Pedors Orthopedic Blog

There are several conditions that can lead to swelling in the foot.

Lymphedema also known as Milroy’s Disease if it is hereditary, is an accumulation of lymphatic fluid in the interstitial tissue that causes swelling most often in the arms and /or legs. Primary lymphedema occurs when lymphatic vessels are missing or impaired and affects a million people in the US. Secondary lymphedema occurs when lymph vessels are damaged or removed and affects 2 million people in the U.S. 

Edema results from venous insufficiency when the lymphatic fluid can not be transported out and an abnormal amount of protein rich fluid collects in the tissues of the affected area.

Sesamoiditis is the inflammation and swelling causing pain and tenderness in the sesamoid bones of the first metatarsophalangeal (MTP) joint. This typically occurs when excess pressure is exerted to the ball of the foot when landing heavily on the ball of the foot.

When considering appropriate footwear, thought should be given to how easy the shoe can be adjusted to accommodate any swelling that may occur over the course of the day. With a touch or as it is commonly called Velrco™ closure the strap can be easily adjusted as volume increase. Shoes with vamps or uppers made of stretch materials like neoprene, will accommodate the swelling and provide a mild compression to help reduce swelling in the foot. Combined with compression hosiery, some relief from pain can be accomplished.