Recently, President Donald Trump was diagnosed with chronic venous insufficiency, a condition that’s fairly routine among older adults. It’s essential to conduct a thorough examination to ensure there are no more serious issues causing leg swelling. Here’s a closer look at what chronic venous insufficiency (CVI) entails.
What is chronic venous insufficiency?
Chronic venous insufficiency occurs when the veins in the legs struggle to return blood to the heart effectively. This can cause blood to pool in the lower legs, leading to swelling, particularly around the feet and ankles. Other symptoms can include achy, heavy legs, tingling sensations, and visible varicose veins. In worse cases, it may even result in ulcers on the legs.
What causes chronic venous insufficiency?
One major challenge for our veins is fighting gravity when pumping blood upward from the feet to the heart—especially during prolonged standing or sitting. Veins have one-way valves to help keep blood moving in the right direction. When these valves are damaged, it can lead to chronic venous insufficiency. Common risk factors include blood clots, vein inflammation (also known as phlebitis), and being overweight.
How is chronic venous insufficiency diagnosed and treated?
Doctors need to eliminate serious causes of leg swelling, such as heart disease, kidney issues, or blood clots. Ultrasound tests can help confirm a diagnosis of chronic venous insufficiency. Treatment options include wearing compression stockings, elevating the legs, and maintaining a healthy weight. Regular exercise, specifically walking, is encouraged as it strengthens leg muscles and aids in blood circulation. For more severe cases, medications and medical procedures may be required.
