Spider Veins Small, reddish-purple reticular veins appear on the legs, ankles, neck, face, and other areas. They are not necessarily related to varicose veins, but are caused by the same underlying CVI (Chronic venous insufficiency in stages). They are more common in women than in men.
Varicose Veins: This is the stage at which people often first become aware that they have a vein disease. The swollen veins may be accompanied by itching, burning, or numbness along the veins themselves, and by tired, weak, or achy legs. This is the best stage at which to treat them.
Edema (swelling): but without skin changes. In this stage, swelling of the legs and ankles increases because CVI has impaired the circulatory system’s ability to reabsorb fluid. Elevation of the limbs may help, but will not cure the disease or reduce the swelling much.
Skin changes and discolouration: As the disease progresses, venous congestion and poor circulation can lead to changes in skin colour and texture. The skin on your legs can become reddish-brown or white in colour, and take on a more leathery texture that leaves it brittle and prone to injury.
Skin changes with healed ulceration. In this stage, scratches or injuries to the toughened skin may heal with treatment, often leaving scars.
Skin changes with active ulceration. In this final stage of CVI, injuries to the skin and leg ulcers refuse to heal even with treatment, and can leave your legs literally covered with bleeding, open sores.