Manhattan Vein Center
At Downtown Vein Physicians we are focused on treating disorders of the venous system.
We utilize Cutting Edge Techniques in a State Of The Art Facility to diagnose and treat venous disease.
Our Interventional Radiologist has extensive expertise in treating venous disease.
Image Guided Diagnosis
We use sophisticated ultrasound equipment to evaluate the venous system. Ultrasound uses sound waves to provide real-time, high-resolution images. Ultrasound offers several advantages over other available imaging tools, such as live x-ray imaging (fluoroscopy), CT and MRI.
For example, ultrasound does not use radiation and is therefore safe during pregnancy. Most small and large veins can be evaluated in depth for the pattern of blood flow, the speed of blood flow, direction and strength of blood flow.
Even small abnormalities can be picked up accurately.
Ultrasound allows your doctor to precisely and safely deliver therapies to the affected tissue. During ultrasound image-guided treatments, practitioners can directly visualize the needle passing to the target.
Direct visualization ensures accurate placement and offers a greater margin of safety. Smaller needles may also be used, improving patient comfort and reducing risk.
The ultrasound device is used to pinpoint the exact location of varicose veins in order to place the needle in the optimal location prior to treatment.
Dr. Philip Claire, DO
Radiologist • Diagnostic Radiologist • Interventional Radiologist
Stony Brook University - Residency
Jackson Memorial Hospital - Fellowship
Dr. Phillip Claire, Assistant Professor of Clinical Radiology, received his degree from the NY College of Osteopathic Medicine. He completed his Radiology Residency at Stony Brook University Hospital and proceeded to complete his Fellowship at Jackson Memorial Hospital in Interventional Radiology.
Treatments & Conditions
Varicose Vein Symptoms
There are many different ways a person can experience varicose disease. There may be NO symptoms at all, in that case this a simply a cosmetic problem. More often however, there may be a range of symptoms from small nuisances to debilitating may. Some of the symptoms include aching pain and discomfort, foot and ankle swelling, throbbing sensation, tingling and numbness in the legs.
Varicose veins are caused by weak or damaged vein walls and valves. Normal valves would prevent back flow of the blood. Damaged valves will leak blood backwards. This causes the veins to be full of blood, increasing the blood pressure inside the vessel. This can happen because of previous pregnancy, chronic consipation, obesity or just being genetically predisposed.
Varicose Vein Diagnosis
Depending on the location, sometimes a venogram may be done to further assess your veins. During this test, a special dye is injected into your legs and X-rays are taken. The dye appears on the X-rays, giving a better view of how your blood is flowing.
Tests such as ultrasounds or venograms help ensure that another disorder like a blood clot or a blockage isn't causing the pain and swelling in your legs.
Varicose Vein Treatments
Depending on the size and location of varicose veins, there are many options for treatment. Sometimes a simple injection into a tiny varicose veins (spider veins) permanently closes the abnormal vein. This will result in disappearance of the vein as well as elimination in the painful symptoms.
In mid size varicose veins (most common), laser treatments are often used to close off the abnormal varicosities.
A laser is a strong burst of light applied to the vein that causes the vein to close and disappear over time. In very large veins, sometimes it may be necessary to surgically remove the varicosities using tiny incisions. All treatments can be performed using local anesthesia or light sedation.
Spider Vein Symptoms
Spider Veins are small red or blue colored veins. That sometimes give the appearance of a spider web or tree branches.
These can be spotted under our skin, but unlike varicose veins, they do not bulge out. They most often appear on the face and legs, but can also present in most parts of the body.
Rarely they can be painful. There are effective, painless treatments available for them.
Spider Vein Diagnosis
Spider Veins can often be easily be diagnosed visually with a physical exam.
Spider Vein Treatments
A common treatment for spider veins is to inject a mixture of salt, fatty acids, and glycerin that will help collapse the vein.
This is usually painless and well tolerated.
Sclerotherapy Vein Treatments
Sclerotherapy is a popular treatment. It is an effective, minimally invasive procedure that treats varicose veins and spider veins.
It involves injecting a liquid solution, known as sclerosing agents, into damaged veins. The treatment is well tolerated and there is no recovery downtime. For ideal results, multiple sessions may be needed.
Laser Vein Treatments
By far the most popular treatment is a laser treatment of the varicose veins. It closes off damaged veins effectively by zapping them using bursts of high intensity light.
There is no need to make any cuts in this minimally invasive procedure. It is often used for most varicose and spider veins. It is well tolerated with local anesthesia or light sedation. Most patients resume all normal activities the next day.
EndoVenous Thermal Ablation
This is another name for a laser or high-frequency radio-wave treatment of varicose veins.
A diseased vein is effectively closed and disappears over time. Symptom relief results in a several days.
Microphlebectomy Vein Treatments
Microphlebectomy is used to treat large ugly looking varicose veins. In the past this was a major procedure done in hospitals. Recently, this procedure has been modified.
Now it is minimally invasive and can usually be done in the office setting. The treatment involves making tiny punctures along the path of the vein. Using a special instrument, the varicose veins are gently removed through these small openings.
The poke holes are so small that only local anesthetic is needed and no stitches are required. The patient is able to resume normal activity quickly, and discomfort following the treatment is rare.
Non-Surgical Vein Treatments
Non-Surgical Vein Treatment - Options Include:
Radiofrequency Ablation Treatments - is heat that is generated by radio waves and is used to close off varicose veins.
EndoVenous Laser Ablation Treatments - involves closing off the vein, from the inside using heat.
Sclerotherapy Treatments - is conducted by injecting a liquid into the affected vein, to close it up.
Superficial Thrombophlebitis Treatments - means there's a blood clot in the vein just under the skin, and some treatments may include applying heat to the painful area, elevating the affected leg, bed rest, and possibly wearing compression stockings. The condition usually improves on its own.
VenaSeal™ Vein Treatments
Vein Ligation and Stripping Treatments
An incision is made below the vein, a flexible instrument is threaded up the vein to the first incision, and the vein is grasped and removed. During this surgery, one or more incisions are made over the damaged veins, and the vein is tied off.
Thrombolytic Vein Therapy Treatments
Compression Stocking Vein Treatment
What People Are Saying
Dr. Claire is a caring doctor. He immediately made me feel at ease and provided me hope that he can take care of the ugly varicose veins that are ruining my life.
“Professional and Courteous”
Amazing bedside manner. The doctor is very professional and courteous. I was impressed by his depth of knowledge. I'm excited about my varicose vein procedure.
“Very Patient and Polite”
The office is incredible. The staff is nice. Dr. Phil spent a long time explaining my condition. He was very patient and polite, and I greatly appreciate that.
A tremendous improvement, dramatically reduces swelling and pain. Staff is friendly and very caring. I highly recommend Dr. Claire Vein Specialist!
Hours Of Operation
MON – FRI
9:00am – 7:00pm
A Medical Examination is Required to Diagnose and Treat Any & All Medical Conditions.
The information on this site is not intended, or implied to be a substitute for professional medical advice, diagnosis or treatment.