Chronic Venous Insufficiency Treatment Hawaii

Vein Clinics of Hawaii

Randall Juleff, MD, FACS

Cardiovascular Surgeon & Phlebologist
located in Wailuku, HI & Lihue, HI

Cardiovascular Surgeon & Phlebologist located in Wailuku, HI & Lihue, HI

Spider veins and varicose veins make you feel uncomfortable about your skin’s appearance, but they may indicate a more serious problem.

At the Vein Clinics of Hawaii, Randall Juleff, MD, FACS, evaluates your condition to determine if you may have Venous Insufficiency, a vein condition that leads to pressure and expansion of your veins and causes blood to pool in your lower limbs.

Vein Clinics of Hawaii has seven locations, in Honolulu, Lihue, Wailuku, Hilo, Kapolei, Kamuela, and Hawaii. To learn more about chronic venous insufficiency treatment, contact the closest office by phone or use the online booking system to schedule your consultation.

Venous Insufficiency Q & A

What are the symptoms venous insufficiency?

The most common symptom of venous insufficiency is the outward appearance of spider veins and varicose veins. Other symptoms include leg pain or discomfort that’s accompanied by:
  • Aching
  • Throbbing
  • Burning
  • Heaviness
  • Swelling
  • Itching
  • Fatigue
In some cases, venous insufficiency manifests as restless legs.

What causes venous insufficiency?

Multiple factors contribute to venous insufficiency. In some cases, vein disorders have a hereditary link. Those who have immediate family members with varicose veins or blood-clotting conditions are more likely to develop venous insufficiency.

When you injure your leg, the trauma may lead to inflammation that can cause venous insufficiency, although it may not develop right away.

Hormone medications, such as birth control pills and hormone replacement therapy, can also affect the health and function of your veins. Other hormonal fluctuations, such as puberty, pregnancy, and menopause, can influence the development of varicose veins and venous insufficiency.

Venous insufficiency can also result when you spend prolonged periods of time standing, and people in certain occupations have a higher risk of developing the condition, including nurses, hairstylists, and flight attendants.

How do you treat venous insufficiency?

The severity of your venous insufficiency and how it affects your life determines how Dr. Juleff treats it. After a thorough exam and evaluation, which may include a diagnostic ultrasound to monitor your blood flow, he discusses your options.

In some cases, lifestyle changes may improve your condition. Wearing compression stockings, getting daily exercise, and improving your diet is enough to reduce minor symptoms.

If your symptoms are more severe, Dr. Juleff may recommend an endovenous ablation. Using radiofrequency technology, he heats your troublesome veins to a temperature that makes them collapse. Your body naturally reroutes the blood via other veins, and over time your varicose veins and spider veins fade, as do the symptoms they create.

When varicose veins and venous insufficiency start affecting how your legs feel, find a solution at the Vein Clinics of Hawaii. Call one of Dr. Juleff’s seven offices today or go online to schedule your initial consultation.

*Individual results may vary.


Leg Swelling

Radio Frequency Ablation

Varicose Veins

Facial and Body Rejuvenation

Spider Veins and Scierotherapy

Venous Insufficiency

Laser Hair Reduction

Tattoo Removal


Dr. Juleff and the Vein Clinics of Hawaii provide a wide arrange of services that include, but are not limited to:

          -Endovenous laser ablation
          -ClosureFast: Endovenous Radio-frequency ablation
          – VenaSeal: Endovenous Biologic Adhesive Closure
          – Clarivein: Endovenous Mechanico-Chemical Closure
          – Varithena: Endovenous Chemical Closure
          – Ambulatory Microphlebectomy
          – Ultrasound Guided Sclerotherapy
          – Cosmetic Sclerotherapy

For any questions or concerns regarding conditions and treatments, please feel free to contact our office to speak to a member of our friendly staff.