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		<title>What is chronic venous insufficiency? Everything to know about Trump&#8217;s diagnosis</title>
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		<pubDate>Thu, 17 Jul 2025 22:31:24 +0000</pubDate>
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					<description><![CDATA[President Donald Trump has been diagnosed with chronic venous insufficiency, the White House announced on Thursday. Press Secretary Karoline Leavitt shared a letter from Trump&#8217;s physician in a news conference, which said Trump was examined after he noticed &#8220;mild&#8221; swelling in his legs. Leavitt said the physician described the condition as &#8220;benign&#8221; and &#8220;common,&#8221; particularly [&#8230;]]]></description>
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<p class="EkqkG IGXmU nlgHS yuUao MvWXB TjIXL aGjvy ebVHC ">President Donald Trump has been diagnosed with <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://abcnews.go.com/Politics/trump-vascular-testing-leg-swelling-white-house/story?id=123839307" target="_blank">chronic venous insufficiency</a>, the White House announced on Thursday.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Press Secretary Karoline Leavitt shared a letter from Trump&#8217;s physician in a news conference, which said Trump was examined after he noticed &#8220;mild&#8221; swelling in his legs.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Leavitt said the physician described the condition as &#8220;benign&#8221; and &#8220;common,&#8221; particularly among adults above age 70.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Leavitt added that the president is in &#8220;excellent health&#8221; and that the doctor&#8217;s full letter would be released soon.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Here&#8217;s what you need to know about the condition, what symptoms it causes and how it&#8217;s treated.</p>
<div class="oLzSq QrHMO fnRUo pvsTF EhJPu vPlOC zNYgW OsTsW RMeqy daRVX ISNQ sKyCY eRftA acPPc MENS nFwaT MCnQE mEeeY SmBjI xegrY rPLsU iulOd NIuqO zzscu lzDCc aHUBM IEgzD OjMNy eQqcx SVqKB GQmdz jaoD VWDdR ONJdw vrZxD OnRTz gbbfF roDbV GPGwb oMlSS gfNzt oJhud eXZcf zhVlX ">
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<div class="FvQLF iLTd NqeUA UzzHi iWsMV "><picture <picture="" data-testid="prism-picture" class="lazyload"><source media="(max-width: 414px)" data-srcset="https://i.abcnewsfe.com/a/72a2779e-cc04-49b0-9816-1a463a14a32f/trump-10-gty-er-250715_1752608776297_hpMain.jpg?w=375, https://i.abcnewsfe.com/a/72a2779e-cc04-49b0-9816-1a463a14a32f/trump-10-gty-er-250715_1752608776297_hpMain.jpg?w=750 2x"><source media="(min-width: 415px)" data-srcset="https://i.abcnewsfe.com/a/72a2779e-cc04-49b0-9816-1a463a14a32f/trump-10-gty-er-250715_1752608776297_hpMain.jpg?w=750, https://i.abcnewsfe.com/a/72a2779e-cc04-49b0-9816-1a463a14a32f/trump-10-gty-er-250715_1752608776297_hpMain.jpg?w=1500 2x"></picture></div>
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<div class="nMMea bNYiy Mjgpa dGwha DDmxa jgKNG RGHCC aBIU PriDW lZur " data-testid="prism-caption">
<p><span class="hsDdd OOSI GpQCA lZur VlFaz " data-testid="prism-truncate"><span><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">President Donald Trump attends the inaugural Pennsylvania Energy and Innovation Summit on the campus of Carnegie Mellon University in Pittsburgh, July 15, 2025.</span></span></span></p>
<p><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ YNujN JGtjI aZFDu rkKLh ">Andrew Caballero-Reynolds/AFP via Getty Images</span></p>
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<h2 class="RxNCg ykkUm PvZ nIjPJ PMXYp LmsHF SfAHY mNgye lNbol LBPRq rBLIK ">What is chronic venous insufficiency?</h2>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Chronic venous insufficiency (CVI) is a circulatory condition in which the veins in the leg have difficulty returning blood back to the heart due to damaged valves.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">&#8220;Unlike the arteries, the veins have valves that help return blood to the heart,&#8221; Dr. Andrea Obi, vascular surgeon at University of Michigan Health Frankel Cardiovascular Center and associate professor of vascular surgery at University of Michigan Medical School, told ABC News.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">She explained that there are larger veins, called deep veins, which return the bulk of blood to the heart, and there are superficial veins, which are just under the skin surface.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">&#8220;When the valves fail, meaning they don&#8217;t adequately return blood to the heart, the blood can back up into the leg, and that&#8217;s essentially what venous insufficiency is,&#8221; Obi said.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">This can cause blood to pool in the legs and lead to leg swelling.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">CVI is fairly common, affecting up to 40% of the U.S. population, according to the <a class="zZygg UbGlr iFzkS qdXbA WCDhQ DbOXS tqUtK GpWVU iJYzE " data-testid="prism-linkbase" href="https://vascular.org/your-vascular-health/vascular-conditions/chronic-venous-insufficiency#resource-105" target="_blank">Society for Vascular Surgery</a>.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Obi said this figure may be an underestimation because CVI is not detected on any routine screening test, and patients often require a duplex ultrasound &#8212; a non-invasive imaging technique to assess blood flow and blood vessel structure &#8212; for diagnosis.</p>
