Vein Therapy in Midtown Manhattan

Vein Therapy at Manhattan Wellness Group

Tired of hiding your legs? Varicose and spider veins can cause embarrassment and are a hassle to conceal. Manhattan Wellness Group offers a variety of non-invasive vein treatments that can be done during your lunch break! We specialize in a number of approaches, including thermal endovenous ablation and Venefit™. With the help of our renowned vein specialist Dr. Ayman Farag, we’ll have you back in shorts in no time!

What are Varicose Veins?
Healthy veins allow blood to move towards the heart through one-way valves. When a valve begins to function improperly, blood may begin to pool in the legs and cause health issues that could include leg pain, swollen ankles, blood clots, spider veins, varicose veins and ulcers.

Arteries are responsible for bringing new, oxygenated blood from the heart to the body. Veins return blood without oxygen back to the heart. When walking, your body accomplishes this by squeezing veins in the legs and pushing the non-oxygenated blood upward. Inside the veins there are valves placed roughly an inch apart that keep blood flow running in the correct direction. Veins close when the leg muscles are relaxed. This prevents blood flowing backward, away from the heart and down the legs.

When enough blood cannot be returned to the heart through the veins, the blood remains in the legs. Health problems are then bound to occur.

imageIn the legs, three types of veins can be found: superficial veins that lie close to the skin’s surface, deep veins which are found in or beneath the muscles, and perforating veins, which connect superficial and deep veins and create a network.

Deep veins are responsible for returning blood to the vena cava, a major vein located in the abdomen, which in turn brings blood directly to the heart. A condition known as venous thrombosis occurs when blood clots and is unable to travel through deep veins. Similarly, if blood clots and obstructs proper flow within the superficial veins, this is referred to as venous insufficiency. Women tend to be affected more often than men; symptoms may include swelling and hyper-pigmentation. These conditions can be dangerous as these blood clots are at risk of breaking off the vein and traveling to the heart and/or lungs, which is called an embolism.

Varicose Veins
Varicose veins are enlarged, twisted veins that often appear red or blue. They bulge beneath the surface of the skin resembling twisted rope. Varicose veins can be found deep and out of sight or, quite commonly, on the thighs, on the backs of the calves, or on the legs below the knee. Due to their damaged condition, these veins hold blood at a higher pressure than most, forcing fluid into the surrounding tissue. This can cause legs to ache, swell, and feel fatigued. Patients with varicose veins tend to have low blood pressure, experience lightheadedness, and a high heart rate. Their hearts tend to be overworked because of the stress of compensating for the lack of blood in the area. Up to 90% of people may develop varicose veins is both parents have had them.

Reticular and Spider Veins
Reticular and spider veins are smaller-sized, thread-like superficial veins, typically less than 1mm in diameter. They resemble spider webs and range in size; these veins may appear red, purple, or blue. Reticular and spider veins rarely cause physical symptoms and are the mildest form of venous insufficiency. They should not cause discomfort but it is common to remove them for cosmetic purposes.

Varicose Vein Treatment
Conservative treatments may include compression socks or stockings. Endovenous Thermal Ablation is also a common treatment, where a catheter is inserted into each diseased vein and utilizes heat to seal them shut. Blood ceases to travel through these veins and begins to flow through healthy ones and into the heart. Gradually the treated veins begin to shrink and are eventually absorbed by the body. Another form of treatment is Venefit™, the only minimally invasive segmental radiofrequency ablation treatment that employs the use of radiofrequency to heat and seal the veins.


Ablation treatments are generally pain-free and minimally invasive. You are free to eat and drink prior to treatment and are encouraged to walk and resume regular activities immediately after (excluding heavy lifting and long periods of standing). The treatments are quite brief in duration.

During the procedure a small area of skin will be numbed and a thin laser catheter will be inserted into the treated veins. When the laser is withdrawn the vein will close shut. To prevent irritation from the radiofrequency, saline with Lidocaine is injected around the vein. Compression stocking and/or bandages are applied to the leg post-treatment; the stockings are recommended to be worn for up to 4 weeks. Comfortable footwear is advised. Symptoms should improve within 1-2 weeks.

Follow-Up Visits
After an ablation procedure, patients are recommended to return after a few days for an ultrasound examination. Subsequent follow-up visits are also recommended after three months, six months, and twelve months, particularly for preventative purposes as patients with a history of vein disease are predisposed to venous insufficiency. It is important to keep in mind that preventative care is equally important as the actual treatment.