Varicose Veins

Randall Juleff, MD, FACS -  - Cardiovascular Surgeon

Vein Clinics of Hawaii

Randall Juleff, MD, FACS

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

When ropey, enlarged veins wrap around your legs, they not only look unsightly, they can cause aching, itching, burning, and in extreme cases, ulcers. But you don’t have to let varicose veins get the best of you—at Vein Clinics of Hawaii, Randall Juleff, MD, FACS, specializes in varicose vein diagnosis and treatment. With convenient locations in Wailuku, Honolulu, Lihue, and Kamuela, Hawaii, you can get the smooth skin and legs you’ve always wanted. Call today to schedule your appointment with one of Hawaii’s top vein specialists or go online to book your appointment.

Varicose Veins Q & A

What do varicose veins look like?

Varicose veins form as enlarged, ropey lines that rise above your skin. Most often found on the legs, they protrude from the skin, creating bulges and ridges.

Accompanied by a variety of symptoms, varicose veins are associated with leg pain, including:

  • Achiness
  • Heaviness
  • Swelling
  • Burning
  • Cramping
  • Restlessness

 

In some cases, ulcers form in conjunction with varicose veins.

What causes varicose veins?

Varicose veins result when the veins’ valves fail. When a valve stops working, the pressure in the vein increases, causing it to dilate and form the telltale bulging veins associated with varicose veins.

Rarely do varicose veins form without an underlying cause. To determine what’s causing your condition, Dr. Juleff completes a thorough examination and evaluation. Depending on your specific case, your varicose veins may result from:

  • Heredity
  • Obesity
  • Hormonal imbalances
  • Sitting or standing too often
  • Increased pressure in the abdomen like with constipation or girdles
  • The skin injury or trauma

What is chronic venous insufficiency?

Chronic venous insufficiency, or CVI, is a progressive condition that may develop as varicose veins progress. When you have CVI, the valves in your veins don’t work properly, making it difficult for the blood to pump up and out of your legs. This causes your blood to pool in the legs.

Its symptoms include leg swelling, tissue damage, and ulcers.

How do you treat varicose veins?

Dr. Juleff determines the best course of treatment for your varicose veins based on a combination of things, including your symptoms, their severity, and your lifestyle. He develops a treatment plan to address the underlying vein condition that causes your varicose veins.

In many cases, he performs a microphlebectomy to address your varicose veins. This technique, which is also referred to ambulatory phlebectomy or stab avulsion, removes varicose veins via tiny incisions made along your skin.

For a nonsurgical approach, Dr. Juleff may suggest a radiofrequency ablation. Using a catheter, he delivers radiofrequency energy into your varicose veins, heating them and making them collapse. Over time, the veins shrink and the blood reroutes through other veins.

Dr. Juleff may recommend combining your microphlebectomy or radiofrequency ablation with another treatment, as well as making some lifestyle changes at home. He may suggest wearing compression socks, losing weight, or starting a regular walking routine.

To learn more about improving the appearance and symptoms of varicose veins, contact Dr. Juleff, Hawaii’s vein specialist. Call one of the four offices today or go online to book your initial consultation.

*Individual results may vary.

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