White House Press Secretary Karoline Leavitt on Thursday addressed growing speculation surrounding US President Donald Trump’s health, particularly visible swelling in his ankles and bruising on his hand, reportedly covered with makeup during recent appearances.

Speaking at a press briefing, Leavitt read aloud a letter from Trump’s physician, which confirmed that the president had experienced “mild swelling” in his lower legs.

Following an evaluation by the White House medical unit, an ultrasound revealed that Trump has chronic venous insufficiency (CVI), a common vascular condition, especially in individuals over 70.

Leavitt emphasised that there was no indication of more serious conditions such as deep vein thrombosis, arterial disease, heart failure, or kidney issues. She added that Trump is not experiencing any discomfort due to the diagnosis.

Earlier in April, President Trump underwent his routine annual physical under the care of Captain Sean Barbabella, his primary physician. Following the exam, Barbabella issued an official memorandum outlining the president’s overall health, continuing the administration’s effort to maintain transparency regarding his medical status.

CHRONIC VENOUS INSUFFICINECY

Chronic venous insufficiency occurs when the veins in the legs struggle to return blood to the heart. According to the National Library of Medicine’s MedlinePlus, this happens when the valves in leg veins weaken or become damaged, allowing blood to pool in the lower limbs rather than flow efficiently upward.

While CVI is a progressive condition that tends to worsen over time, early detection and intervention can help manage symptoms and slow its progression. It is especially common in older adults and individuals with risk factors such as prolonged sitting or standing, obesity, or a family history of venous disease.

In addition to leg swelling, Leavitt also noted that Trump had bruising on the back of his hand. She attributed this to minor soft tissue irritation caused by frequent handshaking, along with the use of aspirin, which Trump takes as part of a standard cardiovascular prevention regimen.

SYMPTOMS OF CVI

CVI can lead to various symptoms, including:

• Aching or cramping in the legs
• Heaviness or tiredness after long periods of standing
• Swelling, particularly around the ankles
• Itching or tingling sensations
• Skin changes such as thickening, discoloration, or the appearance of varicose veins

In more advanced stages, it may also cause skin ulcers near the ankles or lower legs if left untreated.

TREATMENT OF CVI

Treatment for chronic venous insufficiency typically begins with conservative measures, especially in early stages. These may include:

Lifestyle adjustments such as regular walking, weight management, and avoiding long periods of immobility

Leg elevation to promote blood flow

Compression stockings, which help improve circulation and reduce swelling

If these symptoms persist or worsen, medical interventions may be necessary. These could include:

Sclerotherapy, which involves injecting a solution into the affected veins

Endovenous ablation therapy, using lasers or radiofrequency to close damaged veins

Vein surgery is performed in more severe cases to remove or bypass the problematic veins

With timely treatment, most people with CVI can reduce their symptoms and prevent complications.

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