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In early July 2025, after photos of swollen ankles at the FIFA Club World Cup went viral, the White House confirmed that President Donald Trump, now 79, has been diagnosed with chronic venous insufficiency (CVI). Though the diagnosis raised eyebrows online, his medical team stressed that CVI is a benign and common condition in older adults—something more of a discomfort than a threat.
To better understand the condition, let’s explore what CVI is, how it shows up in people’s lives, and why it’s being spotlighted now.
What Exactly Is Chronic Venous Insufficiency?
CVI occurs when veins in the legs fail to return blood efficiently to the heart. Normally, leg veins have one-way valves that prevent blood from flowing backward. When these valves lose function—due to age, wear and tear, or damage—blood pools in the lower legs and increases pressure in tiny veins
This may not sound dramatic, but the result can be significant: swelling, aching, varicose veins, and even skin changes . While serious complications like venous ulcers or clots are rare, untreated CVI can evolve over time
What Symptoms Led to Trump’s Diagnosis?
Trump’s team noted mild swelling in both legs, particularly around the ankles, seen in photos taken in New Jersey ([The Sun][1]). He also had a bruise on his right hand, which his physicians attributed to frequent handshaking and aspirin therapy—not a sign of a deeper health issue
A thorough set of exams followed, including venous Doppler ultrasounds, an echocardiogram, and blood tests. Importantly, they ruled out deeper issues like deep vein thrombosis (DVT), arterial disease, kidney problems, or heart failure .
Common Symptoms of CVI
Even without dramatic announcements, CVI symptoms are varied and often subtle:
1. Swollen ankles or calves that worsen throughout the day
2. A feeling of heaviness or aching in the legs 
3. Visible varicose veins
4. Skin discoloration and dryness or itchiness on the lower legs
5. Possible inflammation or minor ulcers in more severe cases
For Trump, the announcement emphasized that he has no associated pain and remains in “excellent health”
Who Is At Risk?
Medical experts agree that age is the dominant risk factor—CVI becomes more common in people over 70. Other influence include:
1. Obesity or excess weight
2. Genetics and family history of vein issues
3. Previous leg injuries or blood clots
4. Prolonged standing or sitting
5. Smoking or high blood pressure
Trump’s profile—being nearly 79, with a history of aspirin use and high public activity—fits several of these factors
How is CVI Diagnosed?
Diagnosis generally follows a straightforward process:
1. Physical exam to assess swelling, skin changes, and vein patterns
2. Doppler ultrasound to measure blood flow and valve function 
3. Echocardiogram and blood tests to exclude more serious conditions
This is exactly the evaluation sequence Trump received—thorough yet reassuring
Managing CVI: What Works?
According to vascular specialists, CVI is manageable through conservative care:
1. Compression stockings
These gently apply pressure to promote better blood return
2. Leg elevation
Raising legs above heart level for 20 minutes helps reduce swelling
3. Regular exercise
Daily steps or stretches support vein function
4. Weight management
Reducing pressure on veins slows progression
5. Medication
Anti-inflammatory drugs or vein-strengthening supplements are sometimes prescribed 
6. Minimally invasive procedures
Ultrasound-guided ablation or sclerotherapy to close leaking veins
7. Surgical options
Mostly for advanced cases, like vein stripping or valve repair 
Trump’s medical team reportedly recommended conservative treatment—no surgery, no powerful drugs .
Should You Be Concerned?
CVI isn’t life-threatening, but ignoring it can lead to discomfort or complications like skin ulcers or clots.
For most people—especially those over 50—regular monitoring and lifestyle habits can keep CVI in check. The condition Trump has is common and manageable, and—reassuringly—does not limit daily activity.
What Trump’s Diagnosis Means Publicly
This health news broke into the spotlight because Trump frequently positions himself as physically fit compared with his peers . The White House was quick to call his CVI “benign,” hoping to quell rumors about more serious health problems.
It was also an exercise in transparency. For a president who carefully controls health messaging, confirming something as personal as swollen ankles sends a signal of trust—or at least an attempt at it .
Prevention and Awareness for Everyone
If you’ve noticed swelling in your legs or experience heaviness by day’s end, it doesn’t hurt to talk to your doctor. Preventive tips include:
1. Daily walks, ankle stretches, or raising legs after sitting 
2. Wearing compression support during long periods of standing or travel 
3. Losing excess weight to reduce vein strain 
4. Avoiding long stretches of immobility by taking breaks and staying active 
5. Quitting smoking and managing blood pressure to protect vascular health 
Early action often keeps symptoms mild and complications away.
Bottom line:
President Trump’s diagnosis of chronic venous insufficiency is not a dire medical revelation. It is, however, a reminder of the realities of aging—even for high-profile individuals. CVI is common in older adults, usually mild, and manageable through lifestyle habits and periodic medical care.
His case also highlights how visible signs—like swollen ankles—can spark concern, and how clear, transparent communication can reassure the public. For everyone, paying attention to symptoms, adopting healthy habits, and checking in with your doctor are wise steps.
At the end of the day, staying aware of CVI and treating it early preserves comfort, mobility, and quality of life—something that matters well beyond politics and headlines.