Feet and Ankles After a Pregnancy Loss

Expert Insights from Madeleine Murray, Podiatrist Unlisted

Feet and Ankles After a Pregnancy Loss

What might still be going on, and why it matters

During pregnancy, your feet and ankles carry more than just physical weight. Hormones shift, your balance changes, and tissues that usually hold everything in place start to soften. These changes are known to affect how your feet move and feel. But what happens after a pregnancy loss is rarely talked about and not well studied.

At WHEN, we want to fill that gap with honest, useful information. There’s little direct research on foot and ankle changes after pregnancy loss, but here’s what we do know based on pregnancy studies, clinical experience, and what women often report.

What you might notice

  • Your feet may feel flatter, wider or more tired than usual.
  • You may still have swelling around your feet and ankles, even weeks later.
  • You might notice aches in your heels or arches, especially after standing or walking.
  • Some women feel more unsteady or clumsy, especially if their centre of balance shifted during pregnancy.

These changes are often linked to hormones called relaxin and progesterone, which loosens joints and ligaments during pregnancy. That effect doesn’t stop straight away after a pregnancy loss. It can take time for everything to return to its usual alignment, especially if the pregnancy was further along.

Swelling can also stick around for a while. It may come and go during the day or feel worse at night. For some women, swelling makes it hard to wear enclosed shoes, which in turn can affect stability and comfort when walking.

What can help

If your feet and ankles still don’t feel right, you’re not imagining it. You might find these things helpful while your body is recalibrating:

  • Rest and elevate your feet when you can.
  • Wear soft, supportive shoes that give your feet room to breathe.
  • Avoid standing for long periods on hard floors if possible.
  • If your arches feel sore or tired, a gentle massage or rolling your foot over a tennis ball can help.
  • Compression socks or light lymphatic massage can help manage swelling.

 

If your discomfort is stopping you from moving freely, or if pain becomes sharp, ongoing or one-sided, it’s worth checking in with your GP or a podiatrist.

You don’t have to wait it out

Foot and ankle pain can affect how you move, how you rest, and how your whole body feels. Looking after your feet might seem small, but it can ease tension elsewhere and help your body feel more supported while everything is settling.

Cherni, Y., Desseauve, D., Decatoire, A., Veit-Rubinc, N., Begon, M., Pierre, F. and Fradet, L., 2019. Evaluation of ligament laxity during pregnancy. Journal of Gynaecology Obstetrics and Human Reproduction, 48(5), pp.351–357.

Dhillon, S., Dhillon, M.S., Arumugam, S., Gowda, P.K., Chabbra, M. and Kumar, P., 2018. Foot biomechanics and relation to the gait cycle. Journal of Foot and Ankle Surgery (Asia Pacific), 5(2), pp.68–72. https://doi.org/10.5005/jp-journals-10040-1093.

Foti, T., Davids, J. and Bagley, A., 2000. A biomechanical analysis of gait during pregnancy. The Journal of Bone & Joint Surgery, 82(5), p.625.

Gianakos, A., Abdelmoneim, A., Kerkhoffs, G. and DiGiovanni, C., 2022. The pregnant patient – why do my feet hurt? The Journal of Foot and Ankle Surgery, 61, pp.1357–1361. https://doi.org/10.1053/j.jfas.2022.04.004.

Gijon-Nogueron, G., Gavilan-Diaz, M., Valle-Funes, V., Jimenez-Cebrian, A.M., Cervera-Marin, J.A. and Morales-Asencio, J.M., 2013. Anthropometric foot changes during pregnancy: a pilot study. Journal of the American Podiatric Medical Association, 103(4), pp.314–321. https://doi.org/10.7547/1030314.

Morimoto, K. and O’Rourke, L., 2021. Third trimester lower extremity lymphorrhea. Case Reports in Obstetrics and Gynecology, 2021. https://doi.org/10.1155/2021/3594923.

Nyska, M., Sofer, D., Porat, A., Howard, C.B., Levi, A. and Meizner, I., 1997. Plantar foot pressures in pregnant women. Israel Journal of Medical Sciences, 33(2), pp.139–146. PMID: 9254877.

Qichang, M., Yaodong, G. and Fernandez, J., 2018. Alterations of pregnant gait during pregnancy and post-partum. Scientific Reports, 8, p.2217. https://doi.org/10.1038/s41598-018-20648-y.

Rabe, K., Segal, N., Waheed, S. and Anderson, D., 2018. The effect of arch drop on tibial rotation and tibiofemoral contact stress in postpartum women. Physical Medicine & Rehabilitation, 10(11), pp.1137–1144. https://doi.org/10.1016/j.pmrj.2018.04.006.

Ramachandra, P., Kumar, P., Kamath, A. and Maiya, A.G., 2017. Do structural changes of the foot influence plantar pressure patterns during various stages of pregnancy and post-partum? Foot and Ankle Specialist, 10(6), pp.513–519. https://doi.org/10.1177/1938640016685150.

Segal, N., Boyer, E., Teran-Yengle, P., Glass, N., Hillstrom, H. and Yack, J., 2013. Pregnancy leads to lasting changes in foot structure. American Journal of Physical Medicine & Rehabilitation, 92(3), pp.232–240. https://doi.org/10.1097/PHM.0b013e31827443a9.

Smyth, R.M.D., Aflaifel, N. and Bamigboye, A.A., 2015. Interventions for varicose veins and leg oedema in pregnancy. Cochrane Database of Systematic Reviews, (10), CD001066. https://doi.org/10.1002/14651858.CD001066.pub3.

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Need Immediate Help?

If you or someone you know is struggling during the postnatal period, it’s crucial to remember that immediate help is available. Here are steps and resources you can turn to:

In Urgent Situations:

  • Hospital Emergency: Visit your nearest hospital emergency department.
  • Ambulance: Dial triple zero (000) for immediate medical assistance.

Support Services:

  • Beyond Blue: Offers guidance for depression and anxiety. Call 1300 224 636.
  • Lifeline: Provides critical support and suicide prevention. Contact 131 114.
  • Women’s Domestic Crisis Service: For domestic violence support, call 1800 015 188.
  • WIRE (Women’s Information and Referral Exchange): For information and support, dial 1300 134 130.
  • PANDA (Perinatal Anxiety & Depression Australia): For perinatal anxiety and depression support, call 1300 726 306.
  • Parent Line: For parent support, reach out to 132 289.
  • Sands: Offers support for miscarriage, stillbirth, and newborn death issues. Contact 1300 072 637.

Remember, you are not alone, and reaching out for help is a step toward healing. Your well-being is important, and support is just a phone call away.