306

Telephone: (718) 407-0704

HOURS:

Valley Stream

260 W Sunrise Hwy Ste 102 Valley Stream NY

11581

Telephone: (718) 407-0704

HOURS:

Marble Hill

5221 Broadway Bronx NY 10463

Telephone: (718) 407-0704

HOURS:

Tinton Falls

766 Shrewsbury Ave Ste 300 Tinton Falls NJ

07724

Telephone: (718) 407-0704

HOURS:

Brighton Beach

2965 Ocean Pkwy Brighton Beach NY 11235

Telephone: (718) 407-0704

HOURS:

Jackson Heights

740-04 Forley St Elmhurst

NY 11373

Telephone: (718) 407-0704

HOURS:

Flatbush

924 Flatbush Ave Brooklyn

NY 11226

Telephone: (718) 407-0704

HOURS:

St. Nicholas

1264 ST Nicholas Ave New York NY 10035

Telephone: (718) 407-0704

HOURS:

Mott Haven

384 E. 149th Street Suite 201 Bronx NY 10455

Telephone: (718) 407-0704

HOURS:

Schedule a Consultation

At USA Vein Clinics we treat varicose veins and symptoms like leg pain, swollen legs, spider veins, skin and leg ulcers, discoloration of skin, itching and burning. Varicose veins and leg pain are not just cosmetic problem, but can be a serious medical condition, that can lead to life-threatening complications, so don’t wait!

Contact USA Vein Clinics to learn more about their non surgical treatment that is covered by insurance.

* Required Field

Our Physicians

Alexander Gart, M.D.

Alexander Gart, M.D. 30+ Years Experience

Dr. Alexander Gart graduated from the esteemed Moscow Medical School in 1984 and was trained in general, vascular, and cardiac surgery. He worked at the Moscow Institute of Transplantology and Artificial Organs and participated in one of the first Russian heart transplants.

He moved to the US and successfully completed residency in general surgery and fellowship in vascular surgery. He joined the faculty of Columbia University Department of Surgery in 2003 and is currently the Director of Endovascular Intervention at Lincoln Hospital.

Dr. Gart specializes in a wide range of vascular problems, including minimally invasive and surgical treatment of peripheral vascular disease, aortic aneurysm, and carotid artery disease. His area of special interest is venous insufficiency and varicose vein disease. Dr.  Gart is board certified in general and vascular surgery.  He is a member of prestigious American medical associations, such as the American College of Surgeons, the Society for Vascular Surgery, and the American Venous Forum.

Dr. Gart has been a physician at USA Vein Clinics for five years and enjoyed tremendous success. He offers a range of minimally invasive and non-surgical vein and vascular treatments at our vascular center in Bensonhurst, New York.

Education
Second Moscow Medical Institute

Residency
Staten Island University Hospital

Fellowship
Englewood Hospital Medical Center
Mount Sinai School of Medicine Program

Diplomat
Fellow, American College of Surgeons
Fellow, American Venous Forum

Fellowship
American College of Phlebology

Boards
American Board of General Surgery
American Board of Vascular Surgery

Membership
American College of Surgeons
Society of Vascular Surgery
Eastern Vascular Society
American Venous Forum

Dr. Jeffrey Gunzenhauser, M.D.

Dr. Jeffrey Gunzenhauser, M.D. 10+ Years Experience

Dr. Jeffrey Gunzenhauser, MD, has a vast experience in the fields of General Radiology, Interventional Radiology, and Vascular Medicine. Dr. Gunzenhauser did his Residency at Mount Sinai Hospital in New York, and his Fellowship at Yale-New Haven Hospital in New Haven. He held positions as Chairman of Radiology at Lourdes Hospital in upstate New York and St. Barnabas Hospital in the metropolitan New York area. He has treated a broad range of medical conditions including venous and arterial disease, vertebral compression fractures, and pelvic pain due to uterine fibroids and abnormal dilated pelvic veins.

Dr. Gunzenhauser believes in treating patients with kindness, respect, and the highest of quality care.

Robert Shirinov, M.D.

