CVI in the Public Eye: Lessons from High-Profile Cases

July 18, 2025

In recent news, President Donald Trump was publicly diagnosed with chronic venous insufficiency (CVI) – a condition that affects an estimated 10% to 35% of adults in the United States. While the circumstances surrounding this high-profile diagnosis have sparked widespread discussion, it also presents an important opportunity to shed light on a medical issue that often goes underrecognized: vein health, particularly in aging populations.

Donald Trump waves to crowd
President Trump was recently diagnosed with Chronic Venous Insufficiency, sparking widespread public discussion.

What is Chronic Venous Insufficiency?

Chronic venous insufficiency is a condition that occurs when the valves in the leg veins don’t function properly, making it difficult for blood to return from the legs back to the heart. This can cause blood to pool in the legs, leading to symptoms such as:

    • Leg swelling (edema)
    • Leg pain, aching, or heaviness
    • Varicose veins
    • Skin changes or discoloration around the ankles
    • In severe cases, venous ulcers

CVI is typically a progressive condition, meaning symptoms tend to worsen over time if left untreated. While it’s not usually life-threatening, it can significantly impact quality of life and lead to more serious complications if ignored.

Risk Factors and Prevalence

Age is one of the most significant risk factors for CVI. The condition becomes increasingly common after age 50, and it’s estimated that nearly one in three people over the age of 70 experience some degree of venous insufficiency. Other contributing factors include:

  • Family history of varicose veins or venous disease
  • Obesity
  • Sedentary lifestyle
  • Smoking
  • A history of deep vein thrombosis (DVT)
  • Prolonged standing or sitting

Given these risk factors, it’s perhaps unsurprising that CVI is so prevalent – yet many people delay seeking treatment until symptoms become severe.

Removal of varicose veins on the legs. Medical inspection and treatment of Chronic Venous Insufficiency (CVI).
Chronic Venous Insufficiency (CVI) often results in pain, discomfort, and reduced quality of life.

Diagnosis and Treatment

Diagnosing CVI typically involves a physical exam and non-invasive vascular testing, such as a duplex ultrasound, which evaluates blood flow and valve function in the legs. In the case of President Trump, White House physicians confirmed the diagnosis using ultrasounds and other standard cardiovascular screenings, noting “no evidence of deep vein thrombosis or arterial disease.”

Treatment for CVI depends on the severity of the condition, but may include:

  • Compression stockings to improve circulation
  • Lifestyle modifications, such as regular exercise and weight management
  • Minimally invasive procedures like endovenous ablation or sclerotherapy
  • In advanced cases, surgical intervention may be required

When caught early, most patients experience significant relief from symptoms and can prevent long-term complications such as venous ulcers or skin infections.

Why This Diagnosis Matters

While public figures like President Trump often bring unexpected attention to medical issues, the real takeaway is educational. CVI is common, manageable, and – most importantly – treatable when addressed proactively. If you or a loved one is experiencing leg swelling, tired or achy legs, or visible varicose veins, don’t wait to seek medical advice.

Vascular health is an essential part of overall wellness – regardless of age, background, or public stature.

Have questions about your vein health?

Coastal Vein and Vascular Specialists provide comprehensive evaluations and personalized, board-certified treatment plans for chronic venous insufficiency and other vascular conditions. Schedule your consultation today.