Dear Concerned., Thanks for writing to us. The long hours of standing in your job has lead to stasis of blood in leg veins and the resultant veinous back pressure which has lead to Ankle oedema and swelling in toes. Whenever there is Stasis of blood in dependent extremities it will lead to extravasation of haemoglobin from sequestrated RBCs into the Subcutaneous Spaces leading to discolouration(tiny red spots-your history). Coming to after effects of Stasis of blood due to standing for a prolonged period ,it will finally lead to incompetence of veinous valves leading to unusual bloating of veins in legs called Varicose vein . In some instances Clotting may occur inside your deep veins of calf muscles leading to blockage in veinous return to the heart and extravasation of blood thereby tiny blood stained spots would have developed subcutaneously in the ankle area. For a longer time if you continue the same work,it may lead to wear and tear of cartillages of the weight bearing joints and as a result of putting on weight and wearing of heels ,arthritis may develop in the ankes and knee joints. Preventive measures;- A)Try to sit down for some time and comfortably try to move your ankle/knee and hip joints and after some time walk 30-40 steps during your working period to prevent Stasis and DVT formation.Apply Heparin containing creams over the affected area to clear of the unsightly marks.You may also in addition have a T.Dispirin(Aspirin) which would prevent DVT. B)Keep 2-3 pillows under your ankle and sleep in a leg-up position to increase the veinous return and reduce ankle oedema. C)Try to excuse from wearing high healed foot wear fot two weeks and see the effect of the change. If the above measures fail to bring about any desires positive response.,kindly consult a General surgeon for a thorough check up and advice. Wishing you a speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan.