- Around Town
- Staten Island Fun Facts
- Malvern School Hosts Seventh Annual Lemonade Day
- National September 11 Memorial & Museum
- Ask The Experts
- Ask The Experts - Rudolf C. Thompson, M.D., F.A.C.S.
- Ask The Expert: Asaad H. Samra, M.D.
- Ask The Experts - Premier Pain Centers
- Bay Wellness
- Bay Wellness - Welcome to our newest issue
- Bay Wellness - Making Weight Loss a Family Affair
- Bay Wellness - Physician Focus: Steven R. Berkman
- Best Bets
- The Guide 2014 - Dearborn Market
- The Guide 2014 - Atlantic Eye Physicians
- The Guide 2014 - Marshall P. Allegra, M.D.
- Day Tripper - Whitesbog Village
- Day Tripper - Lakota Wolf Preserve
- Day Tripper - Bushkill Falls
- Fall Guide
- National September 11 Memorial & Museum
- Fall Guide 2014 - Museums
- Fall Guide 2014 - The Art of Wine
- Featured Artist
- Featured Artist - Taylor Franzreb
- Featured Artist - Elyissia Chinchilla
- Featured Artist - Leah Passafiume
- Gift Guide
- The Guide 2013 - Sea Spa & Salon
- Gift Guide - Underground Gym
- The Guide 2014 - Vino Divino School of Wine
- Health Talk
- Health Talk - Frank Borao, M.D.
- Health Talk - Dr. Patrick Cuozzo
- AMI Women’s Imaging Center in Brick Township
- Health, Wellness & Beauty
- Guest Blogger >> Sonya Moretti, WHNP-BC, NAMS
- Health - DeForte Dentistry
- Health - Steven A. Morgan, M.D
- West Meets East - Namazi
- Yellow Brook Farm - A Post and Beam Approach Leads a Path to Timeless Design
- Feels Like Home
- Newsletter Articles
- The Home Gallery - Odyssey Land Design Group
- Company Profile - Cunningham Orthopaedics
- The Home - Visual Impact Decorating Gallery
- Our Picks
- Our Pick - Branches Catering
- Company Profile - Elements Steakhouse and Lounge
- Our Pick - Meet Over Drinks
- People On The Move
- Kids On The Move - Zach Miller
- People On The Move - Jim Quirk
- People on the Move: Dorothee Volpini de Maestri-Gerberding
- Summer Guide
- Out & About - Summer 2013
- Weigh In - What Annoys You Most About The Beach?
- Summer Guide 2014 - Our Jersey Shore
- The Bay
- The Bay - Could I Have Diabetes and Not Even Know it?
- The Bay - $1 Million Emergency Department Expansion Opens
- The Bay - A Body In Motion
- The Guide
- The Guide 2014 - Gary Michaels Fine Jewelry
- The Guide 2014 - Coldwell Banker Residential Brokerage
- The Guide 2014 - Angelina’s Ristorante
- The Home Guide
- The Home Guide - Top Line Appliance Center
- The Home Guide - Red Bank Cabinet Company
- The Home Guide - A and J Remodeling Services
Ask The Expert - Total Vein and Rejuvenation Center
Total Vein and Rejuvenation Center
788 Broad Street
Shrewsbury, NJ 07702
741 NorthfieldAvenue, Suite 100
West Orange, NJ
Call for appointment or free consultation
Dr. Joseph Fretta started his internal medicine practice in 1983, and his venous practice in 1987. He has treated over 27,000 patients over the last 24 years, who suffer from large varicose veins causing leg ulcers to the smallest spider veins on the legs, body and face. He has been a member of the American College of Phlebology since 1987, and founded the NJ Vein and Cosmetic Center in 1990. Dr. Fretta has trained many doctors from out of state in the treatment of varicose veins. He has now renamed his practice Total Vein and Rejuvenation Center, where multiple aesthetic treatments are also offered.
Why is treating varicose veins important?
Varicose veins are the result of non-functioning check valves in the leg. Each leg has 60-154 check valves that are located from the ankle up to the groin. The purpose of the valves is to guide the venous (not arterial) blood flow uphill against gravity back to the heart. If any of the valves no longer function properly blood flow reverses downward instead of upward, causing the vein below the valve to swell. The swelling will be progressive and the next valve will become non- functioning and cause the vein below it to swell and so on. As a network of veins swell, so does the leg and the swollen leg causes tissue damage known as fibrosis. Therefore, the patient suffers swelling, skin discoloration, leg heaviness, and pain. And more seriously, pooling of blood in the leg.
What are the treatments for varicose veins?
Four major superficial veins are treated: the greater saphenous vein in each leg which runs from the inner groin to the inner ankle and the small saphenous veins which run from the back of the knee crease to the heel. These can be treated by EVLT (endovenous laser ablation therapy). This is the insertion of a spaghetti-size fiber optic strand inserted through a pin prick incision, usually from the mid inner calf, threading up in the vein until it reaches the groin. This treatment is relatively painless and is done under ultrasound guidance. Once the catheter is in position the laser is fired as the catheter is being withdrawn. Thus, the entire vein is cauterized and permanently closed. Other major vein branches that evolved off any of the four major veins mentioned can be removed by a procedure called ambulatory phlebectomy. This entails removing a large varicose vein through a series of pinhole size incisions, through which a tiny instrument can be used to pull the vein out. Much like pulling a shoe lace out of the shoe fromhole to hole.When thinking of varicose veins, picture a tree. After we remove the trunk, we remove the branches and finally through sclerotherapy we can inject away the twigs (spider veins).
What is sclerotherapy?
Sclerotherapy is still the gold standard for treating spider veins and large blue reticular veins. This is done using tiny hair thin needles that feel like mosquito bites to inject medication into said veins, to irritate its inner lining causing it to constrict and close. The spider veins disappear usually three weeks after the injection. After removing varicose and/or spider veins can they come back? When thinking of veins, think not only of a tree, but of a river. You must treat the source of the flow first. For example, the larger veins must be treated before you can treat the tiniest branches (spider veins). When done in this manner the treatment is permanent, unless there is a change in the patient’s clinical setting, such as a pregnancy, excessive weight gain, change of occupation (which may require excessive standing or lifting) or trauma to the leg.
As a forward thinking physician who keeps up with the latest options available, can you share the latest trends with our readers...
Surface lasers are again coming into fashion for the treatment of spider veins. This is usually for doctors who delegate the procedure to a nurse, rather than perform the procedure themselves. Sclerotherapy is still the gold standard.
Powered by eDirectory™