Advanced Vein Care
Patricia Foote, Randall Juleff MD, Stacey Gros, Jackie Jones Pope, Kayla Perino, David Lumpkin RVT
Wise Girl Design and Photography
If you’ve ever had varicose veins, you know how unsightly they can be. But did you know varicose veins can also be a source of leg pain, fatigue, skin darkening and other issues? These are actually signs of something called venous insufficiency, and Dr. Randall S. Juleff has made it his mission to care for and educate those who suffer from it.
Cutting edge vein treatment
At La Bella Vita Laser and Vein Center, Dr. Juleff focuses on treating a variety of vein related problems. He is triple board certified in Phlebology, General Surgery and Cardiovascular & Thoracic Surgery and has nearly 20 years of experience. After training and working as a heart surgeon and vascular surgeon, Dr. Juleff recognized the technological advancements happening in vein care. Previously, the only treatment for varicose veins and venous insufficiency was surgical vein stripping. It required general anesthesia, admission to a hospital and an operation that required incisions that left unsightly scars. There was also bruising and discomfort. Today’s procedures are strictly done in the office on an outpatient basis. Dr. Juleff uses oral sedation and local anesthesia, with most procedures completed in an hour or less. Patients are given a light dressing, there is little down time and only mild discomfort. Some patients can return to work the same day and resume exercise almost immediately.
Improving the quality of life
“I saw what a tremendous benefit this had for people. I didn’t initially appreciate how widespread of a problem venous insufficiency was”, says Dr. Juleff. “It’s significant in terms of how much better people can feel and how much more energy they have. I was taken aback by the amount of good the procedures that we do have on patient’s symptoms and lives for that matter.”
One significant point Dr. Juleff likes to stress is that spider veins and varicose veins are generally not a cosmetic issue alone. “It is a general misconception,” he says. “Nothing could be further from the truth.” In the majority of people, these veins are a sign of an underlying problem in the deeper veins of the legs. The varicose vein itself is not the problem; it is simply a result of the abnormal function of these deeper veins. If you think you may suffer from this, there are typical symptoms to watch out for that progress over time. These can be things like achiness, heaviness, fatigue, itching and burning of the skin, swelling (chronic with ankles and feet) and/or Restless Leg Syndrome (RSL). Treatment early on can truly affect a person’s quality of life.
Managing the risk
There are a variety of factors that impact the risk of vein disease. While some can be managed through lifestyle changes, others are outside of an individual’s control. People are more likely to experience vein issues as they grow older, as age can cause wear and tear that makes veins less effective, increasing the risk of circulation issues. Patients who have a family history of vein disease are more likely to have problems themselves. Other risk factors are multiple pregnancies, obesity and individuals who work on their feet. Compression stockings are a great prevention tool.
In older individuals, muscle cramping can be a huge sign of venous insufficiency. “This can be extremely debilitating,” says Dr. Juleff. Not only is the individual in pain, but they are exhausted from waking multiple times throughout the night. Brownish discoloration of the skin is another sign that is extremely common in venous insufficiency and not a well-known sign of underlying venous disease.
According to Dr. Juleff, roughly 50 percent of the American population over the age of 50 will have a significant amount of venous insufficiency. It’s seen in men almost as commonly as in women. It appears slowly, over a long period of time and since some of the symptoms aren’t automatically related to venous insufficiency, it is often misdiagnosed. This can even lead to a rash of the legs called venous eczema. Those who suffer from it may seek the advice of other doctors, such as dermatologists, not realizing its much more than just a skin condition. If left untreated, this leads to worsening problems with skin and ultimately to skin breakdown and chronic ulceration. Seventy percent of patients being treated in wound care clinics for ulcerations of the lower leg are in fact caused by venous insufficiency. The patients often will be treated with hyperbaric treatments and wound care dressings and the wound will heal, however, it will continue to reoccur if the underlying cause isn’t treated.
Blood clots are another major concern. All those with venous insufficiency are susceptible to deep vein thrombosis (DVT) and if left untreated, it can lead to a fatal pulmonary embolism. Each year, 100,000 people in the US die from a pulmonary embolism.
Minimally invasive and conservative treatment
Dr. Juleff offers a wide array of advanced treatment options. His extensive experience in the latest vein care not only improves the outward appearance but also treats the cause of annoying and sometimes debilitating vein issues. The long-term success rate with these treatments is 95-97%. Once procedures are completed, Dr. Juleff and his staff monitor their patients with a schedule of “surveillance” ultrasounds to assure nothing new arises in the future. If something would arise, these issues are caught early and acted upon before they get to a serious level.
Dr. Juleff’s own mother was one of his most recent success stories, along with countless others.
“The improvement has been amazing,” says one patient. “My legs are more energetic, they aren’t sore or tired. It’s just fantastic.”
The highly educated and experienced staff at La Bella Vita provides its patients with the best possible care, in a caring and virtually pain-free manner, allowing you to stay comfortable and return to your daily life as quickly as possible. They also offer a number of non-surgical aesthetic procedures, including hair removal, facial fillers, skin rejuvenation and BOTOX Cosmetic. Learn more at labellavitavein.com or call 985-892-2950.