Why are my ankles so swollen after flying?

Leg and foot swelling during air travel is common and typically harmless. The most likely culprit is inactivity during a flight. Sitting with your feet on the floor for a long period causes blood to pool in your leg veins. The position of your legs when you are seated also increases pressure in your leg veins.



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Post-flight recovery
  1. Elevate your feet. If you're uncomfortable, grab a seat at the arrival gate where you can elevate your feet. ...
  2. Soak your feet or take a bath when you arrive at your accommodations. Just as a hot tub or jacuzzi increases blood flow, a hot bath can have the same effect. ...
  3. Take a walk or exercise.


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If your feet and ankles swell during a flight but the swelling subsides shortly afterward, it's not a serious concern. But if the swelling continues for hours after the flight and if the leg is red or warm to the touch or you have symptoms in only one leg, you need to seek medical care.

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Leg and foot swelling during air travel is common. It's usually harmless. The most likely reason for it is sitting for a long time without moving during a flight.

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Swollen ankles are a common side effect of long-haul flights. They most often occur due to the buildup of fluid in the legs, known as edema. Studies show that edema is present in around 97 in 100 people who fly for more than 7 hours. In some other cases, a person's ankles may swell due to DVT.

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DVT or PE may manifest during or shortly after the flight, but often not for several weeks. Prevention includes choosing aisle seating, maintaining hydration, walking frequently, wearing loose clothing, exercising the lower extremities, using a foot rest, and avoiding alcohol and sleeping pills.

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To add to that the increased altitude and low air pressure mean that the lymphatic system is not able to properly transfer the fluid, which increases retention.” Meanwhile the low humidity of the air means that moisture evaporates from the skin, leading to increased dehydration.

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The most likely culprit is inactivity during a flight. Sitting with your feet on the floor for a long period causes blood to pool in your leg veins. The position of your legs when you are seated also increases pressure in your leg veins.

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