Chronic Venous Insufficiency Explained: What You Need to Know

President Donald Trump Diagnosed With Chronic Venous Insufficiency Following Leg Swelling

President Donald Trump has been diagnosed with chronic venous insufficiency (CVI), the White House confirmed Thursday. The announcement follows a recent examination prompted by noticeable swelling in the former president’s legs. A photo taken Tuesday shows Trump addressing reporters on the South Lawn of the White House in Washington, DC.

CVI is a relatively common vascular condition, especially among older adults, and occurs when leg veins struggle to send blood back toward the heart. This inefficiency can lead to blood pooling in the lower limbs, often resulting in swelling around the feet and ankles. Other symptoms may include leg heaviness, aching, tingling sensations, and visible varicose veins. In more advanced cases, the condition may cause skin damage or ulcers.

The veins in our legs rely on one-way valves to fight gravity and push blood upward. If those valves become damaged—due to factors like blood clots, vein inflammation (phlebitis), or obesity—blood can flow backward and accumulate, leading to chronic venous insufficiency.

Doctors typically perform a comprehensive assessment to rule out more dangerous causes of leg swelling, such as heart failure, kidney disease, or deep vein thrombosis. Diagnosis is often confirmed via ultrasound imaging of the veins. Treatment strategies may include wearing compression stockings, elevating the legs regularly, and maintaining a healthy weight. Walking and other physical activity are also encouraged, as strong calf muscles help the veins pump blood efficiently. In severe cases, medication or minimally invasive vein procedures may be recommended.

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