A blood clot is part of a normal and lifesaving process in our body that stops bleeding when a blood vessel is damaged. Without blood clots, we could potentially bleed to death anytime we cut or injured ourselves. Unfortunately, though, we aren’t perfect machines and the same clotting mechanism we

The blood in your body travels through an immensely large network of blood vessels called your vascular system. The vascular system is responsible for delivering oxygen and nutrients to and carrying waste products away from all the body’s tissues. It’s over 60,000 miles long and is made up of three

There is more and more being written lately about something called Restless Leg Syndrome. Well, many people misuse this term to describe someone who can’t keep their leg still, like the guy next to you in church who keeps bouncing his knee up and down. That’s Nervous Leg Syndrome! Then

Did you know that 70% – 90% of all lower extremity ulcers are due to vein dysfunction and more than half of those ulcers are recurrent? Venous reflux disease is a progressive medical condition that if left untreated, may worsen over time and develop into a more serious form of venous

It’s sometimes difficult to tell the difference between varicose veins and spider veins. Spider veins are thin, web-like, purplish-red veins that can occur anywhere on the leg. They can occur in clusters or in isolation. In contrast, varicose veins are enlarged, ropey veins that are tortuous, elevated and are typically

When people hear the phrase, “Do you wear compression stockings?” they usually run the other way or simply ignore the question.  Providers will suggest patients wear compression stockings to help improve venous circulation, decrease swelling, slow down the progression of varicose veins and help reduce pain, discomfort and other leg

FROM TIME IMMEMORIAL, people have been vexed with these things called varicose veins. The word vari­cose itself dates back to ancient Greece and is derived from a word meaning grapelike. Well, if you’ve ever seen someone who has a hor­rible cluster of varicose veins you can understand why “grapelike” is

Maui, HI. Dr. Randall Juleff, a leader in vein and laser surgery in HI, is releasing a new article that explores some of the best resources available for patients interested in learning more about vein disease. According to the Hawaii varicose vein doctor, many people look to the internet as a primary

When many people learn that they are suffering from vein disease, their first instinct is to look for more information on the topic. Using a search engine to seek out guidance can return an overwhelming amount of information, much of which is misleading or downright false. Reading through medical journals

Patients who are considering treatment for vein disease often wonder why there are so many vein treatments to choose from. Some people only require conservative treatment, such as losing weight and exercising more, while others opt for surface laser sclerotherapy or endovenous laser treatment. The simple answer is that while

Venous reflux is the backward flow of blood in a vein that occurs when one-way valves in the veins become damaged and do not work properly. The pooling of blood leads to more damage in the veins and causes veins to stretch. A venous reflux exam is performed by a

There are times when being one of the best vein doctors in Hawaii is like being a mechanic who specializes in a precision automobile like a Ferrari. I have known a few such mechanics, and they all told me that several times a year a customer brings in one of

If you have varicose veins, you know that they can make you feel as if you have a very personal problem that affects no one else. Every morning, you are the ones who has to look at the bulging, discolored veins on your legs, and you are the one who has to hide them

Over half of people over the age of 50 suffer from some form of vein disease. And yet, only a small fraction of those people actually seek treatment from a vein treatment center. One of the reasons for this is that many people believe in myths that they have heard

In our vein practices on Maui, Kauai, Oahu and the Big Island…overarchingly one of the most common complaints we hear is from people who have had varicose veins for months or even years, but who never sought treatment for them. When the side effects and complications of varicose veins finally

As anyone who has varicose veins can tell you, they’re unattractive. And yet, many people who have them don’t consider getting rid of them permanently by a vein specialist because they have negative feelings about what they consider “cosmetic surgery.” They feel that taking steps to improve your appearance is

One of the things we’ve learned from our vein treatment center in Hawaii is most of the people we meet who have varicose veins don’t understand how their swollen and discolored veins are affecting their overall health. Sure, they’re aware that the varicose veins are ugly, and that as a

When you first see a vein specialist at a vein treatment center in Hawaii, the doctor will ask you a number of questions about your health history and that of your family, and about symptoms you may be experiencing. The doctor will perform a series of tests to evaluate your

If you have read many of the articles we provide on our Vein Clinics of Hawaii website, you have probably noticed that we use the terms “invasive,” “non-invasive,” and “minimally-invasive” a lot when describing medical procedures. But what exactly do these terms mean? What’s the difference between a “non-invasive” procedure and

There have been amazing advances in medical technology in recent decades, but few of them are as unappreciated as the advances that have taken place in the treatment of vein disease. Because it is difficult to understand what modern vein disease treatment is like at a state-of-the-art vein treatment center

Many people who have varicose veins think of them as solely a cosmetic problem, something that makes their legs look unattractive. They’d love to get rid of their swollen, discolored veins and regain the natural beauty of their legs, but they’re convinced that treatment would be considered “cosmetic surgery,” and

Ask most people on the street what “vein disease” is, and the two most common images they report are varicose veins and “old people.” In their minds, they link the two, and assume both that vein disease is only about varicose veins, and that it only affects people over 60.

If you are one of the many people who have swollen, rope-sized varicose veins on your legs, the question in the title of this article may strike you as silly, and you might be tempted to reply, “Duh! The only thing I need to do to know I have varicose

From our perspective as some of the best vein care specialists in Hawaii, when it comes to maintaining one’s health, most patients’ “weakest link” is the condition or risk factor that they DON’T pay enough attention to, because they don’t think they have to. For many of our patients, that

One of the things you learn running one of the best vein treatment centers in Hawaii is that patients don’t tend to take vein disease seriously. We meet many people who noticed the first signs of varicose veins years before they actually sought treatment from an Oahu varicose vein doctor. The majority

As many of you know if you have been reading the articles put out by our vein treatment center in Hawaii, having untreated varicose veins greatly increases your risk of developing diabetes. This is one of the reasons we advise patients not to try to “live with” their varicose veins,

Just a few days ago, a new patient at our Maui vein treatment center in Hawaii asked, “Can you help me? I hear so many different claims from so many different people about the best way to prevent varicose veins. Some tell me that standing too much is bad, and

Film critic and Pulitzer Prize-winning writer Roger Ebert once said, “The Internet is wonderful – you can find information about anything there. And some of it is even true.” If you have ever tried to search the Internet for useful information about a health condition that troubles you, chances are

Many new patients at Vein Clinics of Hawaii are hesitant when we suggest that they start by having a venous health screening.  As a Big Island vascular doctor, I understand their hesitation, because many medical tests require patients to fast beforehand, or force them to endure painful and invasive procedures

In our practice at Vein Centers of Hawaii we meet new patients who ask us, “Why do you list so many different vein treatments on your website? I’m confused by all of the possibilities.” Our answer to this question is simple: “Because to maintain our reputation as Hawaii vein specialists,

The Internet encyclopedia called Wikipedia is a remarkable achievement and a valuable tool. Despite the fact that it is non-profit and has no paid editors, this user-maintained resource now contains over 35 million articles and makes them freely available worldwide in 288 different languages. What’s more, many of these articles

There are many different types of vein disease, so to do justice to the topic and explain “the stages of vein disease” we need to focus on one particular disease, and the most common progression of its symptoms. So in this article, the doctors from our vein treatment center in

If we were to ask most people on the street “What is vein disease?” chances are most of them would say, “Varicose veins.” And they would be correct, in that varicose veins are a part of the larger field of vein disease, but they are far from all of it. “In fact,

If you are like the many people our varicose vein treatment specialists in Honolulu meet in our vein practice, you probably think that varicose veins are something that only happens to “old people.” Unfortunately, if you believe that, you’d be 100% wrong. It’s true that varicose veins affect primarily older

As premier vein care specialists in Hawaii, we love what we do. People come to see us with varicose veins, and we help them eliminate them. It’s very fulfilling being an Oahu varicose vein doctor. However, there is something we see a lot that is much less fulfilling. That’s when

