Trump diagnosed with chronic venous insufficiency after 'mild' swelling in legs and visible hand bruising

Donald Trump underwent a thorough medical examination after noticing mild swelling in his legs, according to a memo from his physician
UPDATED JUL 18, 2025
According to the statement, President Donald Trump underwent a comprehensive examination, including diagnostic vascular studies (Getty Images)
According to the statement, President Donald Trump underwent a comprehensive examination, including diagnostic vascular studies (Getty Images)


 

WASHINGTON, DC: After months of speculation over the bruising on the back of President Donald Trump's hand, the White House has revealed that he has been diagnosed with chronic venous insufficiency (CVI). 

The diagnosis follows a series of medical tests triggered by "mild swelling" in his legs and noticeable hand bruising. While the condition is common in older adults, Trump’s physician confirmed there are no signs of serious health concerns. Despite the CVI diagnosis, the president remains in overall good health and is fully capable of carrying out his duties.

Donald Trump's right hand had a makeup patch seemingly covering a bruise (Screengrab/C-SPAN)
Donald Trump's right hand had a makeup patch seemingly covering a bruise (Screengrab/C-SPAN)      

Donald Trump diagnosed with chronic venous insufficiency

According to a statement released by the White House on Thursday, President Donald Trump has been diagnosed with chronic venous insufficiency (CVI), a common and generally harmless condition affecting blood flow in the legs.



 

The diagnosis came after Trump noticed mild swelling in his legs, prompting a thorough medical evaluation by White House physician Dr Sean Barbabella. The assessment ruled out more serious conditions such as deep vein thrombosis or arterial disease.

White House Press Secretary Karoline Leavitt shared details of the doctor’s memo during a press briefing, later making the full document publicly available.

The memo explained that CVI occurs when leg veins have difficulty returning blood to the heart, a condition frequently seen in individuals over 70, according to experts at Johns Hopkins and the Cleveland Clinic.

As a precaution, Trump, 79, underwent a comprehensive diagnostic workup by the White House medical team. This included vascular imaging, specifically bilateral venous Doppler ultrasounds, which confirmed the CVI diagnosis. Dr Barbabella emphasized that no blood clots or arterial blockages were found.

U.S. President Donald Trump speaks to the media as he departs the White House on July 15, 2025 in Washington, DC. Trump is traveling to Pittsburgh, Pennsylvania, to speak at an artificial intelligence and energy summit. (Photo by Anna Moneymaker/Getty Images)
US President Donald Trump speaks to the media as he departs the White House on July 15, 2025 in Washington, DC (Anna Moneymaker/Getty Images)

Additional testing, including a complete blood count, metabolic panel, coagulation profile, and echocardiogram, all returned normal results. The echocardiogram confirmed normal heart structure and function, with no signs of kidney problems or systemic illness.

The memo also addressed recent public concern over visible bruising on the back of Trump’s hand. The statement shared, "This is consistent with minor soft tissue irritation from frequent handshaking and the use of aspirin, which is taken as part of a standard cardiovascular prevention regimen."

Despite the CVI diagnosis, Trump is reportedly in excellent health and remains fully capable of fulfilling his presidential duties.

What are the possible causes of Trump's chronic venous insufficiency?

US President Donald Trump speaks to the media as he departs the White House on July 15, 2025 in Washington, DC. Trump is traveling to Pittsburgh, Pennsylvania, to speak at an artificial intelligence and energy summit. (Photo by Anna Moneymaker/Getty Images)
US President Donald Trump speaks to the media as he departs the White House on July 15, 2025 in Washington, DC (Anna Moneymaker/Getty Images)

Chronic venous insufficiency (CVI) develops when damaged leg veins fail to return blood efficiently to the heart. This poor circulation causes blood to pool in the lower limbs and triggers various symptoms.

Although CVI usually doesn't pose a serious health risk, it can cause discomfort and, in some cases, significantly reduce a person’s quality of life, according to Johns Hopkins Medicine.

The Cleveland Clinic states that venous disease affects many people, with about 1 in 20 adults living with chronic venous insufficiency. The condition appears more often in people over 50, and the risk increases with age.

Several factors raise the likelihood of developing CVI. These include excess body weight, a family history of vein problems, and previous leg injuries. A sedentary lifestyle, smoking, and standing or sitting for long periods can also increase pressure in leg veins and contribute to the condition.

People with CVI often experience swelling in the legs and ankles, aching or tired legs, cramping, tingling, and itchy skin that may turn reddish-brown or leathery over time.

To treat CVI, doctors typically recommend lifestyle changes that improve circulation, such as regular exercise, weight loss, leg elevation, and the use of compression socks. In some cases, they may prescribe medication or suggest minor procedures. For severe cases, surgery may offer the best solution.

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