Robert Shirinov, M.D. 10+ Years Experience

Dr. Robert Shirinov did his internship in surgery at the New York Hospital of Queens, then continued his training as a resident at SUNY Downstate medical center in Brooklyn, NY. He worked at several other hospital as part of his training, including Kings County Hospital , Brooklyn VA Medical Center, Richmond University Medical Center in Staten Island, Montefiore/New Rochelle Medical Center. During his residency years he also undergone research and trauma fellowship in pediatric surgery at St. Louis University Medical Center. He has several publication, addressing surgical problems in adults and children.

Dr. Shirinov’s interest include general surgical problems in adults and children as well as minimally invasive treatment of venous disease.
Eli Halpert, M.D.

Eli Halpert, M.D. 10+ Years Experience

After graduating from the Sackler School of Medicine at Tel Aviv University, Israel, in 2006, Dr. Eli Halpert completed his internship in General Surgery at SUNY Downstate. Dr. Halpert then completed a combined training in Diagnostic and Vascular and Interventional Radiology at the Yale University – Saint Raphael Hospital in New Haven and at the Beth Israel Medical Center in New York City.

Dr. Halpert has focused his interest and effort in making some of the most advanced minimally invasive image-guided therapeutic procedures available to communities across the United States.  He has focused on therapeutic procedures in Women’s Health (which includes symptomatic uterine fibroids and Pelvic Congestion Syndrome), venous insufficiency/varicose veins, as well as spinal augmentation for painful vertebral compression fractures.  Dr. Halpert further believes that best patient care is had when caring physicians work together.  In this regard, he has worked to develop programs that cultivate strong relationships with community podiatrists and vascular specialists in promoting advanced wound healing and limb salvage treatment programs for patients with peripheral vascular disease.

Dr. Gina Louie, M.D.

Dr. Gina Louie, M.D. 15+ Years Experience

Dr. Gina Louie, is highly trained in minimally-invasive vascular and non-vascular interventional procedures. She graduated from Stanford Medical School(where she was an American Heart Association Research Fellow), followed by residency training at Mount Sinai Medical Center, and fellowship training at New York Presbyterian Hospital and Memorial Sloan-Kettering Cancer Center. She is a member of the American College of Phlebology, the Society of Interventional Radiology, and the American Academy of Cosmetic Physicians. She has performed thousands of minimally-invasive, endogenous laser procedures, as well as the full spectrum of interventional procedures.

Dr. Louie is an ABVLM Diplomat, a certified vein specialist. She passed the Certification Exam from the American Board of Venous and Lymphatic Medicine and met their stringent venous specialization standards.

Dr. Gina Louie is an author and co-author of multiple medical and scientific publications.

Forrest Rubenstein, M.D.

Forrest Rubenstein, M.D. 30+ Years Experience

Dr. Forrest Rubenstein is a thoracic, vascular  and cardiovascular surgeon, who received his medical degree from University of South Alabama College of Medicine and has been in practice treating arterial and venous disease for 30 years. He did his residency and fellowship training at Brookdale University Medical Center,  Tulane University School Of Medicine, Harvard / Boston Childrens Hospital  and The University Of Texas Medical Center in Houston. He provides a full range of Vascular Surgery procedures including Phlebology (vein procedures) and Arterial Endovascular Surgery.

Michael Bezuevsky, D.O.

Michael Bezuevsky, D.O. 30+ Years Experience

Dr. Michael Bezuevsky received his doctoral degree in osteopathy in 2003. His combined educational and professional histories give him 30 years of study and experience. He has been working in vascular surgery for nearly a decade of his career. Dr. Bezuevsky has contributed to the medical academy through his research and publications in medical journals, such as in the Journal of Biochemistry in 1999. He is a member of the American Osteopathic Association and the American College of Osteopathic Surgeons.

