Service Detail

Varicose Vein Treatment

Our board-certified specialists use endovenous laser therapy (EVLT), micro ambulatory phlebectomy, sclerotherapy, and foam sclerotherapy to treat varicose veins. All procedures are minimally invasive, performed in-office under local anesthesia. Patients walk and drive home the same day.

AI-generated visual showing targeted varicose vein treatment flow

What This Treatment Includes

Our board-certified specialists use endovenous laser therapy (EVLT), micro ambulatory phlebectomy, sclerotherapy, and foam sclerotherapy to treat varicose veins. All procedures are minimally invasive, performed in-office under local anesthesia. Patients walk and drive home the same day.

Common Approaches

  • Endovenous Laser Therapy (EVLT / Laser Ablation)
  • Micro Ambulatory Phlebectomy
  • Injection Sclerotherapy
  • Foam Sclerotherapy
  • Ultrasound-Assisted Therapy

What Are Varicose Veins?

Varicose veins are enlarged, twisted veins that appear most often on the legs and feet. They develop when the one-way valves inside your veins weaken or fail, allowing blood to pool rather than flow efficiently back toward the heart.

The result is bulging, rope-like veins visible beneath the skin, often accompanied by aching, heaviness, swelling, and cramping, especially after long periods of standing or sitting.

Who Gets Varicose Veins?

Varicose veins affect an estimated 23% of American adults. In New York City and Long Island, where many residents spend hours commuting, standing at work, or sitting at a desk, prevalence is particularly high.

Risk factors include:

  • Genetics: A family history of varicose veins is the strongest predictor
  • Prolonged standing or sitting: Common among nurses, teachers, retail workers, and office professionals
  • Pregnancy: Increased blood volume and hormonal changes place added pressure on leg veins
  • Age: Vein valves naturally weaken over time
  • Obesity: Excess weight increases pressure in leg veins
  • Female sex: Women are more likely to develop varicose veins, though men are certainly not immune

How Schulman Treats Varicose Veins

At Schulman Vein and Laser Center, varicose vein treatment is not one-size-fits-all. Dr. Martin L. Schulman and Dr. Lee G. Schulman personally evaluate every patient and recommend the most appropriate minimally invasive approach for your specific veins and symptoms.

Our treatment process:

  1. Complimentary vein screening at any of our three offices (Manhattan, Manhasset, or Commack)
  2. Ultrasound mapping to identify incompetent valves and guide treatment decisions
  3. Personalized treatment recommendation, most often EVLT, sclerotherapy, or a combination
  4. In-office procedure with local anesthesia and physician-led care
  5. Walk-out, same-day recovery with light activity typically resumed immediately

What to Expect at Your Appointment

Your appointment begins with a conversation about symptoms, lifestyle, and treatment goals before any procedure is recommended.

If treatment is recommended, our team confirms insurance, coordinates scheduling at your preferred location, provides clear pre/post instructions, and follows up on recovery.

Most patients report mild pressure or warmth during EVLT rather than significant pain. Post-procedure bruising and soreness are common and usually resolve in one to two weeks.

Insurance & Coverage

Many varicose vein treatments, especially EVLT, are covered when medically necessary. Insurers typically require documented symptoms and a conservative trial such as compression stockings.

Cosmetic-only treatment is generally self-pay. Our team verifies benefits before your visit and helps you understand coverage clearly.

FAQs: Varicose Vein Treatment

How do I know if my varicose veins need to be treated?+

Varicose veins that cause aching, swelling, heaviness, skin discoloration, or sores should be evaluated by a physician. Even asymptomatic veins can worsen over time, so a screening is the best first step.

Is varicose vein treatment permanent?+

EVLT and sclerotherapy permanently close treated veins. Those specific veins do not return, but new varicose veins can develop in other areas over time.

Can I go back to work the same day?+

Most patients return to light office work and daily activities the same day. Jobs requiring prolonged standing may need short-term activity modification.

Is EVLT better than surgery?+

For most patients, yes. EVLT has largely replaced vein stripping because it is minimally invasive, avoids general anesthesia, and has faster recovery with excellent outcomes.

Location-Specific: Patients from Manhattan Ask

Is it easy to get to your Upper East Side office after a varicose vein procedure?+

Yes. The 4/5/6 and Q trains are a short walk from our Park Avenue office. Many patients are comfortable using transit home, though a cab or rideshare can be ideal the first day.

Can I schedule treatment and return to my Midtown office the same afternoon?+

Many Manhattan patients do. Most visits are under 90 minutes from check-in to discharge.

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