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

Varicose veins are a serious problem that can later turn into CVI and trigger more serious consequences of the disease. Varicose veins are easier to treat in the early stages than in the later stages. In addition, depending on the stage of the disease, it will depend on how the disease is treated and what the prognosis is. The special classification directly determines all these indicators. Therefore, it is important to determine the degree of vascular damage in order to determine the correct treatment.


The classification of this disease provides a division of the clinical picture not only depending on the degree of varicose veins, but also depending on which organ or part of the body is affected. This has a direct impact on how varicose veins can be treated.

As a rule, the classification covers the following sections:

  • varicose veins in the legs;
  • damage to the anus, rectum (hemorrhoids);
  • disorders of the vessels of the esophagus, stomach, intestines;
  • varicocele (damage to the testicles and sperm cord);
  • Numerous disorders of the vessels of the organs and parts of the body.

It should be noted immediately that the manifestations of varicose veins of the lower extremities are the most common type of problem. It is also important to understand that the presence of one species does not guarantee the absence of another.

The reason is that there are preconditions in any form. If they are, then it is quite possible that the ships will be damaged anywhere else. Therefore, if the onset of one of the types of varicose veins in a person is detected, then treatment should be started as soon as possible and a number of measures should be taken to prevent the problem from occurring elsewhere.

Varicose veins of the lower extremities are one of the most common problems in the world. About a quarter of all women suffer from varicose veins. Other species are less common, but still worth knowing.

You also need to know what each of these types looks like. People almost always ignore the first symptoms of varicose veins, but even if there are external symptoms, you can easily diagnose the problem and see a doctor. But we must understand: according to general medical standards, the degree of varicose veins, although considered on a general scale, at the same time manifests itself in a completely different way.

Also, to facilitate the treatment process, the disease is usually divided into different symptoms and factors. The main groups include:

  1. Clinical manifestations (no symptoms on examination, appears in the form of pigmentation, swelling, ulcers).
  2. Depending on the degree of complications (swelling, thrombophlebitis of the lower extremities, the appearance of ulcerative manifestations, bleeding from ulcers, narrowing or blockage of the lumen of the vessel by a thrombus).
  3. Root causes (diabetes, hereditary predisposition, pregnancy).

For each of these points, the disease can be classified. This is important because it is important to evaluate the various features of the disease in order to draw a complete picture of its nature in order to create a complete clinical picture. It will depend on whether it is possible to do without surgery and what treatment would be ideal in this situation.


It is common to consider several stages of development in this disease. Symptoms, treatment methods and main manifestations depend on it. As a rule, even in almost every subsequent stage, the symptoms become more pronounced and noticeable. However, there are a number of specific manifestations that are characteristic only for the later stages.

In the photo you can clearly see the differences in the external symptoms of the disease at each stage. This will help guide you roughly and draw a conclusion about how far the disease has started.

Stages of development of varicose veins of the lower extremities

The following main stages of the disease are usually distinguished:

The first stage

It is often completely asymptomatic. On average, it can turn into grade 2 varicose veins within a year. Sometimes there is a faster transition to this stage, if there are additional triggers - the course of the disease in each case will be individual.

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

The second stage

Diagnosis of grade 2 varicose veins is already easier, because it has external symptoms - spider veins in the legs. There are also convulsions that start at night, numbness of the joints, swelling and quite noticeable pain. Grade 2 varicose veins often do not require surgery.

The second stage of varicose veins can be easily diagnosed without examination, as there are enough visible manifestations. At the same time, if there is secondary vascular wall damage, it will not be possible to cope without proper treatment - medication is prescribed and lifestyle adjustments are required.

The third stage

Grade 3 varicose veins are characterized by severe pathological changes. If the third stage is not treated, it can lead to the development of serious complications that can be easily resolved only surgically. Grade 3 varicose veins are characterized by a significant protrusion of the vessel wall - the veins can be visible even to the naked eye. There is also significant skin pigmentation and dryness.

Against this background, the skin is very sensitive to external damage - even a small injury can cause ulcers and sores. Pain syndrome is also very obvious - it happens in the evening and in the morning at rest. One of the manifestations of this stage is thrombophlebitis of the lower extremities as a characteristic complication.

If no action is taken, the problem can easily progress to a purulent stage, and the inflammatory process spreads to all blood vessels in the body.

The fourth stage

Sometimes thrombophlebitis of the lower extremities is isolated in the fourth stage, but this is not entirely true. This manifestation is not a mandatory stage in the consistent development of the disease and can occur only as one of the complications of the problem. Trophic ulcers, which often occur at the site of injury, are also complications. Especially in severe cases, if you do not start treatment, gangrene can occur in this area of the joint, even due to persistent ulcers.

Diagnosis and prognosis

You should contact a phlebologist as soon as the first signs of varicose veins appear in the legs. Only he will be able to determine the stage of development of the disease. It depends on how much the vessel wall is already affected and the lumen of the vessel is damaged.

The initial stage of VRV is usually easily treated. Treatment of varicose veins (methodology and features of therapy) depends on it. It will also determine if surgery is needed. If the therapy is chosen correctly, sometimes even neglected varicose veins can be easily defeated.

The initial stage of varicose veins can be easily treated, so it is ideal to start treatment of varicose veins in the legs or elsewhere as soon as possible to prevent further development of varicose veins.

The stages of varicose veins also affect what restrictions a person will have. For example, grade 1 varicose veins often do not require any significant restrictions on physical activity, and at a later stage it is necessary to choose special gymnastics and classes. The same goes for general limitations (lifting weights, stress on the body).

In conclusion, it should be noted that it is customary to distinguish 4 stages of varicose veins. Each stage of varicose veins has its manifestations. The classification also determines the treatment of varicose veins. It will be easier to defeat the disease in the early stages. Therefore, it is important to consult a doctor only when the initial stage of varicose veins occurs - then the prognosis will be more favorable. Based on research, only an experienced doctor can determine the stages of varicose veins, but how to start varicose veins should be known to anyone in the potential risk group for any reason.