Find Relief From Painful Varicose Veins
Varicose veins are more than a cosmetic concern. For many people, they cause aching, heaviness, swelling, burning, and fatigue that can make standing, walking, or simply getting through the day uncomfortable.
If your legs feel worse after long periods of standing or sitting, the problem may be more than tired muscles. It may be venous insufficiency, a condition in which damaged vein valves allow blood to pool in the legs.
For nearly 30 years, Dr. Todd Koppel has provided minimally invasive treatment for patients suffering from painful varicose veins in New Jersey. Using advanced image guided techniques, he helps patients relieve symptoms, improve circulation, and return to their normal activities with little downtime.
What Causes Varicose Veins?
Healthy leg veins contain one way valves that help move blood back toward the heart.
When those valves weaken or stop working properly, blood begins pooling inside the vein instead of flowing normally.
Over time, the vein enlarges and becomes twisted or bulging beneath the skin.
This condition is known as venous insufficiency and is one of the leading causes of symptomatic varicose veins.
Common Symptoms
Varicose veins may cause:
- Aching legs
- Leg heaviness
- Swelling in the lower legs or ankles
- Burning or throbbing discomfort
- Cramping, especially at night
- Itching around the affected veins
- Visible enlarged or twisted veins
- Leg fatigue after standing or walking
Symptoms often become worse later in the day or after prolonged standing.
Who Is at Risk?
- Jobs that require prolonged standing or sitting
- Family history of varicose veins or venous insufficiency
- Pregnancy comes with an increased blood volume, which puts pressure on leg veins
- Age can cause vein walls and valves to naturally weaken over time
- Excess weight increases pressure on the venous system
- Prior leg injuries or surgeries affecting venous circulation
Minimally Invasive Vein Treatment
Vein ablation is the gold standard treatment for varicose veins and the venous insufficiency that causes them. Using a thin catheter inserted through a small needle puncture, thermal energy is delivered along the length of the damaged vein, causing it to close and be gradually absorbed by the body. Blood reroutes naturally through healthy veins.
The procedure is performed in the office under local anesthesia:
- Takes approximately 30 to 45 minutes per vein
- No general anesthesia, no hospital stay
- No significant downtime, as most patients walk out and return to normal activities the same day
- Compression stockings worn for a short period following treatment
Benefits of Vein Ablation
Compared with traditional vein surgery, endovenous ablation offers several advantages:
- Performed in the office
- Local anesthesia
- Small needle sized entry point
- No hospital stay
- Minimal discomfort
- Little downtime
- Most patients return to normal activities the same day
What to Expect
Before Your Procedure
Your evaluation includes a detailed examination and ultrasound imaging to determine which veins are causing your symptoms.
Dr. Koppel will explain your treatment options and answer any questions before your procedure.
During Your Procedure
The procedure generally takes 30 to 45 minutes for each vein being treated.
Most patients remain comfortable with local anesthesia.
Recovery
Most patients walk immediately after treatment and return home shortly afterward.
Compression stockings are usually worn for a short period to support healing.
Many patients begin noticing improvement in leg heaviness, aching, and swelling within one to two weeks.
Why Choose Dr. Todd Koppel?
Successful vein treatment begins with an accurate diagnosis.
Dr. Koppel has helped patients throughout New Jersey using minimally invasive image guided procedures designed to improve comfort, restore function, and minimize recovery time.
Patients choose Dr. Koppel because he offers:
- Nearly 30 years of procedural experience
- Fellowship training at the Hospital for Special Surgery
- Advanced minimally invasive techniques
- Personalized treatment plans
- Office based procedures with little downtime
- Compassionate, patient centered care
At Garden State Pain Management, every treatment recommendation is based on your symptoms, examination, and long term goals.
Frequently Asked Questions
Precision Is the Difference Between Masking Pain and Actually Stopping It
Living with pain can affect every part of your life, but you don’t have to face it alone.
At Garden State Pain Management, Dr. Todd Koppel takes the time to understand your symptoms, identify the source of your pain, and recommend a personalized treatment plan designed to help you feel better and get back to the activities you enjoy.
Whether you’re experiencing neck pain, back pain, joint pain, or another chronic pain condition, we’re here to help.
Call (973) 473-5752 today to schedule your consultation.

