Advice for Swollen Ankles

QUESTION: By the end of the day my ankles have swollen considerably, making
it difficult to keep my shoes on. They seem better in the morning but there
must be something I can do to make this problem a bit better. Can you offer
some advice?
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ANSWER: I will be happy to offer some tips, after I have presented a caution
or two. While a frequent cause of swollen ankles and legs may be poor
circulation in your extremities, there are other, medically important reasons
for this accumulation of fluid. If you have not consulted your physician and
if this a new problem, a visit to your doctor is a must. Medications may be
necessary to properly control this aggravating situation. However, if this
has already taken place, be sure to take your medications properly. Here,
now, are a few practical tips that may make the task of keeping excess fluid
out of your legs just a bit easier. First, maintain a low salt diet, for salt
tends to keep fluid in our system. Check all labels and avoid foods that are
high in sodium or preserved in salt. Foods like bacon, corned beef, smoked
fish, pickles and unsuspected foods such as tomato sauces contain high levels
of salt and should be avoided. Sleep with your legs elevated either by
elevating your bed, or by placing your legs upon pillows or cushions. Six
inch wood blocks under the legs at the foot of your bed are recommended, as
the cushions may become displaced during sleep and fail in their mission.
Elastic stockings are great aids, if you use them properly. They should be of
high quality and well fitting, and reach above your knees to the mid thigh.
Take them off only when retiring for the night, but take them off every night.
They should be replaced in the morning, BEFORE you get out of bed and before
you have let your feet dangle, for that is the time when the fluid in your
legs is lowest, and when it is easy to control the situation. A gentle
massage of your legs each night, using an upward, "milking" stroke can help
remove excess fluid as well. Start with short stokes, gradually lengthening
them until your hands are massaging as much of your foot and leg as you can
reach. Of course having a partner to help you with this makes it a whole lot
easier. Remember to report any new developments or pain to your physician.
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The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician. Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.