Former President Donald Trump has been diagnosed with chronic venous insufficiency (CVI) after experiencing leg swelling — a condition that’s common in older adults but can indicate more serious health concerns if not properly evaluated.
What Is Chronic Venous Insufficiency?
Chronic venous insufficiency (CVI) is a medical condition where the veins in the legs struggle to return blood back to the heart, leading to blood pooling in the lower limbs. This causes leg swelling, particularly around the ankles and feet.
Common symptoms of CVI include:
- Swollen legs and ankles
- Achy, heavy, or tired legs
- Tingling or burning sensations
- Varicose veins
- In severe cases, skin ulcers or open sores
What Causes Chronic Venous Insufficiency?
Leg veins rely on one-way valves to keep blood moving upward, against gravity. If these valves become weak or damaged, blood flows backward and collects in the veins.
Risk factors for CVI include:
- Blood clots (deep vein thrombosis or DVT)
- Phlebitis (vein inflammation)
- Obesity or being overweight
- Prolonged sitting or standing
- Aging and reduced physical activity
How Is Chronic Venous Insufficiency Diagnosed?
Before confirming a diagnosis of CVI, doctors must rule out more serious causes of leg swelling, such as:
- Heart failure
- Kidney disease
- Blood clots
A vascular ultrasound is typically used to examine blood flow in the leg veins and identify any valve damage or obstruction.
How Is Chronic Venous Insufficiency Treated?
According to the Cleveland Clinic, treatment for CVI often starts with lifestyle changes and non-invasive options, including:
- Wearing compression stockings
- Elevating the legs regularly
- Losing excess weight
- Daily exercise, especially walking, to strengthen leg muscles
In more advanced cases, medications or minimally invasive procedures such as sclerotherapy or vein ablation may be recommended.
Final Thoughts
While chronic venous insufficiency is not uncommon in older adults, it’s important to seek medical evaluation for any persistent leg swelling to rule out potentially serious conditions. Trump’s diagnosis has brought renewed attention to CVI and the importance of early detection and management.