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What Is Leg Swelling?

Leg swelling—also known as peripheral edema—is a condition where fluid builds up in the tissues of the lower limbs, causing puffiness, tightness, or discomfort. While it can be harmless in some cases, chronic or sudden swelling may signal an underlying health issue that requires medical attention.

Common Symptoms of Leg Swelling

Pictures of Swollen Feet and Ankles

Some of the most noticeable signs include:

  • Puffy or enlarged legs, ankles, or feet

  • Skin that appears shiny or stretched

  • Indentations left on the skin after removing socks or shoes

  • Difficulty walking or fitting into regular footwear

  • A feeling of heaviness or fatigue in the lower limbs

Swelling may affect one or both legs and often worsens after long periods of sitting, standing, or inactivity.

What Causes Leg Swelling?

Lower Extremity Edema – Causes, Treatment, and Prevention

  1. Prolonged Sitting or Standing
    Staying in one position too long can cause fluid to pool in the legs, especially in people with poor circulation.

  2. Heart Conditions
    Congestive heart failure may lead to fluid retention. Swelling with shortness of breath or fatigue can indicate cardiovascular problems.

  3. Kidney Disorders
    When kidneys cannot remove excess fluid and waste properly, swelling in the legs can occur.

  4. Chronic Venous Insufficiency
    If the veins cannot return blood efficiently to the heart, blood may pool in the legs, causing swelling.

  5. Lymphedema
    Blockages or damage in the lymphatic system—often after surgery or cancer treatment—can lead to one-sided swelling.

  6. Blood Clots (Deep Vein Thrombosis)
    A DVT usually causes sudden swelling in one leg, along with pain, redness, or warmth. This is a medical emergency.

  7. Medications
    Drugs such as steroids, calcium channel blockers, antidepressants, and NSAIDs may cause leg swelling.

  8. Dietary and Lifestyle Factors

    • High-sodium diet → water retention

    • Dehydration → fluid imbalance

    • Lack of activity → poor circulation

When to Seek Medical Attention

Swollen ankles, feet and legs (oedema) - NHS

You should consult a doctor if:

  • Swelling is sudden and painful

  • You have chest pain or shortness of breath

  • The leg is red, warm, or tender

  • Swelling does not improve with rest or elevation

These may point to serious issues such as heart failure, kidney disease, or blood clots.

Diagnosis and Medical Evaluation

Leg Swelling Is Often the First Sign of Heart Failure: Here's Why | Cardiology located in Zephyrhills, Lakeland, Plant City and Riverview, FL | Florida Heart, Vein and Vascular Institute

Doctors may recommend:

  • Blood tests for kidney and liver function

  • Ultrasound to check for blood clots

  • ECG or echocardiogram for heart health

  • Urinalysis for kidney-related problems

Effective Treatments for Leg Swelling

At-Home Remedies:

  • Elevate legs above heart level for 30 minutes, several times daily

  • Reduce sodium intake

  • Drink more water to flush out excess salt

  • Wear compression socks to improve circulation

  • Stay physically active

Medical Treatments:

  • Diuretics (water pills) to eliminate extra fluid

  • Physical therapy for mobility and lymphatic drainage

  • Treating underlying conditions such as heart or kidney disease

Prevention Tips

Edema: Causes, Symptoms & Treatment

  • Move frequently during flights or desk work

  • Avoid crossing your legs for long periods

  • Maintain a healthy weight

  • Exercise regularly

  • Monitor salt intake

Final Thoughts

Leg swelling may seem minor, but it can be a warning sign of more serious health problems. Addressing it early with lifestyle changes, home remedies, or medical treatment can prevent complications. If swelling persists, consult a healthcare professional for proper diagnosis and treatment.

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