5 Reasons You Have Swollen Legs After Working Out

5 Reasons You Have Swollen Legs After Working Out

Some of these causes may warrant a trip to your doctor.
5 Reasons You Have Swollen Legs After Working Out
Jacob Wackerhausen/iStock

You exercise to slim down and shape up, so it's no wonder you're alarmed when you end a tough workout and your legs appear larger and more swollen than when you started. In most cases, swelling can be a result of microtrauma to your muscles that occurs when you exercise. (Don’t worry, these microtraumas help your muscles strengthen and grow). But sometimes, swelling in your legs can be a sign of an underlying health condition that needs medical attention.

Below, you’ll find five of the most common causes of swollen legs after working out. If you suspect you have one of these conditions or notice that your swelling hasn’t improved, it’s a good idea to see your healthcare provider for further support and individualized advice.

1. Microtrauma During Exercise

When you exercise, your muscles incur stress, and the fibers can tear and stretch. And while this may sound like you’re damaging your body, you’re actually doing the exact opposite. Your body responds to these microtraumas by helping your muscles grow stronger and become more resilient.

When you exercise your legs, your body initially responds by increasing blood flow to them. As the blood and fluids rush in to repair these microtraumas, you may experience some swelling in the beginning. However, you can relieve the swelling in your legs by wearing compression sleeves, elevating your legs above your heart, and giving your feet a rest.

2. Injuries

While microtraumas are usually the culprit behind temporary swelling in your legs after exercise, in some cases, you might notice swelling after an injury. Injuries like a twisted ankle, a torn muscle, or a broken bone in your leg could lead to inflammation and swelling, in addition to pain.

If you have an injury or think you may have hurt yourself, it’s important to seek support immediately. Getting support from a healthcare provider can help you get the treatment you need — whether that’s a cast, a brace, or even just ice.

3. Underlying Diseases

Swelling in your legs can sometimes also be a sign of water retention, which happens when fluid doesn’t fully flush out of your body. And one of the most common causes of fluid retention is underlying health conditions like heart, kidney, liver, lung, and thyroid diseases. Complications in these organs and bodily systems tend to interfere with your ability to move fluid through your body through your lymph nodes and blood vessels, causing swelling as a side effect.

However, exercise can also cause the excess fluid in your body to pool in your legs. As a result, the swelling becomes more pronounced right after you work out. If you’re noticing swelling in your legs both during a workout and when you’re resting, talk to your healthcare provider. They can get you tested for underlying health conditions and recommend appropriate treatment options if necessary.

4. Venous Disorders

While certain underlying diseases can certainly cause swelling in your legs, another reason you may experience swollen legs is due to venous disorders — which is just a fancy way of describing problems with the functioning of your veins.

Usually, the valves in your leg veins work one way to move blood up toward your heart. But when these valves stop working as they should, blood can get backed up and start to pool. This can lead to symptoms like poor circulation and swelling in your legs. Conditions like spider veins, varicose veins, and venous insufficiency may lead to these symptoms.

But when you exercise your legs, blood flows more rapidly and in greater volumes to your legs, so it can exaggerate the swelling you’re already experiencing. If you think your swelling may be due to poor circulation, talk to your primary care provider or a vein specialist about testing and treatment. They can help you understand your diagnosis and recommend treatment options like medical-grade compression socks, certain lifestyle changes, or even minor procedures if necessary.

5. Pregnancy and Hormones

If you’ve ever been pregnant or known someone who has, you may notice that swollen feet, ankles, and legs are a common symptom. But the reason this happens is also due to fluid retention. And when you work out while pregnant, the swelling may temporarily worsen. However, it’s important to note that gentle exercise while pregnant is healthy for most people. If you are unsure of how strenuous your workouts should be, talk to your healthcare team about how often you can exercise and what workouts are best for you.

Even if you aren’t pregnant, hormonal changes that occur with your menstrual cycle can also increase your risk of retaining water. If you notice that your swelling is occurring at the same time each month, it may be due to changes in your hormone levels that can happen when you’re experiencing premenstrual syndrome (PMS). And if you aren’t on your period anymore? Well, perimenopause (or the transition phase before menopause) can also cause hormonal shifts that may make leg swelling more apparent after exercise.

If you’re noticing swelling after exercise as you progress through your menstrual cycle, while pregnant, or during perimenopause, talk to your healthcare provider about what you can do to alleviate symptoms. They may recommend compression socks, elevation, and water-based workouts to keep your legs moving without the unwanted fluid retention.

The Takeaway

  • When you exercise your legs, little tears in your muscles (known as microtraumas) can temporarily increase blood flow and cause swelling.
  • Swelling after exercise is also a common symptom of an injury like a torn muscle, sprained ankle, or broken bone in your leg.
  • Underlying health conditions and pregnancy can often contribute to swollen legs after exercising.
  • If you have leg swelling after exercise that is bothersome or worsens, talk to your healthcare provider to get the support and treatment you need.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. It’s the recovery, not the exercise, that builds muscles. UNC Health Talk. July 20, 2023.
  2. Foot, leg, and ankle swelling. MedlinePlus. June 20, 2023.
  3. Soft Tissue Injury. Cleveland Clinic. February 21, 2025.
  4. Edema. Cleveland Clinic. May 17, 2022.
  5. Venous Disease. Cleveland Clinic. February 3, 2023.
  6. Ankle swelling during pregnancy: What helps? Mayo Clinic. July 9, 2024.
  7. Water retention: Relieve this premenstrual symptom. Mayo Clinic. November 5, 2024.
Michelle-Seguin-bio

Michelle Seguin, MD

Medical Reviewer

Michelle Seguin, MD, is a board-certified family medicine, lifestyle medicine, and certified functional medicine physician (IFMCP). She is a practicing physician at Root Functional Medicine, a leading telemedicine practice specializing in personalized, root-cause care.

Andrea Boldt

Author

Andrea Boldt has been in the fitness industry for more than 20 years. A personal trainer, run coach, group fitness instructor and master yoga teacher, she also holds certifications in holistic and fitness nutrition.