Swelling and Leg Pain in Pregnancy

During pregnancy, you may notice swelling, especially in your ankles and feet, as the day goes on. This may come with heaviness or aching in your legs, or leg cramps at night. In a physiotherapy assessment, we consider not only when the swelling started and where it is, but also how it affects walking, standing and ankle movement. However, if you have sudden swelling, redness, warmth or tenderness in one leg, seek medical attention without delay.

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Swelling and Leg Pain in Pregnancy: What Matters from a Physiotherapist's Perspective?

What Causes Swelling and Leg Pain in Pregnancy?

As pregnancy progresses, mild swelling in the feet and ankles may occur; standing for long periods or hot weather can make it worse. You may also experience leg cramps and a feeling of heaviness in your legs.

What Do Swelling and Pain in the Legs Feel Like?

Swelling is usually most noticeable in the feet and ankles; it may increase during the day and ease with rest. Leg pain may take the form of cramps; however, swelling and pain that start suddenly in one leg should be assessed separately.

Physiotherapy for Leg Pain in Pregnancy

A physiotherapy assessment looks at your activity level, the swelling and pain in your legs, and your daily habits. If appropriate, pregnancy-safe movements such as walking and ankle exercises are planned.

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Common and Treatable

In a cross-sectional study of 205 pregnant participants in the third trimester, 58% of participants reported leg cramps.

"My ankles swell a lot toward the evening."

"I wonder whether my swelling is normal in pregnancy."

"My legs feel heavy and tight."

Abandeh A, Sindiani A, Nazzal MS, ve ark. Prevalence and Predictors of Leg Cramps in the Third Trimester of Pregnancy: A Cross-Sectional Study. International Journal of Women’s Health. 2024;16:1377–1387.

Swelling and Leg Pain in Pregnancy FAQ

Is swelling in the feet and legs normal during pregnancy?

Mild swelling on both sides in the feet and ankles can occur, especially later in pregnancy. However, if the swelling increases suddenly, also becomes noticeable in your face and hands, or comes with other symptoms, tell your doctor or midwife right away.

What causes leg pain and cramps during pregnancy?

Leg cramps or pain can occur in pregnancy. Regular, gentle movement, especially moving your ankles, supports circulation and helps ease cramps.

What can I do to reduce swelling and heaviness in my legs?

Try not to stay in the same position for long, take short walks during the day and gently move your ankles while sitting. Raising your legs in a comfortable position while resting may also feel good. But if your symptoms persist, be sure to get them assessed.