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What is Venous Reflux?

Do your veins appear enlarged and bulgy? You may have vein disease. Venous reflux, or Chronic Venous Insufficiency, occurs when veins no longer circulate blood properly.  Watch the video to learn more.

Trusted by Patients

Pleasant professional experience with Erika. Staff was very nice. Highly recommend this practice.
A very enjoyable experience. Very pleasant & thorough staff!
Erika Dietzek, APN and staff were extremely professional, personable, and caring during the sclerotherapy procedure.Highly recommended V&VI for medical and cosmetic services!
Very good experience
Another excellent procedure with Dr. Fakhoury and his staff is friendly and professional.
Everyone was very knowledgeable, professional, and extremely friendly. I felt comfortable every step of the way and will definitely recommend them to others
Excellent service
My experience was great. I had been to Dr. Dietzek almost 10 years ago. I would highly recommend him to clear up any unsightly veins.
The staff is very friendly and helpful.
Even though I began this healing journey with Dr. Dietzek and Erika, I now have Dr. Fakhoury doing everything he can, to help this wound go away. Never, in the past 21+ years with this wound, has any doctor or hospital, taken as much time to get to the route of the problem, like Vein and Vascular Institute has!Always a wonderful experience with this office!
A quick professional visit with time spent explaining details ,a good experience!!
Very friendly, professional and great office staff. 5 stars for sure. So happy how my procedures are going. I had some tough veins I’ve let go for over 30 yrs. I highly recommend them. Erika is awesome made me feel so comfortable. Can’t wait to see my final results when I’m finished with this process. 💕
Erica and Dr Dietzek explain everything really well. Very polite and professional!
Great service!
I enjoy coming to this place. It's very calming and easy to get to.
Competent staff, answered all my questions, and very professional.
They are friendly, and explained my worries very clear.
Extremely helpful, professional, and as for Dr Dietzak, they don't make them any better then him
Staff very friendly and professional. Dr. Dietzek very caring, knowledgeable, best at what he does.
This has to be the best experience I’ve ever had at a doctors office. You really are cared for and not just another patient.
Everyone was so nice and very informative. All of my questions were answered. Dr. Fakhoury made me feel comfortable & took the extra time and steps to ensure the procedure I need done could be completed safely.
Very thorough and explained everything fully.
Nurse practitioner was thorough and informative. She explained what was going on with my legs and I have a better understanding of what to do next.
I was very impressed with the Vein and Vascular Institute. Everyone was very professional and knowledgeable, even when confronted with the quirky little problem that I presented with. Looking forward to having all my vein issues addressed here!
First time I was there as a patient, all the staff from customer service to the Doctor were so nice which made my visit pleasant and painless.
Great work. Very professional and made it as easy as possible.
Great place! People are so nice! And my legs look great!
Everyone is so nice and very knowledgeable everything they told me went as planned procedure came out incredibly well can not tell i had a procedure done
Erika was very good with explaining the expectations of the procedure. Staff and friendly and took their time to answer questions.
Staff and Doctors were very helpful and kind!
Great experience! Staff is welcoming and very thorough!
Everyone was very helpful, kind and friendly
Excellent staff! Highly recommended!
Appointment was made promptly everyone I spoke to on the phone and in their office were wonderful and very helpful.
I was examined by Dr. Elias Fakhoury, who performed a GSV Clarivein Venous Closure procedure on my right lower leg last year due to Venous Insufficiency. Dr. Fakhoury will perform a Venous Closure procedure on my left lower leg in the very near future. During this visit a thorough Ultrasound of both legs was performed. A detailed medical history was performed by Alyssia, and Dr. Fakhoury examined both of my legs, as well as to explain the Venous Closure procedure he will perform on my left leg. Everyone, from the front office staff to the Ultrasound specialist, to Alyssia, to Dr. Fakhoury were extremely pleasant, helpful, and knowledgeable about my leg condition. I look forward to another successful Venous Closure performed by Dr. Fakhoury.
The staff was kind and professional. The only part I say I had a problem with is not being informed I should have purchased compression stockings instead I was recommended to purchase them at an additional $60. Which I could have purchased from Amazon for a fraction of the price. I actually believe they should be incorporated in the amount of procedure. Other than that The NPC was fantastic.. 🤞🏼 I’m hoping I will heal great..
Great staff and Doctors.
Staff is very friendly, helpful and willing to answer questions. Appointments move quickly with little wait/downtime. Would strongly encourage family and friends to see them.
Dr. Dietzek is very knowledgeable and courteous and professional. His staff is also excellent.
Exceptional service. Made me feel like I mattered.
My experience was pleasant. I felt relaxed. Every detail was explained to me. I definitely recommend the Vein & Vascular Institute.
Dr. Dietzek is easy to talk to and explains everything in a way that I can understand. The entire office staff is friendly and welcoming. I was really nervous when I got there (I'm always nervous at the doctor's) but I feel better going back for future appointments.
Quick in and out. Very professional, clearly explaining. Would recommend.
Very informative consultation. I feel very positive moving forward with my vein treatment plan.
The staff was really nice and the doctor we're very sympathetic to my recent loss of my son. There wasn't too long of a wait which was nice
Everyone was nice & friendly
This place is the best I highly recommend this place the Doctors and staff are very friendly and very knowledgeable so I felt very comfortable in allowing them to the treatments on me.
I have been a patient of Dr. Dietzeck since 2009. I was ASTOUNDED how my spider veins disappeared after my treatment. I go back every couple years to maintain my result because of my occupation as a hair stylist I am on my feet for long periods. The staff is very informative and patient explaining your at home instructions. I have recommended him to many of my clients and friends and they all were very pleased. Dr. Dietzeck’s office is unique and professional you can feel the difference as soon as you walk in!
The staff is very personable and professional. I highly recommend Erika for the sclerotherapy procedure!
Excellent customer service , staff is very friendly . Physicians are very knowledgeable, highly recommended
Had a very pleasant experience here. Everyone was very friendly and professional. My appointment was late in the day on a Friday which is odd for any doctor’s office and none of the staff acted frustrated or anxious to leave. It was amazing. Very thorough and explained everything to me. Very pleased.
A very satisfying experience. Dr Dietzak n staff excellent group.
Dr. Dietzik was wonderful! Scleratherapy restored my legs and hands to there once youthful appearance! I am so pleased with the results! Thank you to everyone who made my experience at the Vein and Vascular Institute so amazing!Laura S.
Love love love Dr Dietzek! Been going here for years. Great service, great staff from the front office to the exam room!
The office has a really good staff, as everyone is professional and friendly. The doctor has done a great job on my legs, as-a lot of the veins are gone. I’m so amazed of how much better my legs look! I can finally wear shorts and not worry about my legs! It’s a liberating feeling.Thank you all so much!! I’m so pleased with the results. ❤️


