1. Check whether you need medical help first
- Call 999 (or your local emergency number) for swelling with chest pain, breathlessness, coughing up blood or feeling faint.
- Get an urgent appointment if one leg is swollen without a clear cause, or swelling is sudden, painful, getting worse, red or hot, or you have a high temperature.
- In pregnancy, call your midwife straight away for sudden swelling of the face, hands or feet, a bad headache or vision problems.
Source: NHS: swollen ankles, feet and legs and NHS: swelling in pregnancy.
2. Understand the basics
Your lymphatic system collects fluid that leaks out of blood vessels and returns it to your blood, filtering it through lymph nodes on the way. It has no pump of its own: your muscles do that job when you move.
3. Work out what kind of swelling it might be
Most swollen ankles come from everyday causes like long periods of sitting, salty food or heat. Lymphoedema is a long-term condition, most often after cancer treatment. Lipoedema is a different condition affecting fat distribution.
4. Build the everyday habits with the best evidence
- Move regularly and break up long periods of sitting.
- Raise your legs when resting.
- Cut salt to 6g a day or less.
- Keep to a healthy weight.
- Look after your skin to prevent infection.
5. If you have, or are at risk of, lymphoedema
Ask your GP or cancer team about a specialist lymphoedema service. Treatment combines compression, skin care, exercise and sometimes specialist massage.
6. Be sceptical of quick fixes
Detox kits, cleanses and "lymph drainage" supplements are heavily marketed. We explain what the evidence shows, and compare products honestly if you still want to try one.
General information, not medical advice. Read our editorial standards and medical disclaimer.