One of the most dangerous forms of vein disease we deal with in our vein practice on Maui and Kauai is called deep vein thrombosis(DVT). This condition occurs when blood clots form in the large, deep veins of the leg. Even if these obstructions stayed where they formed they would be

As experienced vein care specialists in Kauai, we know how far many patients go to hidetheir varicose veins. They put on long pants or wear dark stockings every day, and come up with endless excuses to avoid having to put on a swimsuit or play sports that would require them to

Diagnosing and treating vein disease is a very specialized field, one that requires a great deal of expertise, training, and on-the-job experience. It takes many years to master the use of ultrasound to look beneath the surface of the skin and detect the presence of diseases such as chronic venous

Many of the patients we meet in our vein treatment center in Hawaii, like on Maui and Kauai ask us about “natural” or “holistic” ways of treating their varicose veins. These patients want to hear that there is an herbal supplement they can buy at their health food store that

When patients first come to see us at Vein Clinics of Hawaii and schedule a venous health screening with our Hawaii vein specialist, sometimes they are hesitant when we tell them that we’re going to use ultrasound to look beneath the skin of their legs to look for signs of vein disease.

Over the years, dealing with the questions that new patients always have when they consult our vein treatment center in Hawaii, possibly chatting with our specialist in Honolulu or Maui for the first time, it’s become obvious that a LOT of people believe that having their varicose veins removed is

Monday, March 27, 2017: Dr. Juleff gave a lecture for the Spring meeting of the Hawaii Association of Osteopathic Physicians & Surgeons. This is the Primary Care Update meeting for the AOPS. The title of the lecture was “Venous Thrombo-embolic Disease”. The lecture was about DVT (deep venous thrombosis- blood clots

March 25, 2017. Kihei, Maui, HI. Vein Clinics of Hawaii announces the publication of a new article that discusses the most common vein disease – varicose veins – and how their symptoms progress as the disease goes through its different stages. According to these Hawaii vein specialists, these stages are

If you’re on the Internet a lot, you know that the acronym ‘FAQ’ stands for Frequently Asked Questions. Well, if there is one question that we as Hawaii vein specialists are asked more than any other, it’s “Can you REALLY make my varicose veins go away forever?” People who ask

Both vein disease and arterial disease are forms of vascular disease, conditions that impair your circulatory system. In that system, your arteries handle pumping nutrient- and oxygen-rich blood from your heart to your organs and extremities. Your veins handle pumping that blood back to your heart and lungs so it can

Few people, asked to name the greatest “breakthroughs” in medical treatment, would cite advances made in the treatment of vein disease. But the truth is that some of the most important advances in medical technology in recent decades have taken place in the area of vein health diagnosis and treatment.What

One of the most common complaints we hear as vein care specialists in Kauai is from patients complaining about chronically swollen legs and ankles. But one of the things we’ve noticed is that patients can suffer from such swelling for months or even years before they finally see a Maui vein treatment

One of the most important parts of our job as varicose vein treatment specialists in Honolulu is to provide ongoing education to our patients and the general public about varicose veins, spider veins, and other forms of vein disease. In the articles we write for this website, we try our

Heart disease and vein disease are very different, both in the ways that they are diagnosed and in how they are treated. But according to Dr. Randall S. Juleff, a noted Big Island vascular doctor, heart disease and vein disease are linked because they share a common set of risk factors that make people

The early stages of vein disease are not pleasant, but at the same time they are not terrible, and many people make the decision to wait for a while before making the decision whether to have their varicose veins removed permanently. Many of these folks ask us whether there are

If you are like many people who eventually visit our vein treatment cneter in Hawaii, you may have noticed a few varicose veins or spider veins on your legs, but you don’t worry about them. After all, they’re common – a third of the adult population has them, right? And

