Varicose Veins Specialist

Dmitry Gorelik, MD -  - Board Certified Cardiologist

Heart and Vein Center

Dmitry Gorelik, MD

Cardiologist and Vein Doctor in West Orange, NJ and Greater New York City Area

Varicose veins affect as much as 35% of the United States population. If this includes you and you don’t like the way they look, or if you experience leg pain or discomfort with varicose veins, Dmitry Gorelik, MD, a board-certified vein specialist, can help. At his private practice in West Orange, New Jersey, Dr. Gorelik provides advanced diagnostics and treatment for unsightly or uncomfortable varicose veins. To learn more, call Dr. Dmitry Gorelik today or book online.

Varicose Veins Q & A

What are varicose veins?

Varicose veins are the bumpy, elevated, often twisted blood vessels that appear on your skin’s surface, most typically on the legs. They’re the result of damaged or ineffective valves. Under normal circumstances, the valves within your veins open and close to bring blood back to your heart and prevent downward flow. 

Often appearing purple, blue, or red, varicose veins are mostly a cosmetic issue and can cause you to avoid shorts, swimwear, and other attire that leaves them exposed. 

If you have other symptoms with your varicose veins, they might be more than just a cosmetic issue. You should let Dr. Gorelik know if you also experience:

  • Leg discomfort
  • Leg pain
  • Burning
  • Swelling 
  • Throbbing
  • Itching near the vein
  • Skin discoloration near the vein

Sitting or standing for long periods can aggravate symptoms associated with varicose veins, like discomfort or burning. If you don’t receive effective treatment for severe varicose veins, you might eventually develop venous ulcers, which are open sores that don’t heal on their own. 

What causes varicose veins?

There are many reasons why your blood may be more likely to pool within your veins and cause varicose veins to appear. Gravity is perhaps the most glaring factor behind varicose veins since your blood has to fight it in order to travel upward. When the valves are faulty, gravity keeps the blood in lower areas like your ankles or calves. 

Certain conditions and lifestyle factors increase your likelihood of developing varicose veins. They include:

  • Obesity
  • Genetic history of varicose veins
  • Sedentary lifestyle
  • Aging
  • Hormone fluctuations (e.g., pregnancy, menopause)
  • Jobs that require prolonged standing or sitting

In order to diagnose your varicose veins and evaluate you for conditions that they might indicate, like venous insufficiency, Dr. Gorelik performs a physical exam. If you’re also experiencing leg discomfort or pain, he may recommend a duplex ultrasound to check for vein malfunction and blood clots. 

Which treatments can address varicose veins?

In his office, Dr. Gorelik offers multiple options for varicose vein treatment. Depending on your personal needs and the details of your case, he might recommend:


Sclerotherapy is a minimally invasive procedure involving an injection. The injection contains a sclerosant chemical, which irritates the walls of the varicose vein and causes it to collapse. The blood reroutes through other vessels, and your body eventually resorbs the vein. 

Ambulatory phlebotomy

Ambulatory phlebotomy is a minimally invasive procedure involving tiny incisions. Through the tiny incisions, Dr. Gorelik removes the varicose vein. 

Endovenous laser ablation

Laser vein removal uses the heat of a powerful laser to constrict the varicose vein from the inside. Eventually, it fades and disappears. 

Endovenous radiofrequency ablation

Using the ClosureFast™ system by Medtronic, Dr. Gorelik heats the varicose vein from the inside using radiofrequency energy through a catheter. This causes it to close and disappear. 


Without using a sclerosant or heat, VenaSeal by Medtronic closes varicose veins using a biocompatible adhesive. 

Varicose vein surgery

If less invasive approaches can’t minimize your varicose veins, Dr. Gorelik provides varicose vein surgery as a final option. 

To learn more about varicose veins and consider your many treatment options, call Dr. Dmitry Gorelik today or schedule an appointment online at your convenience.