Home > Ankle Discoloration: A Sign of Vein Disease
Updated on Oct 18, 2022 by Dr. Jonathan Arad (Vein Doctor) of Vein Care Center
You should not ignore discoloration of ankles, swelling, or indents from socks that continue to worsen as it may be a sign of vein disease or some underlying medical condition. Schedule an appointment with your doctor without wasting time as dark ankles are not only unattractive to look at and affect your self-esteem but also turn serious if they are left untreated for a long time. Dr. Jonathan Arad, vein specialist at the Vein Care Center will determine the causes behind the bruising around your ankles, help to prevent resulting complications, and come up with the best treatment to relieve your symptoms.
Ankle discoloration or darkening of the lower leg, ankle, or foot often results from hemosiderin deposits. Hemosiderin is a brownish pigment that results from the breakdown of blood hemoglobin, the iron content in the red blood cells. When hemosiderin causes foot and ankle discoloration, it is called stasis dermatitis. It is a sign of venous insufficiency or problems with blood flow.
Also known as reflux disease and venous hypertension, stasis dermatitis is a common inflammatory skin disease that occurs in the lower part of the body. It is a sign of chronic venous insufficiency and may result in further complications such as vascular leg ulceration if left unattended.
It is identified by dark pigmentation around the ankles, but sometimes persistent redness in the lower legs and feet can also point to venous insufficiency. Stasis dermatitis usually affects people during their middle and later ages. It rarely occurs at a young age. People undergoing surgery, trauma, or thrombosis can suffer from venous insufficiency in exceptional cases. Accurate diagnosis is crucial for effective treatment, and you must consult a vein expert doctor to learn more about your condition and its causes.
Stasis dermatitis is different from other conditions such as cellulite when the redness or discoloration is evenly distributed between the two legs and seems unresponsive to common treatments. Sometimes, recurring cellulitis can be a result of venous insufficiency.
Stasis dermatitis manifests itself by causing changes in the skin color at the inner or outer aspect of the ankle. You will find staining or development of brown color changes around the ankle that aggravate with time, accompanied by swelling. It will also result in poorly-healing wounds called venous stasis ulcers.
Other symptoms can include:
These symptoms take some time, usually years to develop before you begin to notice them and seek medical attention.
Stasis dermatitis occurs due to venous insufficiency when the leg veins do not support blood flow back up to the heart. It results from a disturbed one-way valvular system in the venous network of the legs that leads to the backflow of blood down the legs instead of its normal upward flow towards the heart.
Other causes include:
The only way to manage stasis dermatitis is to treat the underlying vein condition.
Risk factors for stasis dermatitis
You might be at a higher risk of suffering from ankle discolor and consequent stasis dermatitis in certain situations. They include:
Seek medical help immediately if you are at a high risk of suffering from stasis dermatitis and notice ankle discoloration and other symptoms to prevent critical damage.
Evaluation of your condition is the first step towards accurate diagnosis and treatment. The experienced vein doctor will evaluate your symptoms to determine the causes and severity of venous insufficiency before recommending any solution. Diagnosis includes ultrasound to identify where the veins are damaged, how badly, and what symptoms you are suffering. The ultrasound examination assesses the flow of blood through the veins in the legs.
If the veins are not performing to their full capacity, the blood will not go back to the heart as it should. Valves located in the legs push the blood upwards to the heart, but due to certain health conditions, valves can have a problem in doing their job.
Stasis dermatitis is treated by addressing the underlying vein disorder. The expert vein doctor will examine your ankles and perform a series of diagnostic tests to confirm venous insufficiency before proceeding with treatment. He will recommend the best solutions depending on your symptoms and the presence of leg wounds.
Treatments options for ankle discoloration and vein diseases are non-invasive medical therapies and minimally-invasive vein restoration procedures. They include:
The goal of treatment is to alleviate any symptoms, reduce growing skin discoloration and prevent the development of venous ulcers that become serious in the long run. The doctor will discuss the risks and benefits to ensure you get permanent relief from discolored and swollen ankles and associated vein disease.
The doctor comes up with customized plans to manage your condition and reduce ankle discoloration.
It helps to manage conditions like venous insufficiency, deep vein thrombosis, superficial vein thrombosis, and venous obstruction. The most commonly recommended treatment is prescription strength graduated medical grade stockings. They ease swelling and improve blood flow in the legs by squeezing them to encourage the blood to flow past the faulty valves and back up to your heart, instead of pooling and causing damage. They come in knee-high and thigh-high varieties and deliver accurate pressure when fitted according to the patient’s individual needs. It is best to consult a doctor to get compression stockings that fit right and offer anticipated results.
Vein specialists also advise a change in lifestyle for treating stasis dermatitis and preventing further deterioration of the condition. They include:
The expert vein doctor strives to improve blood circulation and comes up with customized treatment plans, specifically developed for your unique situation to restore the proper functioning of veins.
As you learn to manage your symptoms, Dr. Jonathan Arad at the Vein Care Center keeps an eye on your progress. He may also make some changes to the treatment plan if needed. The most effective treatment keeps ankle discoloration and vein diseases from disrupting your personal and work life and ensures overall health and wellbeing. Schedule an appointment with a vein specialist to know more about restorative options that provide lasting relief from darkened, swollen ankles and venous insufficiency with comprehensive vein care.Dr. Jonathan Arad has either authored or reviewed and approved this content.