September 2nd, 2016. Wailuku, Maui, HI. Hawaii vein specialists proudly announce the availability of an exciting new treatment for varicose veins, the VenaSeal™ closure system. The VenaSeal™ system, developed by Medtronic and recently approved by the FDA, was first used in our Maui offices by Dr. Randall S. Juleff and his surgical assistant, Katie

Kihei, Maui, HI. Vein Clinics of Hawaii published a new article talking about vein disease treatment by the numbers. According to this prestigious vein care practice, although the “numbers” about the prevalence and seriousness of vein disease are shocking, the “numbers” in favor of early vein disease treatment are more heartening, and

When it comes to vein disease, there are “good numbers,” and “bad numbers.” Let’s start with the “bad numbers,” to get them out of the way The largest and most shocking of these “bad numbers” count the number of people who actually have vein disease. An estimated 40 million Americans

Any discussion of modern vein disease treatment has to cover a lot of ground, because there are so many treatment options. There are conservative treatments that focus on controlling the symptoms of varicose veins or other vein diseases with diet, exercise, lifestyle changes, and the use of compression stockings. There

Kihei, Maui, HI. Vein Clinics of Hawaii releases a new article in which they discuss the relationship between being overweight and vein disease. Many people know that being overweight increases their risk of heart and arterial disease, but they don’t realize that it can also be a significant risk factor for varicose

When educating patients and the general public about vein disease, Hawaii vein specialist Dr. Randall S. Juleff explains that to understand the link between your vein health and your body weight, you need to understand the primary cause of vein disease, chronic venous insufficiency, or CVI. When CVI affects your veins,

Each month Dr. Randall S. Juleff is a guest on a show called “Maui for Less” with Jonathan Todd. Dr. Juleff will have the privilege to educate the radio audience about venous disease and other healthcare related topics. Please tune in! Radio station: Maui KAOI, 1110 AM

Kihei, Maui, HI. Vein Clinics of Hawaii releases a new article that talks about surprising and unexpected side effects of varicose veins that most people don’t associate with them. According to this noted Hawaii vein specialist, most people think that the side effects of varicose veins are primarily cosmetic – they make

Ask people who don’t have varicose veins what their worst side effect is, and in most cases you’d receive the obvious answers – “They’re ugly.” “They make you look unattractive.” Ask the same question of people who have been trying to “live with” varicose veins for some time without seeking

Kihei, Maui, HI. Dr. Randall S. Juleff, medical director of Vein Clinics of Hawaii joins with Dr. Colin E. Bailey, medical director of Bailey Vein Institute to announce the merger of their practices. According to these two noted Hawaii vein specialists, joining these two respected practices is historic, because it

Kihei, Maui, HI. Vein Clinics of Hawaii has published an article that dispels the notion that the only thing vein doctors do is remove varicose veins. That’s not true. A Hawaii vein specialist may specialize in the treatment of vascular disorders, but they are medical doctors first, so their overall goal is the same

As doctors who are widely considered some of the best vein doctors in Hawaii, we are by now used to people thinking that the only thing we do is remove varicose veins. It’s not true. We may specialize as vein doctors, but we are medical doctors first, and our overall

Kihei, Maui, HI. Vein Clinics of Hawaii announces the publication of a new article in which they discuss a subject that many people with varicose veins have never properly thought about. If they’ve been trying to “live with” their varicose veins for some time, they already know that their swollen veins have

When talking to patients in our vein practice on Maui and Kauai – especially those who have been trying to “live with” their varicose veins without having them treated – it is hard for them to accept that that their vein disease can affect their careers. They say things like,

Kihei, Maui, HI. Vein Clinics of Hawaii releases a new article in which they discuss the most common cause of vein problems, a condition called chronic venous insufficiency, or CVI. According to these Hawaii vein specialists, CVI is the base cause of most cases of varicose veins, but its negative effects on circulation,

If you’ve read a few of the articles that our vein treatment center in Hawaii publishes on its website, you’ve heard the term chronic venous insufficiency (or its acronym CVI) before, and know that it is the most common cause of varicose veins. But what exactly IS CVI, and what makes it

