Foot Changes During Pregnancy: What to Expect and How to Manage

Dr. Benjamin Kamel
May 29, 2025
2.5 Min

Pregnancy brings a myriad of changes to a woman's body, and the feet are no exception. As the body adapts to support the growing baby, various physiological and biomechanical changes occur, impacting the feet in several ways. Understanding these changes and knowing how to manage them can help alleviate discomfort and prevent long-term issues.

Common Foot Changes During Pregnancy

Swelling (Edema) during pregnancy is often caused by increased blood volume and fluid retention, resulting in swollen feet and ankles, especially noticeable in the evening or after prolonged standing. To manage this, it's recommended to elevate your feet, wear supportive stockings, and stay hydrated. 

Arch Flattening is another common issue, attributed to the relaxin hormone's effects on ligaments and joints, coupled with the additional weight of pregnancy. This can lead to lower arches, flat feet, and overpronation. Combatting this involves using supportive shoes with good arch support or custom orthotics. 

Foot Growth is a natural occurrence during pregnancy, driven by relaxin-induced ligament laxity and weight gain. This can result in a permanent increase in foot size, making it essential to periodically measure feet and choose appropriately sized footwear. 

Pain and Discomfort may arise due to increased pressure and altered gait, causing discomfort in the heels, arches, balls of the feet, ankles, and legs. To alleviate this, opt for cushioned, supportive shoes, and avoid high heels. 

Varicose Veins are a common issue, caused by increased blood volume and pressure on the veins in the legs. Symptoms include swollen, twisted veins visible under the skin, often causing discomfort. Management strategies include elevating feet, avoiding prolonged standing, and considering the use of compression stockings.

Tips for Managing Foot Changes During Pregnancy

1. Choose the Right Footwear:
  • Opt for shoes with good arch support and cushioning.
  • Avoid high heels and flat shoes without support.
  • Consider adjustable shoes to accommodate swelling.

2. Maintain Healthy Habits:
  • Stay active with low-impact exercises like walking or swimming to promote circulation.
  • Perform foot and ankle stretches to maintain flexibility.
  • Maintain a healthy weight to reduce extra pressure on your feet.

3. Elevate and Rest:
  • Elevate your feet whenever possible to reduce swelling.
  • Take regular breaks if you need to stand for extended periods.

4. Stay Hydrated:
  • Drink plenty of water to help reduce fluid retention.
  • Limit salt intake to minimize swelling.

5. Use Compression:
  •  Wear compression stockings to help with swelling and varicose veins.
  • Choose stockings that fit well and are comfortable to wear throughout the day.

6. Massage and Soak:
  • Foot massages can help alleviate pain and improve circulation.
  • Soak your feet in cool water to reduce swelling and discomfort.

When to Seek Medical Advice

While many foot changes during pregnancy are normal, some symptoms may indicate a need for medical attention:
  • Severe or sudden swelling: This could be a sign of preeclampsia, a serious condition that requires immediate medical attention.
  • Persistent or severe pain: Continuous pain that doesn't improve with self-care measures may need professional evaluation.
  • Signs of infection: Redness, warmth, or discharge could indicate an infection that requires treatment.

Foot changes during pregnancy are common and can cause discomfort, but with proper care and management, you can minimize their impact. Prioritize supportive footwear, maintain healthy habits, and stay vigilant for any unusual symptoms. By taking proactive steps, you can ensure your feet remain healthy and comfortable throughout your pregnancy and beyond. Always consult your healthcare provider for personalized advice and if you have any concerns regarding your foot health during pregnancy.

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