Yan Katsnelson, M.D

Yan Katsnelson, M.D Years Experience

Dr. Yan Katsnelson is a highly-skilled cardiovascular surgeon. He completed his training at the Brigham and Women’s Hospital, Harvard Medical School, and served as an attending Cardiovascular and Thoracic Surgeon at the University of Chicago. Dr. Katsnelson’s clinical interests include minimally-invasive aortic and mitral valve surgery, complex aortic operations, re-operative coronary and valve surgery, and beating-heart (off-pump) bypass surgery. His research interests are in the fields of mitral valve repair and ventricular assist devices. He performs a wide range of vascular and thoracic operation, including the innovative and minimally invasive Endovenous Laser Therapy to treat varicose veins. Yan Katsnelson, M.D. is the founder of the Chicago Heart Institute and USA Vein Clinics. He is fluent in English, Russian, and Hebrew. He is also a member of the American College of Phlebology and the Society of Thoracic Surgery. Dr. Yan Katsnelson is an author and co-author of multiple medical scientific publications.

Sean Yetman, M.D.

Sean Yetman, M.D. 5+ Years Experience

Dr. Yetman received his medical degree from Columbia University, College of Physicians & Surgeons in New York City. He later completed his Cardiovascular and Thoracic surgery fellowships at the University of Rochester, NY and Yale- New Haven Hospital, CT.

Dr. Yetman had practiced cardiovascular surgery for over 5 years before coming to USA Vein Clinics. He is board certified by the American College of Thoracic Surgery.

Dr. Yetman lives in NY with his wife and two children. He enjoys educating patients about venous disease… “An informed patient is an empowered patient.”

Jacob White, M.D.

Jacob White, M.D. 15+ Years Experience

Biography

Dr. Jacob White has been studying and practicing vascular and interventional radiology for 15 years. He has conducted research at Drexel Hahnemann University Hospital Radiology, Georgetown University Hospital Radiology, and National Institutes of Health Radiology, and contributed knowledge to the medical academy through a multitude of presentations and publications in medical journals. Dr. White is also an avid innovator and businessman, having co-founded Advantageous Systems LLC and founded The Smoking Lung. He enjoys spending time with his wife and two sons, traveling, sports, cooking, reading, and volunteer work.

Licensure and Certification

  • January 2016: Registered Physician in Vascular Interpretation (RPVI) Exam (Passed), ARDMS/APCA certification #196149
  • June 2015: American Board of Radiology Core Exam (Passed)
  • #336101298: Unrestricted Illinois State Medical License
  • #264822: Unrestricted New York State Medical License
  • #1386969210: National Provider Identifier
  • BLS/ACLS certified through the American Heart Association

Honors and Awards

  • June 2016: Excellence in Interventional Radiology from Drexel/Hahnemann Interventional Radiology
  • 2014–2015: Chief Resident at Drexel/Hahnemann Interventional Radiology
  • 2013 RSNA Annual Meeting: Introduction to Academic Radiology Program Graduate

Professional Affiliations

  • Society of Interventional Radiology
  • American Registry for Diagnostic Medical Sonography
  • American College of Radiology
Michael Banker, M.D.

Michael Banker, M.D. 22+ Years Experience

Biography

Michael Banker, MD completed his medical education from State University of New York at Stony Brook/School of Medicine, NY. He has 22 plus years of experience as a cardio vascular surgeon. Dr. Michael has contributed to a lot of research publications and is a professional member of prestigious organizations.

Examinations and Certifications

  • University of Rochester/Strong Memorial Hospital, Rochester, NY
  • Cardiothoracic Surgery Chief Resident, 1992—1993
  • Cardiothoracic Surgery Resident, 1990—1992
  • General Surgery Chief Resident, 1989—1990
  • General Surgery Resident, 1986—1989

University Hospital
Stony Brook, NY
General Surgery Intern, 1985—1986

State University of New York at Stony Brook/School of Medicine
Stony Brook, NY
MD, 1981—1985

Colgate University
Hamilton, NY
AB, 1977—1981

Professional Memberships

  • Southern Thoracic Surgical Association (2007)
  • The Society of Thoracic Surgeons (1996)
  • American College of Chest Physicians Fellow (1996)
  • American College of Surgeons Fellow (1995)
  • Association for Academic Surgery (1994)
  • Society of Vascular Ultrasound (2013)
  • American College of Phlebology (2014)
Eric Berkowitz, M.D.

Eric Berkowitz, M.D. 13+ Years Experience

Biography

Eric Berkowitz, MD completed his medical education from State University of New York at Syracuse College of Medicine. Syracuse, New York. He has contributed his knowledge and experience to prominent publications.

