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Swollen Ankles and Feet

Many people find at the end of the day their feet and ankles have become swollen, making shoes uncomfortable. This swelling is called dependent edema.

What causes dependent edema?
Dependent edema results from a build-up of fluids within the skin. During the day, gravity normally pulls fluids to the lower parts of the body, especially the feet and ankles, causing some swelling.

What should be done about dependent edema?
If swelling is constant throughout the day, getting worse, accompanied by shortness of breath, or general weight gain, it could signal other medical problems. See your doctor for an evaluation.

However, if swelling is better in the morning, and there are no other problems, try these suggestions:

  • Keep your feet up as much as possible. At least 3 times a day, rest with your feet about 1 foot above the level of your heart for 10 to 15 minutes.
  • Make sure you get some regular exercise. This will improve the circulation in your legs and feet. Simply taking a walk each day is a good way to start.
  • Maintain your proper weight. Excess weight slows the circulation of body fluids and puts extra pressure on your veins, causing fluids to build up under your skin.
  • Wear support stockings to help fluid in your legs circulate more easily. Elastic support stockings are available at most drug stores.
  • When traveling for long periods or sitting at a desk, get up and walk around every 1 to 2 hours. Sitting in one position for a long time can hinder circulation and promote swelling in the feet. If you must sit for long periods at a time, find a way to elevate your feet.

If you have dependent edema and these suggestions do not work, see your physician for a full evaluation to consider if additional medicine or therapy is required.