Foot Edema, What Causes It, and How I'm Treating Mine

At first, I blamed my Sasquatch feet on prednisone. But two months after being totally off steroids, I still had bloated ankles and feet. I saw my PCP, and she put me on Lasix temporarily to drain the excess fluid and then advised me to start wearing compression socks. I dutifully followed her advice, but Lasix didn’t return my feet to normal.

Very few footwear choices

Late autumn weather fell into twenty- and thirty-degree temps, but I couldn’t push my feet past the instep of my winter boots despite an improvement in the swelling. My feet stuck half in and half out of my boots; I couldn’t leave the house until I changed my footwear. Wearing those darned compression socks, I could just about fit into my gardening clogs, a pair of slipper booties with a hard rubber sole, and some too-long athletic shoes with the sock linings removed. The athletic shoes fit width-wise, but my heels popped out of the shoes with every step. I hate wearing closed shoes and socks; they make my feet burn and swell and redden. Until I could find a way to solve the swelling, I had few footwear choices. It was time to do a little research and see what more I could learn.

What edema is

Edema typically shows up in the feet or legs and is the result of fluid building up and getting trapped. It can be caused by being too sedentary, which describes my lifestyle of the past year or more.1

Thinking about all this brought back memories about weeping leg lesions. My father suffered from them after years of coronary artery disease progressed to congestive heart failure. Although my heart is fine, I did not want my condition to become that severe. But lack of exercise isn’t the only culprit that can put our feet on the short list for most awesome blimps in the Macy’s Thanksgiving Day parade.

Medications can also be the bad boys when it comes to producing side effects that might be worse than the symptoms they are treating. Some medications that can cause swelling include blood pressure or pain management medications. Talk to your doctor about what medications may put you at risk for swelling.1

Help with physical therapy

So the good news is that I did three weeks of physical therapy, and the foot edema subsided with regular exercise. I was able to stop wearing compression socks. The bad news is that I started gabapentin for those dastardly blow torch/electrical shock sensations that woke me up every night. Oh, it helped the pain all right — but my feet blew up again! Grrrr. I’m now faced with a decision: either go off gabapentin, put up with the night pain, and have normal feet — or register them at Macy’s for next Thanksgiving.

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