Kihei, Maui, HI. Vein Clinics of Hawaii releases a new article on the subject of untreated varicose veins and how they can negatively affect an important but often unsuspected area of your live – your career. According to these Hawaii vein specialists, many people are aware how much their varicose veins affect

For many people who have been trying to “live with” their varicose veins without having them treated, at first the idea that their veins could affect their jobs and careers often just doesn’t compute. Instead, as Hawaii vein specialists, we often hear them say things like, “Sure, my varicose veins

Kihei, Maui, HI. Vein Clinics of Hawaii releases a new article in which they talk about a symptom that patients often don’t realize the seriousness of – swollen legs and ankles. Patients often ignore swelling of this type because they don’t associate it with the vein disease that has caused their varicose

One of the most common things we hear from new patients at our vein treatment center in Hawaii is that they’re concerned about their swollen legs and ankles. In many cases these patients have been referred to us by their general practitioners, who have determined that the swelling is not due to

Kihei, Maui, HI. Vein Clinics of Hawaii is releasing a new article in which they talk about a symptom that patients often complain of – swollen legs and ankles. According to these Hawaii vein specialists, many people ignore this swelling because they think it’s just the result of a sprain or injury.

Many people experience occasional swelling in their legs and ankles, and in most cases this is a temporary condition caused by an injury or sprain. If the swelling persists and becomes chronic, however, vein care specialists in Kauai want you to know it could be a symptom of vein disease.

Kihei, Maui, HI. Vein Clinics of Hawaii is releasing a new article in which they discuss something that keeps many older patients from receiving the treatment they need – fear of the treatments themselves. According to these Hawaii vein specialists, many older people, possibly based on invasive procedures they have had in

Although it is possible to develop vein disease early in life, the majority of Americans with vein disease tend to be in their 50s, 60s, or older. Sadly, one of the things that often happens is that when these older adults develop varicose veins, spider veins, or other types of

While varicose veins may be the most visible form of vein disease in the U.S. (50-55% of women and 40-45% of men have them), the most dangerous form of vein disease has to be deep vein thrombosis, or DVT. Although exact numbers are not known because DVT has few overt symptoms,

During your first visit with a varicose vein treatment specialist in Honolulu or Maui, he or she will ask you a number of questions to help assess your venous health. For example, you will be asked about any symptoms you may be experiencing, and about your health history. You will

Kihei, Maui, HI. Vein Clinics of Hawaii announces an article that discusses a common question patients have – whether their varicose vein treatment will be covered by their health insurer. According to these Hawaii vein specialists, this question is a complex one that almost always requires an individual answer, depending on the

If the title of this article appealed to you enough to read it, chances are you have varicose veins. Not only that, chances are you have been trying to “live with” your varicose veins for quite some time, trying to ignore them while hoping they don’t get worse. Well, they

If you experience leg pain and weakness occasionally – meaning no more than once or twice a month – then it could be due to a number of common causes, including “overdoing it” while working or exercising. But if you experience pain in your legs often, accompanied by feelings of

During your first visit with a varicose vein treatment specialist in Honolulu or Maui, he or she will ask you a number of questions to help assess your venous health. For example, you will be asked about any symptoms you may be experiencing, and about your health history. You will

As noted vein care specialists in Kauai and Maui, we deal every day with the many misconceptions that people have about varicose veins and vein disease. Many of these misconceptions are remnants from the way vein disease was treated decades ago in the “bad old days,” and many of them

As experienced varicose vein treatment specialists in Honolulu, we would love to tell you that as doctors we now know so much about the risk factors that lead to vein disease and how to reduce them that we can completely prevent it. Vein disease is history – no more varicose

First, this article is NOT for dummies, any more than the excellent series of “For Dummies” books published by John Wiley & Sons, Inc. are really for dummies. That series of books has now sold over 200 million copies because, as their subtitle “A Reference for the Rest of Us”

