What Causes Swollen Ankles After Exercise?

Healthcare providers often recommend moderate exercise to help increase blood flow, strengthen muscles and bones, and promote overall health and well-being. So, when you notice swelling after your workouts, it can be a cause of confusion and concern.
Swelling, also known as edema, in the legs and ankles is not necessarily unusual. Several factors can cause it, like having underlying health conditions, sitting for long periods, or taking certain medications, according to MedlinePlus.
But if your swelling is occurring after exercise, it can be for a variety of reasons. Here’s what you need to know.
Increased Blood Flow and Inflammation
It’s normal for parts of the body to swell during and after exercise.
Research suggests that when you exercise, temporary inflammation and increased blood flow in your muscles occurs. As a result of this effect, you may notice that your hands, face, legs, and feet enlarge slightly or appear swollen.
Once your body cools down and gets some rest, the swelling should subside on its own.
Hormones
A hormonal response can be responsible for swelling in some people, particularly women.
According to MedlinePlus, women who take estrogen supplements may be more prone to fluid retention and swelling. Pregnant people are also susceptible to swelling due to an overall increase in estrogen levels as well as increased blood volume and water retention throughout the body.
And because exercises such as walking, jogging, and hiking encourage the effects of gravity, much of the body’s fluids naturally pool in the lower legs, ankles, and feet during physical activity, and thus may result in swelling.
If you’re on your period, pregnant, or going through menopause and are exercising, swelling may occur, but it should be temporary.
The Center for Vascular Medicine recommends elevating your legs to improve blood circulation and reduce swelling.
Injuries and Illnesses
You may develop swelling due to underlying injuries and illnesses. For example, if you have a previous injury that’s not yet healed, or you’re recovering from a recent surgery on your legs or ankles, you may experience swelling after working out because it is a natural response to injury, according to Nationwide Children’s Hospital.
However, underlying health conditions, like arthritis, can also lead to swelling if you participate in strenuous physical activity. The Arthritis Foundation recommends low-impact aerobic exercises that keep your body moving but are still gentle on your joints.
Organ Failure
In severe cases, organ failure can also lead to swelling after exercise, according to the American Kidney Fund.
Conditions like heart, liver, and kidney failure make it difficult for the affected organ to cycle fluids throughout the body. The excess fluid can then manifest as swelling in the legs or ankles.
If you notice swelling after workouts and the swelling doesn’t go away, it’s important to let your healthcare provider know so they can order tests and offer treatment, if necessary.
What Can Improve Swelling?
If you’ve ruled out organ failure and injury as possible causes of your ankle swelling after exercise, no need for alarm — as long as the swelling is manageable and subsides after a few hours.
If your ankles do not return to normal size, consider taking a rest from your workout routine to allow time for healing.
Cleveland Clinic also recommends other remedies, like elevating your legs, wearing compression socks, and reducing your salt intake, to manage the edema.
- MedlinePlus: "Foot, leg, and ankle swelling"
- Frontiers: "Inflammatory Effects of High and Moderate Intensity Exercise—A Systematic Review"
- Center for Vascular Medicine: "Top Tips to Elevate Legs and Mistakes to Avoid"
- Nationwide Children’s Hospital: "Swelling: The Body's Reaction to Injury"
- Arthritis Foundation: "Best Exercises for Rheumatoid Arthritis"
- American Kidney Fund: "Edema symptoms, causes and treatment"
- Cleveland Clinic: "Edema"

Scott Haak, PT, DPT, MTC, CSCS
Medical Reviewer
Scott Haak, PT, DPT, has been a member of the Mayo Clinic staff since 2000. Dr. Haak serves as faculty for the Sports Medicine Fellowship program at Mayo Clinic Florida. He is certified by the NSCA (National Strength and Conditioning Association) as a CSCS (Certified Strength and Conditioning Specialist), is a Certified USA Weightlifting Coach and Certified USA Football Coach, and possesses a MTC (Manual Therapy Certification) from the University of St. Augustine for Health Sciences.
Haak is an exercise enthusiast and enjoys running, weightlifting, and sports performance training. He is the president and director of coaching of a youth tackle football organization, JDL Providence Football, and currently coaches high school football and weight lifting.

Sara Melone
Author
Sara Melone is a mother of three and a graduate of the University of New Hampshire. With prior careers in insurance, finance, and photography, as well as certifications in fitness and nutrition, Melone draws directly from personal experience and varying interests. She contributes with equal passion to birth journals, investment blogs, and self-help websites.