Managing Cankles During Pregnancy

Pregnancy is a beautiful journey filled with anticipation and wonder, but it also comes with its fair share of challenges. As an expecting mother myself, I understand firsthand the struggles that can arise, and one particular issue that often gets overlooked is the infamous cankles. Yes, those stubborn swollen ankles that seem to appear out of nowhere and leave us feeling like we’re walking on water balloons. In this article, I’ll share some practical tips and tricks on managing cankles during pregnancy, helping you stay comfortable and confident throughout this incredible time.

Managing Cankles During Pregnancy

Causes of Cankles During Pregnancy

Hormonal Changes

Hormonal changes play a significant role in the development of cankles during pregnancy. The increased levels of hormones, such as progesterone, cause the body’s ligaments and joints to loosen in preparation for childbirth. This hormonal shift affects fluid balance in the body, leading to swelling and fluid retention in the ankles and feet.

Increased Blood Volume

During pregnancy, the body produces more blood to support the growing fetus. This increased blood volume can put additional pressure on the blood vessels, causing them to expand and leak fluid into the surrounding tissues. As a result, the ankles may become swollen and appear larger than usual.

Water Retention

Water retention, or edema, is a common occurrence during pregnancy. When the body retains excess fluid, it can pool in the lower extremities, including the ankles and feet. This buildup of fluid can cause inflammation and result in the characteristic swelling and puffiness associated with cankles.

Weight Gain

Weight gain is a natural and necessary part of pregnancy, but it can contribute to the development of cankles. As the body gains weight, the added pressure causes the ankles to bear a heavier load. This increased weight can compress blood vessels and impair circulation, leading to swelling in the ankles.

Health Risks of Cankles During Pregnancy

Limited Mobility

One of the main health risks associated with cankles during pregnancy is limited mobility. The swelling in the ankles can make it challenging to walk or move comfortably, affecting daily activities and overall quality of life.

Varicose Veins

Cankles are often accompanied by the appearance of varicose veins. These enlarged and twisted veins can be painful and may cause discomfort or a heavy sensation in the legs. Varicose veins are more likely to develop during pregnancy due to increased blood volume and pressure on the veins.


Edema, or excessive swelling, can extend beyond the ankles and feet during pregnancy. This swelling can be uncomfortable and may lead to tightness or difficulty fitting into shoes. Edema often occurs in the legs, but it can also affect the hands, face, and other areas of the body.

Increased Risk of Blood Clots

Cankles during pregnancy may increase the risk of blood clot formation, known as deep vein thrombosis (DVT). The stagnant blood flow caused by swelling and decreased mobility can contribute to the formation of blood clots, which can be dangerous if they travel to vital organs such as the lungs.

Preventing and Managing Cankles During Pregnancy

Stay Active

Regular exercise is crucial for reducing swelling and improving circulation in the legs and ankles. Low-impact activities such as walking, swimming, and prenatal yoga can help alleviate cankles during pregnancy. Consult with a healthcare provider to determine the appropriate level of exercise based on individual circumstances.

Elevate Your Feet

Elevating the feet above heart level whenever possible can help reduce swelling and discomfort in the ankles. Use pillows or a footrest to prop up the feet while sitting or lying down. This position allows gravity to assist in the drainage of excess fluid from the lower extremities.

Wear Compression Stockings

Compression stockings are specially designed to provide pressure to the legs, encouraging healthy blood flow and reducing swelling. These stockings help prevent fluid buildup in the ankles and can provide relief from cankles. Consult with a healthcare provider to ensure the proper fit and level of compression.

Stay Hydrated

Drinking an adequate amount of water throughout the day can actually help reduce fluid retention. When the body is hydrated, it is less likely to hold onto excess water, which may alleviate cankles during pregnancy. Aim for at least eight glasses of water per day, unless specifically advised otherwise by a healthcare provider.