Examinations and Certifications

  • Fellowship: Vascular and Interventional Radiology, Beth Israel Medical Center, New York , 2005-present
  • Residency Postgraduate Training: Radiology, Nassau University Medical Center, New York-2001-2005
  • Residency Postgraduate Training: Internal Medicine, Maimonides Medical Centers, New York, 1999-2001
  • Medical Education-State University of New York at Syracuse College of Medicine, Syracuse, New York, MD, 1995-1999

Licensure

  • American Board of Radiology, 2005
  • Licensed to practice in New York, 2005
  • USMLE Step 1, 1997
  • USMLE Step 2, 1999
  • USMLE Step 3, 2001
Stephen Hurst, M.D.

Stephen Hurst, M.D. 25+ Years Experience

Biography

Dr. Stephen G. Hurst, MD has served as a flight surgeon in the US Air Force Reserve from 1990 to 2013. He graduated with an M.D.,1981 from Howard University College of Medicine. He has 25 years of experience in vascular surgery and has contributed to a lot of research publications.

Examinations and Certifications

  • Diplomate of the American Board of Surgery
  • (Board Certified in General Surgery), #37722, 1992
  • Certificate of Added Qualification in General Vascular Surgery
  • (Board Certified in Vascular Surgery) #100701, 1996
  • Registered Vascular Technologist #55868
  • (American Registry of Diagnostic Medical Sonographers)

Licensure

  • NPI: 1568473700
  • New Jersey, Physician, 1985- Present MA 04693100
  • New York, Physician, 1990- Present 182239
  • DEA Registration:
  • New Jersey BH4290336, January 1986-Present
  • New York BH2709804, June 1990-Present
  • New Jersey CDS Number D42596
  • UPIN Number: E46550
  • Medicare Number: N.Y: 92H301 N.J: HU002404
  • Medicaid Number: N.Y: 01441029 N.J: 7425601
Richard Di Fiore, M.D.

Richard Di Fiore, M.D. 26+ Years Experience

Biography

Dr. Richard Di Fiore received his medical doctorate from St. George’s University School of Medicine in Grenada, West Indies. He has 26 years of education and experience in vascular surgery under his belt. He has worked as a vascular surgeon at Toledo Hospital, West Medical Group, Lourdes Medical Associates, and Southern Ocean Medical Center. Dr. Di Fiore has contributed to medical knowledge through multiple presentations and publications in medical journals, such as Vascular and Endovascular Surgery in 2012. He was nominated by his colleagues as one of the Top Docs in SJ Magazine in 2013, and is a member of the New Jersey chapter of the American College of Surgeons.

Honors and Awards

  • September 2013: SJ Magazine, Top Docs 2013, Vascular Surgery (elected by peers)
  • March 2009: 2nd Place, Toledo Surgical Society, Resident Research Forum
  • 1996–1997: Iota Epsilon Alpha – Medical School Honor Society
  • 1994: Silver Key in Biology
  • 1992–1995: Golden Key National Honor Society

Licensure and Certifications

  • 2011: New Jersey State Board of Medical Examiners (Current)
  • May 2011: American Board of Surgery, Vascular Surgery, Certified
  • 2001: Educational Commission for Foreign Medical Graduates (Valid indefinitely)

Membership

  • 2013: NJ Chapter, American College of Surgeons
  • 2010: Society for Vascular Surgery
  • 2002: American College of Surgeons, Candidate Group
Abraham Knoll, M.D.

Abraham Knoll, M.D. 5+ Years Experience

Biography

Dr. Knoll completed his medical education from New York University School of Medicine, NY. He has contributed to several medical research publications and has volunteered for many prominent organizations. Dr. Knoll is bilingual and his areas of interest are: politics, finance, sports, Talmudic Law and social media.

Postdoctoral Training

New York University Langone Medical Center

Fellow, Vascular and Interventional Radiology 7/2016-present

Columbia University Medical Center/Harlem Hospital Center, NY

Chief Resident, Radiology 1/2014-7/2015

Resident Radiology 7/2012-6/2016

Overlook Medical Center, Summit, NJ

Resident Internal Medicine 7/2011-6/2012

Honors

Roentgen Resident/Fellow Research Award; Radiological Society of North America (RSNA); 2014

Presidential Scholarship; City University of NY; New York, NY 2004-2007

Dean’s List; City University of NY; New York, NY 2004-2007

Citigroup Entrepreneurial Award; New York, NY 2007

Jeromy Patterson, M.D.

