What Are the Stages of Vein Diseases?
Vein diseases, such as Chronic Venous Insufficiency (CVI), progress through distinct veinous disease stages, impacting individuals in predictable patterns over time. These stages often begin with mild symptoms like swelling or aching in the leg veins and can escalate to more severe conditions, including varicose veins stages where veins become enlarged and twisted. If left untreated, vein disease severity can worsen, leading to complications like skin changes, leg ulcers, or even dangerous blood clots in the affected veins. Understanding these stages is key to recognizing early signs and seeking appropriate treatment.
Chronic Venous Insufficiency and other vein diseases follow a progression that can significantly affect quality of life. By identifying veinous disease stages early, individuals can take proactive steps to manage their vein health and prevent long-term complications.
Stage 1 – Spider Veins
Spider veins are small, thin blood vessels that appear close to the surface of the skin, often taking on a blue or purple color. These dilated veins, also known as telangiectasias, can be an early sign of venous insufficiency or even the beginning of varicose veins. More common in women than men, spider veins often form in the early stages of vein-related conditions.

Stage 2 – Varicose Veins / Ropey Veins
Early varicose veins are often the first noticeable sign of vein disease, which can significantly impact daily life. Over 75% of individuals with varicose veins experience symptoms such as burning, tingling, numbness, itchiness, tired or achy legs, heaviness, swelling, or restless sensations. If your legs swell or you notice these symptoms, it’s essential to consult a vein specialist. Addressing vein disease early can prevent further complications.

Stage 3 – Edema (Swelling) without Skin Changes
As vein diseases progress through the stages of varicose veins, symptoms such as leg swelling may start to appear. This occurs when backflow in the venous system disrupts the body’s ability to reabsorb fluid, leading to noticeable swelling. Bulging veins are another common sign of advancing vein disease, often accompanied by discomfort and heaviness in the legs. While elevating your legs can provide temporary relief, it does not address the root cause of venous disease. It's important to note that while leg swelling is frequently linked to vein conditions, other underlying factors may also contribute to this symptom.

Stage 4 – Skin Discoloration
The worsening of vein disease results in more noticeable signs, including changes in skin color. The skin may become thinner and shift to shades of reddish-brown or whitish discoloration. At this stage, symptoms include increased vulnerability to injuries and a slower healing process for the affected skin.

Stage 5 – Skin Changes with Healed Ulceration
Once an ulceration develops, treatment using minimally invasive procedures can help promote wound healing. These treatments also provide much-needed relief from vein disease symptoms.

Stage 6 – Skin Changes with Active Ulceration
Venous ulcers often develop as a result of malfunctioning venous valves and, if left untreated, can progress into chronic, painful wounds. That’s why it’s crucial to seek care at Summit Skin & Vein at the earliest signs of vein disease. Early intervention can make all the difference.
Stages 5 and 6 represent the most severe forms of superficial vein disease. At this stage, venous ulcers develop due to prolonged venous congestion, which disrupts normal blood flow and deprives the skin of essential nutrients. As the condition worsens, even minor skin injuries heal very slowly. Without proper treatment, these ulcers can persist for extended periods and are likely to deteriorate further over time.

Symptoms of Vein Disease
Common vein disease symptoms can include:
- Achiness and fatigue in the legs
- Burning or tingling sensations
- Nighttime leg cramping
- Reddish-brown skin discoloration
- Swelling in the lower legs and ankles
- Flaking or itching skin
- A full or heavy feeling in the legs
- Leathery-looking skin
- Ulcers near the ankles
- Varicose veins and reticular veins
Vein disease often progresses over time, and understanding the 6 stages of varicose veins is crucial for early detection and treatment. While treatment cannot reverse valve damage in your veins, it can significantly reduce symptoms, improve your quality of life, and prevent further complications. Procedures and surgeries, such as vein ablation or sclerotherapy, can target and eliminate damaged veins, stopping abnormal blood flow through them.
If you’re noticing signs of vein disease, such as reticular veins or varicose veins, it’s important to act early. At Summit Skin & Vein, we specialize in creating personalized vein disease treatment plans tailored to your needs. Don’t wait for symptoms to worsen—schedule a consultation and let us help restore your vein health today.
Vein Disease Treatment
At Summit Skin & Vein in Lee's Summit, MO, our expert providers specialize in treating all stages of vein disease, from early stage varicose veins to chronic venous insufficiency stages. Whether you're dealing with the early stages of venous insufficiency, spider veins, or more advanced vein conditions, our customized treatment plans are designed to suit your needs. We also consider factors like family history, lifestyle, and conditions such as deep vein thrombosis (DVT) to deliver the best care possible.
Our state-of-the-art facility combines advanced technology with extensive expertise to provide both medical and cosmetic treatments. For those with early stage vein issues or looking to prevent progression, we can help you maintain healthy veins through personalized care and recommendations such as staying physically active and incorporating regular exercise. Take the first step toward healthier, more confident skin—contact us today to schedule your consultation.
For more information about vein diseases, please contact Summit Skin & Vein Care today at (816) 533-4398.
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