<h2 class="RxNCg ykkUm PvZ nIjPJ PMXYp LmsHF SfAHY mNgye lNbol LBPRq rBLIK ">What are the symptoms?</h2>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Obi said most CVI patients have mild symptoms and the most common manifestation is varicose veins, which occur when the blood pools into the superficial veins just under the skin.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">The veins become swollen, which can be heavy, uncomfortable or painful for patients.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">If patients have CVI in the deeper veins, they may experience leg swelling around the ankle area and it can extend up towards the knee, Obi said.</p>
<div class="oLzSq QrHMO fnRUo pvsTF EhJPu vPlOC zNYgW OsTsW RMeqy daRVX ISNQ sKyCY eRftA acPPc MENS nFwaT MCnQE mEeeY SmBjI xegrY rPLsU iulOd NIuqO zzscu lzDCc aHUBM IEgzD OjMNy eQqcx SVqKB GQmdz jaoD VWDdR ONJdw vrZxD OnRTz gbbfF roDbV GPGwb oMlSS gfNzt oJhud eXZcf zhVlX ">
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<div class="FvQLF iLTd NqeUA UzzHi iWsMV "><picture <picture="" data-testid="prism-picture" class="lazyload"><source media="(max-width: 414px)" data-srcset="https://i.abcnewsfe.com/a/f8c62d05-0b48-48d4-9380-65000a8a294d/Leavitt-1-gty-er-250717_1752783195418_hpMain.jpg?w=375, https://i.abcnewsfe.com/a/f8c62d05-0b48-48d4-9380-65000a8a294d/Leavitt-1-gty-er-250717_1752783195418_hpMain.jpg?w=750 2x"><source media="(min-width: 415px)" data-srcset="https://i.abcnewsfe.com/a/f8c62d05-0b48-48d4-9380-65000a8a294d/Leavitt-1-gty-er-250717_1752783195418_hpMain.jpg?w=750, https://i.abcnewsfe.com/a/f8c62d05-0b48-48d4-9380-65000a8a294d/Leavitt-1-gty-er-250717_1752783195418_hpMain.jpg?w=1500 2x"><img decoding="async" alt="" class="hsDdd NDJZt sJeUN IJwXl vBqtr KrDt itslR SjwtZ hakZw HlUVI " data-testid="prism-image" draggable="false" loading="lazy" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" data-src="https://i.abcnewsfe.com/a/f8c62d05-0b48-48d4-9380-65000a8a294d/Leavitt-1-gty-er-250717_1752783195418_hpMain.jpg"></picture></div>
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<div class="nMMea bNYiy Mjgpa dGwha DDmxa jgKNG RGHCC aBIU PriDW lZur " data-testid="prism-caption">
<p><span class="hsDdd OOSI GpQCA lZur VlFaz " data-testid="prism-truncate"><span><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ ">White House Press Secretary Karoline Leavitt speaks during a press briefing in the Brady Press Briefing Room at the White House, July 17, 2025, in Washington, D.C.</span></span></span></p>
<p><span class="gtOSm FbbUW tUtYa vOCwz EQwFq yCufu eEak Qmvg nyTIa SRXVc vzLa jgBfc WXDas CiUCW kqbG zrdEG txGfn ygKVe BbezD UOtxr CVfpq xijV soGRS XgdC sEIlf daWqJ YNujN JGtjI aZFDu rkKLh ">Anna Moneymaker/Getty Images</span></p>
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<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">In more severe cases, darkening of the skin can occur and an open sore or ulcer could develop.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">&#8220;When the blood pools down near the ankle level, you&#8217;ll get discoloration, and it&#8217;s a brown discoloration … and that brown discoloration is the result of the iron from the red blood cells that sort of pools there and gets picked up by your immune cells,&#8221; Obi said.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Over time, this can make the skin thick and unable to heal from minor trauma, which is when ulcers form, she said.</p>
<h2 class="RxNCg ykkUm PvZ nIjPJ PMXYp LmsHF SfAHY mNgye lNbol LBPRq rBLIK ">How is it treated?</h2>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Treatments are typically nonsurgical and are mainly to prevent swelling and ulcers from forming, according to the Society for Vascular Surgery.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Obi said if a patient is found to have CVI incidentally and they don&#8217;t have symptoms, there is no need for treatment unless symptoms arise.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">First-line treatment can include compression, such as wearing compression stockings or an elastic wrap. There are also supplements patients can take to relieve symptoms, Obi said.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">&#8220;Compression is the very first thing that you prescribe and then, generally, if a patient desires surgical intervention or something like that, you would try compression first to see if they get relief,&#8221; she said. &#8220;If they&#8217;re still symptomatic or not able to live their daily life, then you might proceed down the pathway of doing an intervention to try and help them improve their quality of life.&#8221;</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">If superficial veins are affected, patients may receive vein ablation, which is a minimally invasive procedure to close the veins off, and removal of the varicose veins.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">If deep veins are affected, some patients may require an angioplasty to widen the narrow or blocked veins, or stenting to restore blood flow.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC TjIXL aGjvy ">Obi said even if someone&#8217;s vein valves are prone to failing due to genetics or aging, walking can help overcome this.</p>
<p class="EkqkG IGXmU nlgHS yuUao lqtkC eTIW sUzSN ">&#8220;Your calf muscle will substitute for your valves, and your calf muscle will actually push the blood back up to your heart,&#8221; she said. &#8220;We tell all our patients, &#8216;You should do some sort of walking program to keep that calf pump strong. The worst thing you can do is stand on your feet for long periods of time and allow the blood to pool.&#8221;</p>
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