Trump is checked for lower leg swelling and diagnosed with a common condition in older adults

WASHINGTON (AP) — President Donald Trump recently had a medical checkup after noticing “mild swelling” in his lower legs and was found to have a condition common in older adults that causes blood to pool in his veins, the White House said Thursday.

Press secretary Karoline Leavitt said tests by the White House medical unit showed that Trump has chronic venous insufficiency, which occurs when little valves inside the veins that normally help move blood against gravity gradually lose the ability to work properly.

Leavitt also addressed bruising on the back of Trump's hand, seen in recent photos covered by makeup that was not an exact match to his skin tone. She said the bruising was “consistent” with irritation from his “frequent handshaking and the use of aspirin.” Trump takes aspirin to reduce the risk of heart attack and stroke.

She said during her press briefing that her disclosure of Trump's medical checkup was meant to dispel recent speculation about the 79-year-old president's health. Nonetheless, the announcement was notable given that the Republican president has routinely kept secret basic facts about his health.

Trump in April had a comprehensive physical exam with more than a dozen medical specialists. The three-page report released then by the White House did not include a finding of chronic venous insufficiency. At the time, Trump's doctor, Sean Barbabella, determined that the president’s joints and muscles had a full range of motion, with normal blood flow and no swelling.

Leavitt did not say when Trump first noticed the swelling in his lower legs. As part of the president’s routine medical care and out of an “abundance of caution,” she said he had a “comprehensive exam” that included vascular, lower extremity and ultrasound testing.

She noted that chronic venous insufficiency is a benign condition that is common in people over age 70.

She said the tests revealed no evidence of deep vein thrombosis, a more serious medical condition in which a blood clot forms in one or more of the deep veins in the body, usually in the legs. Nor was there any evidence of arterial disease, she said, reading a letter from Barbabella.

People often are advised to lose weight, walk for exercise and elevate their legs periodically, and some may be advised to wear compression stockings. Severe cases over time can lead to complications including lower leg sores called ulcers. Blood clots are one cause, but was ruled out, Leavitt said.

Leavitt said the condition wasn’t causing the president any discomfort. She wouldn’t discuss how he was treating the condition and suggested those details would be in the doctor’s letter, which was later released to the public. But the letter was the same as what she read, and it did not include any additional details.

Dr. Anahita Dua, a vascular surgeon at Mass General Brigham who has never treated Trump, said there is no cure for chronic venous insufficiency.

“The vast majority of people, probably including our president, have a mild to moderate form of it,” Dua said.

People with the condition can reduce the swelling by wearing medical-grade compression socks or stockings, to help the blood circulate back to the heart, or by walking, she said.

The exam the White House disclosed Thursday included other testing that found no signs of heart failure, renal impairment or systemic illness in Trump, Leavitt said.

“The president remains in excellent health, which I think all of you witness on a daily basis here,” she told reporters.

FILE - President Donald Trump, left, reaches to shake hands with Bahrain's Crown Prince Salman bin Hamad Al Khalifa speak upon his arrival at the White House, July 16, 2025, in Washington. (AP Photo/Alex Brandon, File)

President Donald Trump sits with his hands interlocked as he and Bahrain's Crown Prince Salman bin Hamad Al Khalifa speak in the Oval Office of the White House, Wednesday, July 16, 2025, in Washington. (AP Photo/Alex Brandon)

White House press secretary Karoline Leavitt arrives to speak with reporters in the James Brady Press Briefing Room at the White House, Thursday, July 17, 2025, in Washington. (AP Photo/Alex Brandon)

FILE - President Donald Trump speaks to the media as he leaves the White House, July 15, 2025, in Washington. (AP Photo/Manuel Balce Ceneta, File)

The left foot and swollen of President Donald Trump are pictured as he sits with Bahrain's Crown Prince Salman bin Hamad Al Khalifa in the Oval Office of the White House, Wednesday, July 16, 2025, in Washington. (AP Photo/Alex Brandon)

FILE - President Donald Trump, left, greets Bahrain's Crown Prince Salman bin Hamad Al Khalifa at the White House, July 16, 2025, in Washington. (AP Photo/Alex Brandon, File)

EAGAN, Minn. (AP) — Harrison Smith's 14th year as a steadying presence and energizing force in the secondary for the Minnesota Vikings has hardly been smooth.

