kankles

Kankles is a colloquial term for noticeable swelling around the ankles, often extending to the lower legs. It describes edema in the distal legs and is not a standalone diagnosis. Swelling is more common in hot weather, after prolonged standing, during pregnancy, or following an injury or surgery.

Common causes include venous insufficiency and other conditions that affect fluid balance, such as heart, kidney, or liver disease. Medications like calcium channel blockers, certain antidepressants, and NSAIDs can contribute. Local issues such as ankle sprains, cellulitis, or lymphedema can also cause ankle swelling. In some cases, swelling occurs in one leg and may signal a more serious problem such as a deep vein thrombosis (DVT) or infection.

Diagnosis typically involves a medical history and physical examination. Doctors may check for signs of systemic disease, measure leg size, and assess skin changes. Tests may include blood work to evaluate heart, kidney, and liver function, imaging such as duplex ultrasound to assess blood flow and rule out DVT, and, in some cases, imaging of the heart or abdominal organs to identify underlying causes.

Management depends on the cause. General strategies include elevating the legs, wearing compression stockings, reducing salt intake, maintaining a healthy weight, and getting regular physical activity. Treating the underlying condition is essential; this may involve medications, changes in therapy, or addressing heart, kidney, or liver disease. Seek medical advice if swelling is persistent, worsens, is accompanied by pain, redness, warmth, fever, chest pain, or shortness of breath.