Watch Your Sodium Intake

High sodium intake can contribute to fluid retention in the body. Limiting the consumption of salty foods and processed snacks can help prevent or reduce swelling in the ankles. Opt for fresh fruits and vegetables, lean proteins, and whole grains to maintain a well-balanced diet during pregnancy.

Exercises to Relieve and Reduce Cankles

Ankle Circles

Ankle circles are a simple and effective exercise to alleviate cankles during pregnancy. Sit with your legs extended, and rotate your ankles in a circular motion. Perform ten circles in each direction. This exercise helps improve ankle flexibility and stimulates blood circulation.

Leg Raises

Leg raises are beneficial for reducing swelling and improving blood flow in the lower extremities. Lie on your side with one leg extended while the other leg is bent at the knee. Slowly lift the extended leg as high as comfortably possible and hold for a few seconds. Repeat this exercise ten times on each side.

Heel-to-Toe Walks

Heel-to-toe walks are a balance exercise that engages the calf muscles and improves circulation in the legs. Stand with your feet hip-width apart and take a step forward, placing your heel in front of your toes. Roll through your foot and repeat with the other foot. Walk in this manner for a few minutes each day.

Calf Stretches

Calf stretches can help alleviate tightness and reduce swelling in the ankles. Stand facing a wall and place your hands on the wall for support. Step one foot back, keeping it straight and the heel on the ground. Lean forward, feeling the stretch in the calf muscle. Hold for 20-30 seconds and repeat with the other leg.

Managing Cankles During Pregnancy

Dietary Changes to Reduce Cankles

Increase Water Intake

Although it may seem counterintuitive, increasing water intake can aid in reducing cankles during pregnancy. Staying hydrated encourages the body to release excess fluid, helping to prevent swelling in the ankles. Aim to drink at least eight glasses of water per day, unless otherwise advised by a healthcare provider.

Consume Anti-Inflammatory Foods

Incorporating anti-inflammatory foods into your diet can help reduce swelling and inflammation associated with cankles. Fresh fruits, vegetables, fatty fish rich in omega-3 fatty acids, and whole grains are excellent choices. Avoid processed foods and foods high in saturated fats, as these can contribute to inflammation.

Limit Sodium Intake

Excess sodium can lead to water retention, exacerbating cankles during pregnancy. Limiting the intake of salty foods and processed snacks is crucial for managing swelling in the ankles. Read food labels carefully and opt for low-sodium alternatives whenever possible.

Add More Potassium-rich Foods

Potassium-rich foods such as bananas, avocados, oranges, and sweet potatoes can help alleviate cankles by balancing fluids in the body. Potassium helps to counteract sodium’s effects and promotes healthy fluid balance. Including these foods in your diet can be an effective way to reduce ankle swelling.

Wearing the Right Footwear

Choose Comfort Over Style

During pregnancy, it is essential to prioritize comfort when choosing footwear. Avoid tight or narrow shoes that can constrict blood flow and contribute to swelling. Opt for shoes that provide ample room for the feet to breathe and accommodate any potential swelling.

Look for Supportive Shoes

Supportive shoes can provide stability and help reduce swelling in the ankles. Look for shoes with cushioned soles and arch support. Avoid high heels or shoes with minimal support, as they can put added pressure on the ankles and exacerbate cankles.

Avoid High Heels

High heels can worsen cankles during pregnancy and should be avoided. These shoes place excessive strain on the feet and ankles, reducing blood flow and increasing the risk of swelling. Opt for flats or low-heeled shoes that provide comfort and stability.

Consider Orthotic Inserts

Orthotic inserts can provide additional support and cushioning for the feet, reducing the strain on the ankles and preventing or alleviating cankles. Consult with a healthcare provider or podiatrist to determine if orthotic inserts are suitable for your individual needs.