The undisclosed health-related matter that sidelined him during training camp was a major setback to his conditioning, putting him in catch-up mode for most of the first half of the season. The Vikings defense was more vulnerable than usual over those early games, too.

Then with the offense struggling through the developmental process with quarterback J.J. McCarthy, the Vikings stumbled through November to drop to 4-8 and precipitate their elimination from playoff contention.

But lately?

“I’ve been playing football a long time,” Smith said after Minnesota's victory over the Detroit Lions on Christmas Day, “and I have not had fun like that in my whole career.”

Smith received the NFC Defensive Player of the Week award for that performance in his 206th regular-season game, after logging three passes defensed, two tackles for loss, one sack and one interception. He last won that award in 2018.

With career totals of 21½ sacks and 39 interceptions, Smith is just the second player in NFL history to hit those marks, behind Pro Football Hall of Fame member Ronde Barber, who had 28 sacks and 47 interceptions. Smith is also one of four players all time, with Barber, Brian Dawkins and Charles Woodson, to total at least 50 tackles for loss, 100 passes defensed and 200 regular-season games played. Smith (202) also trails only Jim Marshall (270) and Mick Tingelhoff (240) on the team’s all-time list for career starts.

Following the interception against the Lions, Smith was feted on the sideline in a circle of his teammates. He was the recipient of multiple ovations from the U.S. Bank Stadium crowd. Afterward, as Smith tried to sum up what that experience meant to him, his voice cracked several times before he had to pause to compose himself.

“The fans here have never experienced a Super Bowl. They always show up, and for them to keep showing up ... it just shows how much they love the team, how much they love everything that goes into it," Smith said. “We’re out of the playoffs, and everybody shows up in white. They do their part, and one of these days they’ll get it.”

The scene sure felt like a farewell. But so did Smith's emotional postgame remarks after the Vikings were ousted from the playoffs last season.

Could he envision himself returning for a 15th year?

“I can’t speak on that right now. I’m a very much in-the-moment type of guy,” Smith said.

Vikings coach Kevin O'Connell, who has forged a close relationship with the six-time Pro Bowl safety, has made no secret of his desire to keep Smith in place.

Defensive coordinator Brian Flores has turned over some of the play-calling and decision-making to Smith on the field before and after the snap, and an increased emphasis on blitzing in recent weeks has paid plenty of dividends.

"He has an unbelievable feel of the system. He has an unbelievable feel of what ‘Flo’ and the defensive staff really want to do, and he’s out there playing a game within the game,” O’Connell said. “It’s been spectacular to watch. It’s been awesome from my perspective to watch what he’s able to do at this point in his career mentally, and then physically he’s making a lot of plays as well.”

The uncertainty about next season for the defense stretches beyond Smith, with other expensive veterans facing the possibility of being released for cost savings with the Vikings projected to be well over the salary cap approaching the 2026 league year.

Then there's Flores, whose contract will soon expire, making him a free agent. Though his landmark discrimination lawsuit against the NFL that’s still in the court system nearly four years later continues to loom over any interviews he gets for head coach openings, there's also an opening for another club to try to lure him away with a break-the-bank offer for a lateral move.

O'Connell said this week that he doesn't anticipate such a scenario playing out and hopes to have him as long as he can before he's hired again as a head coach.

“I love Minnesota. I love this team. I love working for and with K.O.," said Flores, who was head coach of the Miami Dolphins from 2019-21 and joined the Vikings in 2023. "This place has shown me a lot of love, and I show them right back, and so I don’t know how much more there is to it. From a football standpoint, it fits. There’s always a, let’s call it, business part of this. But the football all lines up. We’ll just see where it all goes.”

AP NFL: https://apnews.com/hub/NFL

Detroit Lions quarterback Jared Goff (16) throws under pressure from Minnesota Vikings safety Harrison Smith (22) during the second half of an NFL football game, Thursday, Dec. 25, 2025, in Minneapolis. (AP Photo/Bruce Kluckhohn)

Minnesota Vikings defensive coordinator Brian Flores stands on the sideline before an NFL football game against the Detroit Lions, Thursday, Dec. 25, 2025, in Minneapolis. (AP Photo/Bruce Kluckhohn)