In recent health headlines, chronic venous insufficiency (CVI) has gained attention—especially after it was confirmed that former US President Donald Trump has been diagnosed with this condition. But what exactly is CVI, and why does it matter for ordinary people in Miami and around the world?
What is Chronic Venous Insufficiency?
Chronic venous insufficiency is a health condition where the veins in your legs have trouble sending blood back up to your heart. It happens when the small valves inside your veins become weak or damaged, allowing blood to flow backwards and pool in your legs instead of returning to the heart like it should. As a result, you might experience swelling, pain, and sometimes changes in your skin. While it’s not often life-threatening, it definitely can impact your daily comfort and your risk for other health complications.
Who is at Risk?
CVI is found more often in:
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People over the age of 50
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Those with a family history of venous problems
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Folks who are overweight or pregnant
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People who’ve experienced a leg injury, surgery, or blood clots (especially deep vein thrombosis)
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Individuals with jobs or lifestyles that require lots of standing or sitting still
Simply put, the older you get, the more likely your veins and their valves might wear out a little bit.
Common Symptoms
You might not even realize you have chronic venous insufficiency at first. But keep an eye out for these signs:
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Swelling or heaviness in lower legs and ankles
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Dull pain or cramps that get worse standing, but better when legs are raised
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Tingling, burning, or itching in the legs
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Appearance of varicose veins (big, twisted veins just under the skin)
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Thick, discolored, or leathery skin around the ankle
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Sores or ulcers that are slow to heal
Some patients also notice a reddish-brown color near their ankles. In severe cases, open wounds—called ulcers—can form and may become infected if ignored.
Why Is CVI Getting Attention Now?
Recent news about President Trump’s diagnosis has brought this condition into the spotlight. Experts say that while CVI is often underrecognized and undertreated, it’s important to know that it’s more than just a cosmetic issue. Untreated CVI increases risk for leg ulcers and, more worryingly, is strongly linked with higher risk for cardiovascular diseases—even when other health risks are accounted for.
Latest Research and Effects
According to the American Heart Association, the most recent stats show CVI is fairly widespread among older adults, with some estimates suggesting 1 in 20 adults are affected. Not only does it cause pain and swelling, but it can lead to reduced quality of life, higher risk of infection, and even increase the likelihood of heart problems for some patients.
Diagnosis
Doctors usually check for chronic venous insufficiency by:
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Examining the legs during a physical exam
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Ordering ultrasound scans to see how well blood flows through your veins
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Sometimes using MRI or CT scans if blockages or other vein problems are suspected
It’s always important to rule out more serious conditions like blood clots when these symptoms show up.
How is CVI Treated?
Luckily, there are lots of treatment options available today. The main goals are to stop swelling, heal (or prevent) ulcers, and improve blood return in the veins. Treatments include:
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Wearing prescription compression stockings to help blood move up the legs
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Elevating your legs to reduce swelling
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Staying active and maintaining a healthy weight
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Medical wraps with zinc oxide or medications to manage infection or blood clots
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Minimally invasive treatments like sclerotherapy (injecting a solution to close up bad veins) or laser/radiofrequency ablation (heating up and shutting down problem veins)
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In rare, severe cases, surgery to tie off or remove damaged veins
Most people don’t need surgery; lifestyle changes and simple treatments are often enough.
What Should You Do?
If you or someone you know has swelling, pain, or changes in their legs or ankles—especially if you’re older or have risk factors like varicose veins or a history of blood clots—don’t just ignore it. See your healthcare provider. Early treatment reduces the risk of serious complications.
Even though chronic venous insufficiency might sound scary, knowing the signs and taking action early makes a huge difference for your legs—and, as new research is showing, possibly your overall heart health too.