Most insurance plans typically cover varicose vein treatments, including Medicare and Medicaid.


Equipped with the latest cutting-edge vein treatments, that are minimally invasive and pain free!

Super Fast Recovery

You’ll be surprised how most of our patients return to their normal day-to-day activities post-venous treatments!

15-45 Minutes

Now you can enjoy a varicose-vein-free journey with treatments that only take 15-45 minutes to complete.

Why Vein & Vascular Institute?

The Vein & Vascular Institute is known for its leading-edge treatment for varicose veins and spider veins. Over 40,000 satisfied patients have been treated across our three convenient locations.

We are one of a few IAC Accredited Vein Centers in the Delaware Valley, South Jersey region. This assures you we provide the highest level of vein care.

We have multiple in-office procedure suites at our facilities. This removes the need for a surgery center or hospital operating room. This also saves out patients added fees for pre-op laboratory and diagnostic testing, facility fees, and anesthesia costs.

Serious Complications if Left Untreated...

Did you know that varicose veins may be more than a cosmetic issue? If left untreated, varicose veins may lead to more serious complications such as:

  • Infections: Venous diseases can also cause leg ulcers. An ulcer is a break in the skin, which is dangerous due to exposure to bacteria and infection.
  • Pain: Varicose veins affect the flow of blood through the veins, oxygen that is carried through the blood does not reach the proper areas, leading to muscle cramps & pain near the site of the vein.
  • Bleeding: Since varicose veins are usually inflamed, they often press up against the skin, leaving them more susceptible to cuts.
  • Swelling: When blood isn’t pumping out of the legs properly due to damaged valves within the vein walls, blood begins to collect.
  • Blood Clots: Should a clot detach and enter the bloodstream, it can lead to life-threatening conditions such as thrombophlebitis or deep vein thrombosis.