First, this article is NOT for dummies, any more than the excellent series of “For Dummies” books published by John Wiley & Sons, Inc. are really for dummies. That series of books has now sold over 200 million copies because, as their subtitle “A Reference for the Rest of Us”

Kihei, Maui, HI. Vein Clinics of Hawaii is releasing a new article in which they use a somewhat light-hearted approach to a serious subject and talk about “the Good, the Bad, and the Ugly” of vein disease. According to these Hawaii vein specialists, articles like this are necessary because although medical advances

Thanks to advances that have taken place in the treatment of venous disorders in the last two decades, vein disease should not be as prevalent as it is. Vein disorders can now be treated as quickly and easily as they can be diagnosed – in the comfort of a doctor’s

Many people with varicose veins react to them by covering them up with long pants or dark stockings and ignoring them, effectively trying to pretend that they’re not a serious problem that requires treatment. Unfortunately, this isn’t true – varicose veins are the surface symptoms of an underlying vein disease

Many people, seeing the title of this article, might react by thinking, “Huh? Varicose veins are a physical problem, right? How could they affect the way I behave?” Well, these are good questions, and in this article we’ll try to answer them. In addition, if you have varicose veins yourself and

Kihei, Maui, HI. Vein Clinics of Hawaii is releasing a new article in which they talk about a common complaint – chronic leg pain and weakness. According to these Hawaii vein specialists, many people ignore these symptoms because they think they’re the result of overexertion. But if these symptoms occur

If you experience leg pain and weakness occasionally – meaning no more than once or twice a month – then it could be due to a number of common causes, including “overdoing it” while working or exercising. But if you experience pain in your legs often, accompanied by feelings of

If you have varicose veins, and have been trying to “live with them” for some time, you probably know that it isn’t easy. At first you try to hide them beneath long pants and dark stockings, but some part of you always knows they’re there. Plus, every time you step

One of the most common symptoms patients at our vein treatment center in Hawaii complain of is chronically swollen legs and ankles. As medical doctors, naturally we examine each patient carefully to determine the exact cause of the swelling, but as vein doctors, we know that if the swelling has

Kihei, Maui, HI. Vein Clinics of Hawaii is releasing a new article in which they describe the way their patients love their vein disease treatments. According to these Maui vein treatment specialists, many patients who have suffered from the embarrassment and pain of spider and varicose veins – often for years – are genuinely happy with their decision

One of the most fulfilling and heart-warming aspects of being a vein care specialist in Kauai and Maui is hearing our patients talk about how pleased they are with the treatment they’ve received at Vein Clinics of Hawaii. They express how glad they are that they sought treatment for their swollen legs and

If you’re reading this article, chances are you’re tired of trying to “live with” your varicose veins and are contemplating finally doing something about them. This is a huge step, and we congratulate you for taking it, and for seeking treatment from one of the most noted varicose vein treatment specialists

One of the most common complaints that we hear in our practice as vein care specialists in Kauai and Maui is from patients who suffer from chronically swollen legs and ankles. And as we speak to them, we realize that they have often fallen prey to myths and misunderstandings about swollen legs and ankles,

Kihei, Maui, HI. Vein Clinics of Hawaii releases a new article in which they discuss the types of cross-generational misinformation that can proliferate about varicose veins. According to a Hawaii vein specialist, if a mother had varicose veins and is now advising her child about what to do about them, it is likely

If you’re like most of us, you love and respect your mother for all of the wonderful things she’s given you. Unfortunately, however, if your mother had varicose veins, she also gave you – genetically – a higher likelihood of getting them yourself. There is “no harm, no foul” in

OVER 50 PERCENT of the American adult population suffers from some sort of vein problem with their legs. If you have immediate family members who have had varicose veins or spider veins then the odds go up even further. Some of us who have a very strong family history have

FROM TIME IMMEMORIAL, people have been vexed with these things called varicose veins. The word varicose itself dates back to ancient Greece and is derived from a word meaning grapelike. Well, if you’ve ever seen someone who has a horrible cluster of varicose veins you can understand why “grapelike” is