Managing Cankles During Pregnancy

Managing Cankles in the Second and Third Trimesters

Modify Exercise Routines

As the pregnancy progresses, it may be necessary to modify exercise routines to accommodate the growing belly and reduced mobility. Low-impact activities like swimming, prenatal yoga, and gentle stretching can still be performed to manage cankles during the second and third trimesters. Listen to your body and consult with a healthcare provider for specific recommendations.

Use Pregnancy Techniques

Utilizing pregnancy techniques, such as the use of maternity support belts or pillows, can help alleviate pressure on the legs and ankles. These techniques can improve blood flow and provide support for the growing belly, reducing the likelihood of developing cankles.

Take Frequent Breaks and Rest

Resting and taking frequent breaks throughout the day is crucial to manage cankles in the later stages of pregnancy. Elevate the feet and put them up whenever possible to encourage fluid drainage and reduce swelling. Listen to your body’s signals and avoid overexertion to prevent excessive swelling in the ankles.

Wear Compression Gear

Wearing compression gear, such as maternity support stockings or socks, can be beneficial in managing cankles during the second and third trimesters. These specially designed garments provide gentle pressure to improve circulation and reduce fluid retention in the ankles. Consult with a healthcare provider for guidance on selecting the appropriate compression level.

When to Seek Medical Help

Persistent Swelling and Pain

If the swelling and pain in the ankles persist or worsen over time, it is essential to consult with a healthcare provider. Persistent cankles may be a sign of an underlying medical condition, and it is crucial to rule out any concerns and receive appropriate treatment.

Sudden and Severe Swelling

If there is a sudden and significant increase in ankle swelling, it may be a cause for concern. This could be a sign of preeclampsia, a serious condition characterized by high blood pressure during pregnancy. Seek immediate medical attention if sudden and severe swelling occurs.

Redness, Warmth, or Tenderness in the Leg

If there is redness, warmth, or tenderness in the leg accompanying cankles, it could potentially indicate a blood clot. Deep vein thrombosis (DVT) is a serious condition that requires immediate medical attention. Contact a healthcare provider promptly if these symptoms are present.

Difficulty Breathing

If cankles are accompanied by difficulty breathing or chest pain, it may indicate a pulmonary embolism, a potentially life-threatening condition. Seek emergency medical care if these symptoms occur.

Alternative Remedies for Cankles


Acupuncture is an alternative therapy that involves the insertion of thin needles into specific points on the body to promote balance and relieve symptoms. Some women find acupuncture helpful in reducing swelling and managing cankles during pregnancy. Consult with a certified acupuncturist and inform them of your pregnancy to ensure safe and effective treatment.

Massage Therapy

Regular prenatal massages can help reduce swelling and improve circulation in the ankles and feet. Massage therapy can also provide relaxation and relief from pregnancy-related discomfort. Ensure that the massage therapist is trained in prenatal massage techniques and inform them about any specific concerns or symptoms.

Epsom Salt Soaks

Soaking the feet and ankles in warm water with Epsom salts can help reduce swelling and provide relief from cankles. The magnesium sulfate in Epsom salts can assist in drawing out excess fluid, promoting relaxation, and soothing tired muscles. Follow the instructions for the proper dilution and duration of the soak.


Certain essential oils, such as lavender or chamomile, have calming and anti-inflammatory properties that can be beneficial for managing cankles during pregnancy. Dilute a few drops of the chosen essential oil in a carrier oil, such as coconut or almond oil, and massage onto the ankles. Ensure the essential oils used are safe for pregnancy and consult with a certified aromatherapist if needed.


Embracing the changes that occur during pregnancy, including cankles, is essential for overall well-being and a positive pregnancy experience. While cankles can be uncomfortable and sometimes challenging to manage, they are often a temporary part of the beautiful journey of motherhood. Prioritizing self-care, following preventive measures, and seeking medical advice when necessary can help alleviate cankles and ensure a healthy pregnancy. Remember to consult with a healthcare provider for personalized guidance and recommendations based on individual circumstances.