Washington, D.C. — Following routine testing prompted by visible swelling in his ankles and light bruising on his right hand, former President Donald Trump has been diagnosed with chronic venous insufficiency (CVI)—a vascular condition common among older adults. The diagnosis, made public by the White House Medical Unit after evaluations conducted July 17–18, has raised questions but prompted little concern from medical experts.
What Prompted the Tests?
According to White House officials, physicians ordered diagnostic imaging and blood work after Trump was observed with swollen ankles and a noticeable bruise on his hand during recent public appearances. Photographs had captured the discoloration, though in most cases it had been camouflaged by makeup.
The medical team ran a battery of tests, including:
Bilateral lower-extremity Doppler ultrasounds
Comprehensive blood panels
Echocardiogram
The results ruled out serious conditions like deep vein thrombosis, arterial disease, heart failure, or kidney dysfunction. Ultimately, doctors determined that the swelling was due to CVI.
What Is Chronic Venous Insufficiency?
CVI occurs when the valves in the leg veins weaken or malfunction, allowing blood to pool in the lower extremities rather than circulate efficiently back to the heart. This results in symptoms such as:
Leg swelling or heaviness
Skin discoloration
Visible varicose veins
Cramping or aching, especially after long periods of standing or sitting
In advanced cases, ulcers or skin breakdown
Roughly 5% of U.S. adults are affected by CVI, with