Vein care
Veins are mapped before they are treated
Varicose veins, spider veins and venous insufficiency, treated in the office in Towaco, New Jersey. You walk out the same day.
Conditions
What we treat
Each page says what the condition is, how it is examined, and what can be done about it.
Varicose Veins
Rope-like veins that bulge above the skin and make legs ache, throb and feel heavy by the end of the day. Usually a valve problem, and usually treatable in the office.
Read more →Spider Veins
Fine red, blue or purple lines just under the skin, most often on the thighs, calves and ankles. Usually treated with sclerotherapy in short sessions.
Read more →Chronic Venous Insufficiency
Legs that swell, ache and change colour because the veins can no longer move blood upward efficiently. Progressive, and far easier to treat early than late.
Read more →Venous Reflux Disease
The underlying fault behind most vein problems: valves that no longer close, so blood falls back down the leg instead of returning to the heart.
Read more →Venous Ulcers
An open sore, usually just above the ankle, that will not heal because the venous pressure causing it has never been treated.
Read more →How we work
Three things we do differently
The ultrasound comes first
The vein you can see is usually the consequence of a valve that failed somewhere you cannot. A standing duplex ultrasound shows which veins are refluxing and how far. Treating the surface while the source keeps pushing is how a course of treatment quietly undoes itself.
Three tools, not one
Radiofrequency ablation suits long, straight veins. Varithena® microfoam reaches the twisted and branched ones a catheter cannot. Sclerotherapy finishes the surface. A practice with one tool applies it to every leg; the map decides here.
Nobody is having their veins stripped
Vein stripping meant a general anaesthetic, incisions and weeks of recovery, and it has been superseded. Everything here is done through a needle under local anaesthetic, in the office, and you walk out and drive home.
Treatments
What we actually do
Which of these applies to you is decided by your examination. Each page says what the treatment involves, how long it takes, and where the evidence does not support it.
Radiofrequency Ablation
Controlled heat delivered through a thin catheter seals a refluxing vein from the inside. An office procedure under local anaesthetic, and the standard replacement for vein stripping.
What it involves →Varithena® Microfoam
An FDA-approved foam that fills and collapses veins too twisted or branched for a catheter. Injected, not threaded, so shape is not an obstacle.
What it involves →Sclerotherapy
A series of tiny injections that collapse spider veins and small varicose veins so the body absorbs them. The standard treatment, and still the best one for surface veins.
What it involves →Ultrasound Vein Mapping
A painless standing ultrasound that shows which veins are refluxing, how badly and how far. The map everything else is built on.
What it involves →Serving Morris and Essex County
Patients travel in from across both counties. These pages cover what the practice offers, written for each town.
Tell us what’s going on
A consultation is a conversation and an examination, not a sales appointment. Dr. D’Alessio will tell you what she thinks is causing it, what can be done about it, and — when that is the honest answer — that you do not need a procedure.