Jeromy Patterson, M.D. 14+ Years Experience

Biography

Dr. Jeromy Patterson has 14 years of combined education and experience. He has been trained on every aspect of venous disease, including venography and intravascular ultrasound, as well as in intervention with venous stenting, venoplasty, and embolization. Dr. Patterson graduated from the University of Rochester School of Medicine and did postgraduate training in surgery at Medstar Washington Hospital Center in Washinton, D.C. and Lincoln Medical Center in New York City. He then completed fellowship at the Emory University Burn Division in Atlanta, Georgia. He holds multiple prestigious memberships, including from the American Burn Association and the American Medical Association, and has demonstrated broad interests through clinical research, notably with regard to increasing ability for patients to obtain solid organ transplants. Outside of office hours, Dr. Patterson enjoys keeping fit, traveling, and studying art history.

Licensure and Certifications

  • License in Medicine and Surgery in New York (278937)
  • License in Medicine and Surgery in Georgia (074208)
  • April 2017: Registered Physician in Vascular Interpretation (ACPA 208060)

Professional Affiliations

  • American Burn Association
  • American College of Surgeons
  • American Medical Association

Success Stories

Before: I had a lot of pain and swelling in my right leg. It felt really uncomfortable walking around.

Now: My legs appear a lot better and the pain has gone away. Very happy with theresults afterward: Dr. Yan and his assistants were very good on helping me get back on track and I thank them all for it.

—Don D.

Success Stories

Before: I had a lot of pain and swelling in my right leg. It felt really uncomfortable walking around.

Now: My legs appear a lot better and the pain has gone away. Very happy with theresults afterward: Dr. Yan and his assistants were very good on helping me get back ontrack and I thank them all for it.

—Don D.

What Causes Vein Disease?

The veins in your body play a vital role in circulation, transporting blood from various parts of your body back to your heart. As we age, problems can develop in the veins, creating a number of complications. More than one in three Americans over the age of 45 has some kind of vein disease.

Healthy Veins

Diseased Veins

The circulatory system consists of veins and arteries. Arteries are blood vessels that bring the fresh oxygenated blood full of nutrients from the heart to the rest of the body. Veins are vessels that transport blood without oxygen and nutrients back to the heart against gravity. In healthy leg veins, one-way valves allow blood to move only in one direction: upstream towards the heart. In order to do this, when you walk, your leg muscles squeeze the deep veins of your legs and feet pushing the non-oxygenated blood back to the heart. In your veins there are one-way valves that are placed about one inch apart that keep blood flowing in the right direction. When your leg muscles relax, the valves inside your veins close preventing the backward flow of blood back down the legs.

There are three types of veins in your legs: superficial veins, which lie close to the skin, deep veins, which lie in or beneath the muscles, and perforating veins, which connect the superficial to the deep veins. Deep veins bring the blood back to the major vein in your abdomen called the vena cava, which brings the blood straight to the heart.

When a valve fails to function, the blood can begin to pool in your legs and cause a variety of health problems including swollen ankles, blood clots, leg pain, spider veins, varicose veins, and even ulcers. When your leg veins cannot bring enough blood back to the heart, the blood stays in your legs, causing various problems due to venous blood stasis.

If the blood does not move through deep veins, a condition called deep venous thrombosis may arise. If the valves in the superficial system of veins are not working properly, the condition is called superficial venous insufficiency.

Success Stories

Before: I had a lot of pain and swelling in my right leg. It felt really uncomfortable walking around.

Now: My legs appear a lot better and the pain has gone away. Very happy with theresults afterward: Dr. Yan and his assistants were very good on helping me get back ontrack and I thank them all for it.

—Don D.

Success Stories

Before: I had a lot of pain and swelling in my right leg. It felt really uncomfortable walking around.

