5 Stages Of Chronic Venous Disease Insufficiency You Should Be Aware



  • Introduction of CVI
  • Stages of CVI
  • Research study about CVI
  • Treatment



What Is Meant By Chronic Venous Disease Insufficiency?

Chronic venous disease insufficiency is a widely spread disease. It is one of the most deadly, unrecognized, and prevalent diseases having a disastrous impact on human health. Chronic venous disease is a situation that affects the venous system of the body. It occurs when tiny valves become damaged. The blood flow increases towards the veins, and blood stays there, causing swelling and aching in the legs. It leads to enlargement in the veins and changes in the color of the skin. Chronic venous disease insufficiency have 5 stages.

It affects 5-15% of the western population.

Suppose you’re encountering varicose veins having pain and inflammation in the legs. In that case, this blog post is for you to help you out in understanding the overview of the stages, including Chronic Venous Insufficiency.

What Are The Stages Of Chronic Venous disease Insufficiency?


Stages Of Chronic Venous Insufficiency

The first stage includes spider/reticular veins. These are small veins consist of reddish-purple/bluish-purple in color. These are more commonly found in women as compared to men. These veins are present like spider-web-like patterns, and these are tiny veins; therefore, it is hard to see them sometimes.

These are visible in the legs, ankles, face, and neck. They are not an issue because there is no feeling of pain or discomfort while encountering them. We cannot let them go unnoticed, as this is the first stage of CVI.

What May Be The Possible Causes Of Spider Veins?

  • Obesity problems
  • Imbalance in the Hormone system
  • Hereditary reasons
  • Standing for a long time in routine work.
  • Pregnancy

Most people ignore this stage, but we must get a proper checkup to suppress this step to avoid further stages of chronic venous insufficiency.


This stage is related to varicose veins. Most people become aware of the severity of the veins disease at this stage because varicose veins are enlarged by appearing on your legs and feet. It may not be because of any pain or don’t show any hazardous effects. On the contrary, it becomes quite problematic because there is nagging pain and becomes frustrated.

What Are The Symptoms Of Varicose Veins?

  • Burning or itching in the legs
  • Hardening of veins
  • Standing for a long time causes pain.
  • Swelling or inflammation appears in the legs.
  • We feel tired/exhausted.

If you face hardening or inflammation in your legs, you must visit a practitioner for a proper checkup.

What May Be The Possible Causes Of This Stage?


Age factor; as we become aged, the flexibility of expanding and stretching in our veins is disturbed/badly affected. The valves inside the veins weaken, and the flow of blood is backward. Therefore, blood stays in the veins for a long time instead of flowing smoothly. Resultantly, blood gets a deep purple color.


Pregnancy period; when a woman is having a pregnancy, the amount of blood within the body increases. The flow of blood decreases, and gets disturbed from your veins, causing enlarged veins in the legs.


Obesity and hormonal imbalance play a key role in varicose veins. The anxiety, and tiredness get their place in return.


This step is associated with swelling in the legs and ankles without changing the skin color. CVI is necessarily concerned with the circulatory system, which reabsorbed the fluids. When we feel swelling in our legs, it directly impacts the circulation of blood within our body.

What Are The Possible Symptoms Associated With Swelling In The Legs?

  • Tiredness in the legs
  • Itchy legs
  • Severe pain feeling
  • Leg ulcers
  • Difficulty in walking
  • Numbness around varicose veins

These symptoms, as mentioned earlier, are somewhat similar to the signs of the first stage. So, if you find varicose veins, and swelling, then you must ensure its treatment timely.

Blood flow starts reaching the heart, and you may feel relieved by raising your legs above the heart. When you lay your legs down in a sitting position, you may get swelling in your legs again.

What May Be The Possible Causes Of This Stage?

  • Smoking side effects
  • High blood pressure
  • Heart problems
  • Sitting or standing for a long time.
  • Chronic vein diseases


This stage is related to changes in color and skin texture.

At this stage, the CVI severity gets worsened because the skin color turns brown, and the skin becomes vulnerable. There are high chances of bleeding as the skin layer is relatively weak at this place. It is likely possible to face severe pain along with the itchy surface of the affected area—the skin color of the legs changes to reddish-brown or white.

What Are The Possible Symptoms Of Stage 4?

  • Variations/changing in color
  • Itching in the legs
  • Pain in the legs and ankles
  • Hardening of skin around varicose veins
  • Swelling/inflammation

It would help if you got a proper checkup from a renowned doctor to have a permanent treatment.

What May Be The Possible Causes Of Skin Discoloration?

There can be multiple reasons, but the most known are given below:

  • Chronic veins disease
  • Gain in weight
  • Changes in the hormone system
  • Standing for a long time.
  • Unhealthy diet plan


This stage consists of healed leg ulcers.

In this CVI condition, the treatment is comfortable to cure the scratches and vulnerabilities to an injury. The tightened skin of the legs often gets scars on its surface after having treatment. In this stage, we can say a change in skin color is possible due to healed ulceration. There is an improvement in it.

The ulceration occurs due to skin tissue breakage. Excessive pressure in our veins causes an ulcer on the outer surface of the skin. A research study suggests that the flow of blood is towards capillaries, increasing white blood cells. Additionally, there is a decrease in oxygen storage in the blood leads to ulcers on our surface.

What Are The Symptoms Of Leg Ulcer?

  • Heavy legs
  • Swelling/inflammation in the legs
  • Itching or numbness around the veins
  • Pain and discomfort feelings
  • Tightness

If any one of your ancestors has CVI, it is most likely you’ll have to encounter this issue. If you are experiencing any of these symptoms mentioned above, you must visit a doctor to avoid hilarious consequences.


It is the final stage of chronic venous insufficiency as there are no chances to recover skin vulnerable to injuries. It leads to bleeding and open sores throughout the skin.

Leg ulcers are nearly impossible to heal at this stage of the disease.

Modified Widmer’s classification of VCI

  • Stage1 includes edema bounded to legs and ankles in the reverse process.
  • Stage2 associated with edema extended above ankles
  • Stage3a refers to a healed ulcer.
  • Stage3b concerned with an active ulcer on the leg.

A research study carried out over 100 patients in Dhaka hospital from Jan 2005 to June 2005

It was found that

  • Heaviness in the legs (87%)
  • Pain the legs (75%),
  • Swelling/inflammation in the legs (70%),
  • Cramping leg pain (68%),
  • Exhaustion (48%),
  • Burning of the skin (43%),
  • Itching in the legs (13%)
  • Skin changes without active ulceration (7%)
  • Active leg ulceration only 3% of cases. Increasing age of the patients.


Medical compression therapy is considered the best treatment for chronic venous or veins disease. It is only helpful avoid worsening effects of these diseases, but it plays a crucial role in timely treatment in relieving the symptoms and edema present in the legs.

Still, it is as efficient as proper treatment is but for temporary recovery.


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