What’s causing my legs to swell?

Swollen legs are a common complaint. But what to do about it isn’t so simple. It might be a symptom of vein problems. Or it could be a range of other conditions.

The three primary forms of swelling are edema (water retention), lymphedema and lipedema. What’s the difference?

If you press your thumb into the swelling and the indentation remains for a few minutes, you probably have what’s called “pitting edema” which is due to water retention. This condition generally gets worse over the course of the day. While it’s usually painless, edema can be a symptom of a range of conditions including vein problems, congestive heart failure, chronic lung disease, severe anemia, thyroid disease, malnutrition, certain medications, and kidney disorders. Or it could be a benign condition caused by warm weather, menstrual cycle or
pregnancy.

Blocked veins (either superficial or deep veins) and venous insufficiency (varicose veins, leaky valves) are common causes of edema. These conditions cause an elevation of back pressure in the veins causing fluid to leak out into the skin. If you have edema and visible varicose veins there’s a good chance this is your problem. The good news is that treating the vein problem usually improves the edema.

If you press your thumb into the swelling and do NOT produce an impression, you may have lymphedema. Lymphedema is less common and is caused by a problem in the lymphatic system. Little vessels in the skin, called “lymphatic vessels” collect fluid, filter it through lymph nodes (in the groin), and ultimately release it back into the blood stream. A sluggish lymphatic system can swell one or both legs, typically extending to the feet and toes.

The other cause of leg swelling, lipedema, is not really a swelling at all. It’s an abnormal deposit of fat tissue in the lower body affecting up to 11% of women. It is usually somewhat painful, always affects both legs, and stops abruptly at the ankle, resulting in a “bracelet” around the ankle. Lipedema cannot be reduced through diet.

As always, if you have concerns regarding swelling in the legs, I suggest you consult your physician for a diagnosis and treatment. You can arrange for a quick and easy consultation right now by calling 201-265-5300.

About us: There are 20 million Americans with vein problems that can seriously affect the quality of their lives. And as we age, they just get worse. As one of the few New Jersey medical practices committed exclusively to vein care, Advanced Vascular Vein Care is uniquely capable of alleviating those problems, whether they are medical or cosmetic. All treatments are non-surgical, usually covered by insurance, and delivered in an office setting. And we do it as it should be done – with compassion, excellence, affordability, convenience, and the personal touch. Call 201-265-5300 or visit AdvancedVascular.com for a quick and easy consultation.

Morristown

 131 Madison Ave. 2nd Floor
 Morristown, NJ 07960
 (973) 540-9700

Jefferson

 757 Route 15, Suite 103B
 Lake Hopatcong, NJ 07849
 (973) 540-9700

Pompton Plains

242 West Parkway
Pompton Plains, NJ 07444
(973) 540-9700

Teaneck

1086 Teaneck Road, Suite 4F1
Teaneck, NJ 07666
(201) 265-5300

Office Hours

Monday:

8:00 am-4:30 pm

Tuesday:

8:00 am-4:30 pm

Wednesday:

8:00 am-4:30 pm

Thursday:

8:00 am-4:30 pm

Friday:

8:00 am-4:30 pm

Saturday:

Closed

Sunday:

Closed

  • "One of the most professional and accommodating office and doctors I have been to in a very long time. I saw Dr. Lee and found him to be very kind and knowledgeable. He diagnosed a blood clot, got me started on a blood thinner and I feel better than I have in months. Thank you, thank you, thank you!"
    Barbara B.
  • "Best vascular surgeons around Dr. Patel is the best"
    Cookie R.
  • "Dr.Lee is thee BEST Vascular Surgeon I EVER had in 42yrs! He is kind, compassionate, funny, and super honest! I really need the super honest part as his patient because I have been on dialysis for almost 20yrs time around and then dealing with end-stage renal failure since I was 13 and I was born with circle kidney so I need someone who is going to be upfront and honest with me and compassion at the same time and he is the ONLY surgeon to get three fistulas working on me! No one in 42 years has ever done that! He is the best surgeon I have ever had! Omg... and his staff is phenomenal !"
    Mercedes R.
  • "Dr. Patel placed my fistula in july of 2014 and I have had most of my maintenance fistulagrams done by Dr Raiz. Though whoever i have had have been great.The entire staff is wonderful . They are compassionate caring and professional. Would not go anywhere else."
    Sherry S.
  • "Dr Riaz, Dr Lee, and the entire Medical Staff at Advanced Vascular Associates are one of the most professional, knowledgeable, courteous, and caring Medical Teams that I've ever visited in my life! I have the greatest amount of respect for them, and trust that whatever the purpose of your visit is, you will leave knowing that you've been treated by the best! Thanks for taking good care of me (especially Rose)."
    Bruce B.
  • "My Dad had surgery for a AAA a year ago! He is 91 years young! Dr. Lee brings so much to the Operating Table!I have never been put more at ease than by Dr Lee. His reassurance and soft-spoken confidence made me rest easily during the Procedure. What a great Man!"
    Lisa V.
  • "Dr. James and the staff are the best. Very attentive and caring."
    Roseanne L.
  • "My first time there. Everyone was very nice and Dr. Patel was awesome! Would recommend to everyone."
    Helen A.
  • "Caring and professional nurses and staff. And special thanks to Dr. David Cohen. His expertise and compassionate level of treatment is beyond comparison."
    Edward B.
  • "The advanced vein care center headed by Dr. Cohen, my physician, is a superior center with caring hands. Each and every visit has been a comfort to me."
    Theresa P.
  • "Thank you for always doing your very best for Dad. We appreciate you always doing what was best for Dad and for always making him feel worthy of being treated as a breathing human being and not some ‘old sick man’."
    The Danielian family
  • "A note of thanks to you! I must say I have never been more pleased with the care and treatment rendered by you and your staff, as compared to countless other physicians and their somewhat lacking care and consideration for their patients’ time and well-being. I am doing fine and had very little discomfort!"
    Paula D.
  • "Thank you very much for the great attention and services offered not only to me, but also to my assistant. Your loving and caring is taken to heart."
    Gustavo G., D.M.D.