Stages of varicose veins, the first signs of varicose veins on the legs

Varicose veins are a serious problem that can later turn into CVI and provoke more serious consequences of the disease. Varicose veins at the initial stage are much easier to cure than at a later stage. In addition, depending on which stage of the disease occurs, it will depend on how to treat the disease and what are the prognosis. A special classification directly defines all these indicators. That is why, in order to prescribe the correct treatment, it is important to determine the degree of vascular damage.


The classification of this disease provides for the division of the clinical picture, not only depending on the degree of varicose veins, but also on which organ or part of the body is affected. This directly affects how it will be possible to cure varicose veins.

As a general rule, classification involves the following divisions:

  • varicose veins on the legs;
  • damage to the anus, rectum (hemorrhoids);
  • disruption of the vessels of the esophagus, stomach, intestines;
  • varicocele (damage to the testicles and spermatic cord);
  • numerous violations in the work of vessels of organs and parts of the body.

We must immediately stipulate that manifestations of varicose veins of the lower extremities are the most common type of problem. It should also be understood that the presence of one species does not guarantee the absence of any other.

The reason is that in any form there are prerequisites. If they are, then it is quite possible that the vessels are damaged in any other place. That is why, if a person is diagnosed with the onset of one of the types of varicose veins, then treatment should be started as soon as possible and a number of measures should be taken to prevent the problem from occurring elsewhere.

Manifestations of varicose veins of the lower extremities are one of the most common problems worldwide. Approximately a quarter of all women suffer from varicose veins. Other species are much less common, but still worth knowing about.

You also need to know what each of these species looks like. Almost always, people simply ignore the first symptoms of varicose veins, but even if there are external signs, you can easily guess about the problem and consult a doctor. But we must understand: although according to general medical standards, the degrees of varicose veins are considered on a general scale, but at the same time they manifest themselves in completely different ways.

Also, to facilitate the treatment process, the disease is usually divided according to various signs and factors. The main groups include:

  1. Clinical manifestations (there are no symptoms as such during examination, they appear in the form of pigmentation, swelling, the presence of ulcers).
  2. According to the degree of complications (swelling, thrombophlebitis of the lower extremities, the formation of ulcerative manifestations, bleeding from ulcers, is there a narrowing or blockage of the lumen of the vessel by a thrombus).
  3. Root causes (diabetes, hereditary predisposition, pregnancy).

For each of these items, the disease can be classified. This is important, because in order to form a complete clinical picture, it is important to evaluate the various characteristics of the disease in order to be able to draw full conclusions about its nature. It will depend on whether it is possible to do without surgery and what treatment will be ideal in this case.


In this disease, it is customary to consider several stages of development. Symptoms, treatment methods and the main manifestations directly depend on this. As a general rule, one can even say that usually with each subsequent phase, the symptoms simply become more pronounced and noticeable. But there are also a number of specific manifestations that are characteristic only for subsequent stages.

In the photo you can clearly see the differences in the external signs of the disease at each stage. This will help you roughly orient yourself and draw a conclusion about how much the disease has already started.

Stages of development of varicose veins of the lower extremities

Usually, the following main stages of the development of the disease are distinguished:

First stage

Most often it is completely asymptomatic. On average, for a year, it can turn into varicose veins of the 2nd degree. Sometimes there is a faster transition to this stage, if there are additional provoking factors - in each situation, the course of the disease will be individual.

The initial stage of varicose veins in the legs can usually be felt by general fatigue and swelling of the legs, but often even a doctor cannot diagnose first-degree varicose veins without a special ultrasound.

Second stage

Varicose veins of the 2nd degree are already much easier to diagnose, since it has external signs - spider veins on the legs. Also, convulsions that begin at night, numbness of the limb, swelling and quite noticeable pain make themselves felt. Varicose veins of the 2nd degree often do not require surgical intervention.

The second stage of varicose veins can easily be diagnosed without examination, as there are quite visible manifestations. At the same time, if there is damage to the vascular wall of the second degree, then without the right treatment, it will not be possible to cope with the problem - prescription of medication and lifestyle adjustments are required.

Third stage

Varicose veins of the 3rd degree are characterized by serious pathological changes. If the third stage is not treated, then this can easily lead to the development of serious complications that can only be dealt with surgically. Varicose veins of the 3rd degree are characterized by a significant protrusion of the vascular wall - the veins can be seen even with the naked eye. There is also significant pigmentation and dryness of the skin.

Against this background, the skin becomes very sensitive to external damage - even with a minor injury, ulcers and wounds can form. The pain syndrome also becomes very pronounced - it occurs even at rest in the evening and morning. One of the manifestations at this stage is also thrombophlebitis of the lower extremities as a characteristic complication.

If no measures are taken, then this problem can easily go further into the purulent stage, and the inflammatory process spreads to all the vessels of the body.

Fourth stage

Sometimes thrombophlebitis of the lower extremities is isolated in the fourth stage, but this is not entirely correct. This manifestation is not an obligatory stage in the sequential development of the disease and can only occur as one of the complications of the problem. Trophic ulcers, which often occur at the site of injury, are also complications. In especially severe cases, if you do not start treatment, it is even possible to form gangrene in this area of \u200b\u200bthe limb due to constantly non-healing ulcers.

Diagnostics and prognosis

As soon as the first signs of varicose veins appear on the legs, you need to contact a phlebologist. Only he will be able to determine at what stage of development the disease is. It depends on how much the vascular wall is already affected and the lumen of the vessel is disturbed.

The initial phase of VRV is usually easily treated. Treatment of varicose veins (methodology and features of therapy) directly depend on this. It will also determine if surgery is needed. Sometimes even neglected varicose veins can be easily defeated if the therapy is chosen correctly.

The initial stage of varicose veins is easily treatable, so it is ideal to start treating varicose veins in the legs or anywhere else as soon as possible to prevent further development of varicose veins.

Also, the stages of varicose veins also affect what kind of restrictions will be for a person. For example, varicose veins of the 1st degree often do not require any significant restrictions on physical activity, while at a later stage it will be necessary to select special gymnastics and classes. The same applies to general restrictions (lifting weights, stress on the body).

Summing up, it is worth noting once again that it is customary to distinguish 4 stages of varicose veins. Each stage of varicose veins has its own manifestations. The classification also determines the treatment of varicose veins. In the early stages, it will be much easier to defeat the disease. That is why it is important to consult a doctor when only the initial stage of varicose veins occurs - then the prognosis will be much more favorable. Only an experienced doctor can determine the stages of varicose veins based on the research, but how varicose veins begin should be known to every person who, for any reason, is in a potential risk group.