Condition Overview - Chronic Venous Insufficiency (CVI) itself is benign, but the underlying causes need investigation [2][1] - One in 20 adults (5%) have CVI [4] - Risk factors include age (especially over 50 and 70), overweight, high blood pressure, smoking, and pregnancy [3][6] Symptoms and Treatment - Symptoms include achy legs, tired legs, pain, discoloration (especially in ankles and shins), and swelling [4] - If swelling continues, ulcerations can occur [5] - Management includes weight control, exercise, elevating feet, and using compression stockings [7] Potential Causes and Tests - Potential causes include deep vein thrombosis and peripheral artery disease, but tests have ruled these out for the individual discussed [2][3] - CVI can be congenital or caused by previous blood clots damaging valves [5][6]

Risk Factors & Prevalence - The risk of developing the condition increases with age, particularly after 50, and more significantly after 70 [1] - Approximately 5% of adults are affected by the condition [1] Symptoms - Initial symptoms include achy and tired legs [1] - Discoloration, especially around the ankles and shin area, can occur [2] - Swelling may develop and, if persistent, can lead to ulcerations [2] Causes - The condition can be congenital in some individuals [2] - A history of blood clots in the leg can damage the valves [3] - Major contributing factors include being overweight, having high blood pressure, and smoking [3]

Disease Overview - Chronic venous insufficiency is characterized by weakened veins and malfunctioning valves, leading to blood pooling and symptoms like aching, heaviness, and swelling [2] - The condition is quite common, affecting an estimated 10% to 35% of Americans [2] - Risk factors include genetics, age over 55, and obesity [2] - Prolonged standing or sitting can also contribute to the development of chronic venous insufficiency [3] - A dangerous condition that can cause chronic venous insufficiency is deep vein thrombosis (DVT), or a blood clot in the leg [4] President's Health Condition - The president's symptoms of bruising on the hand and swelling in the legs are indicative of chronic venous insufficiency [1] - White House physicians have ruled out other causes of swelling, such as heart failure, kidney disease, and liver disease [5] - There is no evidence of deep vein thrombosis or arterial disease [5] - The condition is not an emergency and is not expected to significantly affect the president, with heaviness of the legs being the main symptom [6] - The president is likely to manage the symptoms with stockings and by following his doctor's advice [6]

Health Status - The White House medical unit thoroughly evaluated President Trump's mild lower leg swelling [1] - The evaluation included comprehensive examination and diagnostic vascular studies [1] - Bilateral lower extremity venus Doppler ultrasounds revealed chronic venus insufficiency, a common condition in individuals over 70 [2] - No evidence of deep vein thrombosis or arterial disease was found [2] - Minor bruising on the back of the hand is consistent with soft tissue irritation from frequent handshaking and aspirin use [3] - Aspirin is taken as part of a standard cardiovascular prevention regimen, and the bruising is a well-known and benign side effect [3]