Clinical signs indicate the severity of the chronic venous disease. After doing examination it is possible to diagnose its stage. As these are derived as a result of the studies which are conducted before. A treatment plan is suggested to the patients according to different levels of severity.

A classification called CEAP classification (which stands for clinical signs, etiological classification, anatomical distribution, and pathophysiological dysfunction) is used to evaluate the advancement of the disease. This is done based on visible clinical signs.

Clinical Signs of Chronic Venous Disease

These are graded from (0-6) C0, C1, C2, C3, C4, C5, C6 where ‘C ‘stands for clinical. However, the term chronic venous insufficiency CV1 is enough to define itself. The Gilvydis clinic in Geneva and Sycamore treats vein diseases. The patients are educated regarding the problems which arise due to venous disease. The clinic is known for its reputation and expertise in vein care.


This is the initial stage. No abnormality is observed in the structure of the venous system of the lower limb. A patient may experience certain symptoms like the slow movement of the blood, feeling of heaviness and pain in the legs. But no visible signs of venous disease.


At this stage, the first clinical sign is seen, which is the presence of reticular veins. These occur due to an increase in the venous pressure in leg veins. It may also happen due to fluctuating hormones, variations in the weight, etc.

C2 (Formation of varicose veins)

These are formed in the major portion of the lower limb. Varicose veins can be seen and felt clearly. This occurs because venous blood is not able to circulate properly or due to weakened venous walls.

C3 (Due to venous edema)

As there is an increase in the venous pressure, it results in the leakage of intravascular fluid into the tissues. The venous network is not able to absorb the fluid. This venous hypertension is visible clearly.


The progress of the disorder in C3 leads to tissue damage. Even after the treatment scars are visible. Trophic changes occur such as the development of varicose eczema.

C5 (healed ulcer with trophic changes)

A leg ulcer, once healed may reoccur. The chances are more than developing a venous leg ulcer on the skin, which was not present previously. It happens when the trophic changes continue even after wound healing.

C6 (venous ulcers are available)

The last stage in deep-rooted venous insufficiency is venous leg ulcer. The skin substance is lost to a large extent. Metabolic waste products get deposited. It develops spontaneously. This gives a sure indication that the disease has reached an advanced stage.


Thus, clinical signs show the severity of the disease and the level it has reached. It has a tremendous effect on the quality of your life. After doing proper analysis, a proper treatment plan can be prescribed for the patient. It is advisable to start treatment earlier to avoid the complication of chronic venous disease.

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