Leg Pain and Swelling During Pregnancy: What’s Normal and What’s Not

Pregnancy brings many changes to the body, and leg pain and swelling are among them. While some discomfort is expected due to increased fluid retention and hormonal shifts, certain symptoms may signal a more serious issue. Here’s what you need to know about leg pain and swelling during pregnancy—what’s normal and when to seek medical attention.

Inovia Vein Specialty Centers provides expert, minimally invasive vein care for patients experiencing leg pain and swelling, offering comprehensive treatments in convenient, office-based settings to keep care affordable and accessible. With locations across Oregon and Southwest Washington, Inovia Vein’s experienced specialists use the latest technology to diagnose and treat vein conditions, helping patients find relief without needing hospital-based procedures.

What Causes Leg Pain and Swelling in Pregnancy?

Swollen legs and aching muscles during pregnancy are often due to:

  • Increased Blood Volume & Fluid Retention – Your body retains more fluids to support your developing baby, which can cause swelling, especially in the lower legs and feet.
  • Pressure on Veins – The uterus expands as the baby grows, putting pressure on major veins and slowing circulation, which can lead to discomfort.
  • Hormonal Changes – Pregnancy hormones relax blood vessels, which can contribute to swelling and poor circulation.
  • Weight Gain – The added weight can strain the legs, leading to pain and fatigue.

What’s Considered Normal?

Mild swelling, especially in the feet and ankles, is typical during pregnancy and usually worsens toward the end of the day or after standing for long periods. Leg cramps, particularly at night, are also common.

To reduce discomfort:

  • Elevate your legs when resting.
  • Stay hydrated and limit excess salt intake.
  • Wear comfortable, supportive footwear.
  • Engage in light movement, such as walking or prenatal yoga.

When to Be Concerned

While mild swelling and occasional leg cramps are normal, some symptoms may signal a more serious condition, such as:

  • Severe, sudden swelling in one leg – This could be deep vein thrombosis (DVT), a dangerous blood clot condition.
  • Redness, warmth, or tenderness in the leg – These may also indicate DVT and require immediate medical attention.
  • Severe or persistent leg pain – If pain doesn’t improve with rest or movement, consult your doctor.

Seek Treatment for Leg Pain and Swelling in Portland, OR

Leg pain and swelling are common pregnancy symptoms, but it’s important to distinguish between normal discomfort and signs of a more serious issue. If you experience unusual symptoms, call us today at 800-VEIN DOC to schedule an appointment and ensure a safe and healthy pregnancy.

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Request an appointment today to meet with leading vein experts at any of our clinics in:
NW Portland, Tigard, Happy Valley, Tanasbourne, Vancouver or Bend.

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