Spider veins and varicose veins: Venous reflux
“Clusters of tiny blue and red blood vessels in the inner ankle may indicate an underlying problem [that’s] not visible to the naked eye,” says Nisha Bunke, MD, FACPh, RPhS, a vein specialist at La Jolla Vein Care in San Diego, California. She explains that these small veins are sometimes “the tip of the iceberg” and may be a sign of venous reflux, a condition that affects the circulation of blood in a person’s lower extremities.
If left untreated, venous reflux can lead to blood clots and hemorrhaging, so make sure to seek professional care if you have varicose pains coupled with any swelling or pain.
Darkening of the skin around the ankle: Chronic venous insufficiency
According to Bunke, the darkening of the skin around the ankle, also known as skin hyperpigmentation, is a sign of chronic venous insufficiency (CVI). This According to Bunke, the darkening of the skin around the ankle, also known as skin hyperpigmentation, is a sign of condition occurs when the valves in a person’s leg veins aren’t working effectively, causing blood to pool in the veins rather than return to the heart.
“This [symptom] usually occurs in the inner ankle and can worsen to involve the lower portion of the leg,” Bunke says. “Over time, the skin becomes firm, dry, eczema-like, and itchy and can even break open, causing a venous leg ulcer.”