Coping with... ANKLE OEDEMA

Swollen ankles are a common complaint, with local, regional or systemic causes

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In general, chronic swelling (oedema) of one leg more likely has a localised cause. Bilateral swelling usually has a systemic cause, such as anaemia, cardiac failure, or kidney or liver disease, although it may be due to local trauma, venous disease or lymphatic problems.

Ankle swelling develops when tissue-fluid production exceeds lymphatic drainage for a sustained period. Swelling in the ankles, feet or legs often settles on its own, but can be caused by a buildup of fluid in these areas, such as from poor venous return during prolonged standing/sitting in the same position; excessive salty food; being overweight; pregnancy, or taking certain medicines, such as non-steroidal, anti-inflammatory drugs, calcium-channel blockers, thiazolidinediones, corticosteroids, gabapentin, pregabalin, levodopa and oral contraceptives containing oestrogen. Oedema can also occur after injury, blood clot or an infection. Ankle oedema symptoms also include shiny or stretched skin, discomfort, stiffness and dents when you press on the skin.