NJ Vein Care, under the leadership of Gary B. Nackman, M.D. is committed to providing comprehensive care for patients with venous disorders including varicose and spider veins. New minimally invasive treatments are effective in providing relief from pain and achieving optimal cosmetic results.
Gary B. Nackman, M.D.
NJ Vein Care was founded by Gary B. Nackman, M.D. with the vision of creating a medical practice focused on the comprehensive management of patients with venous disorders. Dr. Nackman has a long-standing interest in caring for patients with complex venous disorders, and has over 15 yrs. experience in all facets of vein and wound care.
Dr. Nackman received his B.S. Summa Cum Laude from Union College and his medical degree from Albany Medical College in 1988. His general surgery training was performed at Columbia University, St. Luke’s-Roosevelt Hospital Center in New York in 1994. He completed a Fellowship in Vascular Surgery at Dartmouth Hitchcock Medical Center in 1996. He is certified by the American Board of Surgery in both General and Vascular Surgery.
Dr. Nackman is an Associate Professor of Surgery at Robert Wood Johnson Medical School and has an active leadership role in training the next generation of physicians. Dr. Nackman is an attending surgeon at the prestigious Robert Wood Johnson University Hospital.
Dr. Nackman is listed in the Consumer’s Research Council of America’s “Guide to America’s Top Surgeons”. He is a member and has served as an officer of national and local societies including the Society for Vascular Surgery, Association for Academic Surgery, Society of University Surgeons, and the Vascular Society of New Jersey. He has made numerous presentations at national and international meetings, authored text book chapters, peer reviewed papers and reviews papers for medical journals. He co-authored a landmark scientific paper focused on the etiology of the degeneration varicose veins.
The key to proper treatment is the correct diagnosis of the root cause of the vein problems of the leg. We start with a careful history and physical examination to identify risk factors along with the signs and symptoms of venous disorders. The next step is the use of noninvasive ultrasound diagnostics to create a road-map of the venous system to identify and locate valve dysfunction. Only then, can an appropriate treatment plan be developed.
If ultrasound evaluation identifies that the valves of the saphenous vein or perforator veins are not functioning normally, a minimally invasive catheter based treatment can be used. Radiofrequency ablation by VNUS Closure is the technique of choice for the NJ Vein Center to treat valve dysfunction resulting in reflux of the long and short saphenous veins along with the perforator veins.
Some patients with varicose veins will benefit from the removal of the veins from the leg using a microinvasive technique. Tiny 1 or 2 mm long incisions are made in the skin and the varicose veins are surgically removed. With the smallest of incisions, no sutures are required!
Small spider and reticular veins are cosmetic nuisances that can easily be reduced or eliminated. They may be treated with either vein injections (sclerotherapy) or intense pulsed light (IPL) to reduce the unsightly appearance.
For those patients with the advanced problems of chronic venous insufficiency that has lead to wound problems, we specialize in compression management along with sophisticated wound care options including bioartificial skin grafting, using Apligraf.