While varicose veins may pose serious risks, the good news is that varicose veins can be eliminated with minimally invasive treatments covered by insurance. However, it’s essential to seek treatment immediately to minimize potential complications.

Meet Dr. Dietzek

Charles L. Dietzek, D.O., FACOS

Dr. Charles L. Dietzek is a board certified Vascular Surgeon practicing since 1989. He was a faculty member and the Chief of Vascular Surgery at the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine (UMDNJ-SOM) until July 2005. In August 2005, he founded the Vein & Vascular Institute. He remains a Clinical Assistant Professor of Surgery volunteer faculty at RowanSOM.
Dr. Dietzek has been named numerous times a “Top Doc” in both South Jersey Magazine and SJ Magazine. He has also been a “Top physician for Women” repeatedly. He has been featured on health segments on ABC6, NBC10 and national news programs. Total Vein Care, a national physician training course, was Co–Directed by Dr. Dietzek where he has . . .

Dr. Dietzek Has Been Featured On

Featured Media

The Doctors

Dr. Dietzek Visits The Doctors to Discuss Varicose Vein Treatment & chronic venous ulcers.

CBS Philly Healthwatch

Dr. Dietzek of Vein & Vascular Institute pays a visits to CBC Philly Healthwatch to discuss Venaseal.


In your leg, you have two sets of veins. They are called deep veins and superficial veins.

Deep veins are in the deeper part of the leg where the muscles are, and superficial veins are right under the skin.

In a normal person, the blood would circulate from the feet towards the heart in both sets of veins.

When someone has a venous insufficiency the blood will actually go up the deep veins and then go backwards into the superficial vein.

The blood will start pooling in the superficial veins.

Since the superficial veins are closest to the skin, they will start to bulge and create varicose veins. They are often bluish or purple in color.

Spider Veins are essentially a smaller version of varicose veins. They are red, purple, and blue vessels that are also twisted and turning. They are most often seen on the legs, chest, or face.

No. Varicose veins can occur deeper in the leg, where one can’t see them. Varicose veins are classified under the spectrum of venous insufficiency disease.

Venous insufficiency disease causes leg discomfort, swelling of the ankles and leg, itching, and weariness. Other signs and symptoms may be prickling, cramping, aching, and heaviness of the lower limbs after prolonged standing.

Keep an eye out for these symptoms besides simply visible veins.

In short, no. Exercise and compression stockings may help reduce some of the symptoms of varicose veins, but usually only medical treatment can effectively get rid of a varicose vein.

Progression of varicose veins can be dangerous as they may later become venous ulcerations. When left without treatment, complications may ensure including rashes, infections, bleeding, sores, and blood clots.

In rare cases, varicose veins can cause deep vein thrombosis (DVT) and pulmonary embolism which is life-threatening.

Most major insurance and many others… Please give us a call.

1) Consult –  We first start you with a consultation where you will be listened to and encounter a friendly staff that will make sure you get the best care. That care will come from Dr. Charles L. Dietzek and his expertly trained team, and will include a provider and an ultrasonographer on the first visit.

2) Ultra Sound –  After the consult, we move on to the assessment where we provide you an accurate diagnosis. You will get the same day ultrasound and results on site while you see the provider. This will get you back to life as swiftly as possible.

3) Treatment Plan – After we conclude our assessment, we will provide you with a treatment plan.

There are many different options such as Endovenous Laser Therapy (EVLT), Sclerotherapy, ClosureFast, VenaSeal™, Clarivein®, Microphlebectomy and more. We will ensure you get the perfect customized treatment based on your needs and outcome goals.

It is normal to have some minor discomfort during the procedure. We will do everything that we can to make this as relaxing and comfortable of an experience as possible. If you’re feeling anxious about your upcoming vein treatment, Nitronox Plus® (Laughing Gas) can help take the worry out of the experience. Ask the staff for more information during your consultation.

After the procedure, patients may experience minor bruising or discomfort in the area of the treated vein, that normally resolves in 3-4 weeks.

Overall, patients report via minimal pain / discomfort and are able to go back to doing the things they love.

Patients usually return to work and activities the very same day.

Very little downtime is needed for our treatments.

Payment Policies

Co-payments and payments must be rendered at the time of the visit. We accept Visa and MasterCard. If you would like a financing option please visit Care Credit for more information.