Now: My legs appear a lot better and the pain has gone away. Very happy with theresults afterward: Dr. Yan and his assistants were very good on helping me get back ontrack and I thank them all for it.

—Don D.

Varicose Veins

Varicose veins often appear as enlarged veins that twist and bulge in a rope-like pattern. They can be blue, red, or flesh-colored.

Varicose veins are often found on the back of the calves, inner and front thighs, or anywhere in the leg above and below the knee. In addition, they can be found deeper under the surface of your skin. Because varicose veins contain valves that are damaged, they hold more blood at a higher pressure than normal. This extra pressure forces fluid into the surrounding tissue which causes your leg to swell and feel tired and achy.

How We Treat Varicose Veins

Endovenous Laser Therapy (EVLT) is an innovative FDA approved non-surgical treatment for the permanent elimination of superficial venous insufficiency, which is a typical cause of large varicose veins, leg swelling, heaviness, cramps, brownish skin discoloration, and non-healing wounds. This technique has been used for over a decade and since 2005 it is considered to be the Gold Standard for the elimination of venous insufficiency and large varicose veins.

It involves a precise insertion of a very thin (less than one millimeter) laser fiber into the diseased veins under real-time ultrasound guidance, followed by an application of laser energy to heat and close the malfunctioning veins, which is called vein closure. Other healthy veins take over normal blood flow in the leg immediately. Over time, the treated veins are absorbed by the body.

Depending on the number of diseased veins more than one procedure may be required. The EVLT procedure is done in our offices, and it usually takes less than 15 minutes from the start of the procedure until it is completed. To prevent discomfort during the procedure we use a local anesthesia similarly to the one used in a dental office. Because of its minimally-invasive nature, an EVLT procedure will not interrupt your normal daily routine. You will be able to resume your normal activities immediately after EVLT treatment and even go back to work.

USA Vein Clinics are experts in EVLT treatment. We master this gold standard in the vein care since 2005 and helped more than 10,000 of patients across the United States.

Reticular and Spider Veins

Spider veins are thread-like veins, which often resemble red, blue or purple spider web’s near the skin’s surface.

Reticular and Spider veins are smaller superficial veins (usually less 1 millimeter in diameter), much smaller than varicose veins, but still visible. They are the mildest form of venous insufficiency and rarely cause physical symptoms. They can cover a small or large area of the legs. Although spider veins normally don’t cause discomfort, the deeper veins that are associated with them do.

Telangiectasias—commonly referred to as spider veins—are small (less than 1mm in diameter) red, purple and blue vessels near the surface of the skin. Spider veins typically appear on the legs—ususally around the upper thigh, knee joints and ankles—as well as the face (in the area around the nose, cheeks and chin).

Sclerotherpy Procedure

A tiny needle is used to administer a series of injections that contain small amounts of a sterile solution (usually a salt solution) into the vein. Because the needle is so small, patients do not need any anesthesia and usually feel little pain. In order to ensure precise injections, ultrasound technology is also often used.

The injected solution irritates the inner lining of the vein and causes the vein to swell and seal shut. Over time, the vein will gradually turn into scar tissue and disappear as it is reabsorbed into the surrounding local tissue. The other healthy veins in your leg will then take over the normal blood flow toward the heart.

Figure 1

Utilizing ultra sound technology, the varicose vein is located to allow for precision injection of the schlerosant agent.

Figure 2

Once the sclerosant agent is injected into the vein, it causes the varicose vein to collapse.

Although the same vein may require multiple injections over time, this injection procedure for each session can be performed in our clinic in less than 30 minutes. The total number of veins treated during one session will depend on the size and location of the veins as well as the overall medical health of the patient. Any follow up sessions will be scheduled at least four weeks apart so that the results of the previous treatment can be accurately evaluated.

After treatment, you will wear compression stockings for several days while you are free to resume your normal daily activities. While walking is highly encouraged to prevent the formation of blood clots, the following should be avoided for a few days after the treatment: aerobic activity, hot baths, and excessive exposure to the sun.

Clinical studies have shown an overall success rate of 50 to 80% when sclerotherapy is used to treat varicose and spider veins. Injection sclerotherapy is fully approved by the FDA (Food & Drug Administration).