TODAY -

Prolonged sitting or prolonged standing spoils your leg

Dr KK Pandey *



In our country, leg swelling emerges as the commonest problem out of all complaints pertaining to a leg. In some cases, there is complaint of sudden onset of swelling and redness either in one leg or both. Majority of our complainants in India suffer from a classic case of swelling that appears in legs generally at the fag end of the day only.

In the morning time, there is no leg pain and swelling but as the day advances, swelling begins to appear in the afternoon. In a few cases, people have persistent swelling in legs. Sometimes, leg swelling is accompanied by black patches near ankle. At the same time, ulcer with leg swelling also happens to be the main complaint by a significant number of people in India.

Present Scenario vis-a-vis leg swelling in our country

People suffering from leg swelling either recurrent or permanent do not know what to do and where to go. Out of their ignorance, they either visit some bone specialist or specialist in ancient medicines (ayurvedic or unani or homeopathic) or quack doctors practising in their vicinity. Sometimes they consult skin specialists, in case their leg swelling is associated with some black skin discoloration or ulceration.

The sufferers are not at fault, as they mistake this leg ulceration for skin eczema. The process of consultation with various kinds of specialists other than a vascular surgeon goes on over a period of time. On the advice of their neighbours or friends or colleagues, the victim of leg swelling keeps consulting different doctors at various places with no relief in sight.

Why a sudden spurt in incidence of leg swelling problems ?

People in India are gradually adopting a daily routine or a life style wherein a leg eventually becomes a casualty. People sit long hours in office in front of computers, ladies watch television serials dished out by various channels and spend at least 4-5 hours a day for television viewing. These television serials are designed and scheduled in such a way that housewives simply cannot resist temptation to watch. Even ladies who are office goers are hooked to TV sets daily after office hours.

Due to tremendous availability of different kinds of attractive video games on computers and mobile phones, children and teens keep away from playing fields and physical games. In a nutshell, these computers and television sets are steadily emerging as enemies of legs. Call centers and BPO jobs are definitely causing occupational health hazards especially to legs in particular.

How does your life style affect your legs?

If you have adopted a sedentary life style due to affluence or have taken up a job that requires prolonged sitting or prolonged standing, your legs are bound to suffer from problem of leg swelling. Prolonged sitting causes disturbance in drainage system of leg, as muscular pump in your legs stops functioning properly. This harms your leg in two ways.

Firstly, it leads to an accumulation of large quantity of impure and oxygen-deficient blood in legs for a time longer than required. This causes discomfort, early fatigue, irritation and pain in leg. Secondly, it may choke your leg veins due to blood clotting, triggered by stagnation of impure blood in legs.

Sudden painful swelling in leg

A comfortable sedentary life style associated with prolong sitting in front of computer and total lack of active exercise may cause danger to your leg and life as well. Such a life style, where overeating with no regular walking is the norm, will lead to accumulation of blood clots in legs. This condition in medical terms; is called DVT (Deep Vein Thrombosis).

If this condition is not managed in time, it may pose danger to life, due to complication called Pulmonary Embolism. In this dangerous condition, blood clots slip up from the leg veins, move upwards and reach lungs via heart and clog main blood pipes of lung. If timely intervention is not done, person may die eventually. Always consult a vascular surgeon in time whenever there is complaint of sudden development of painful leg swelling.

Persistent swelling in leg

If you find leg swelling always present and there is no significant change in size of leg swelling from morning to evening, it could be due to two reasons. One, the impure oxygen-deficient blood may not reach towards heart in totality, resulting in accumulation of remainder of impure blood into legs. In this situation, person might have a little less swelling in leg in the morning, but by the end of the day it comes back again in original size.

The second reason is the obstruction in venous flow due to blockade of veins. This blockade results due to incomplete or no treatment in initial stage of deposition of blood clots in deep veins of legs called DVT. All these factors lead to permanent swelling in leg.

This condition is called in medical terms as PTS or Post Thrombotic Syndrome. Therefore, whenever you develop a sudden leg swelling and have doubts of having clots in deep veins of your leg, get in touch with a vascular surgeon without fail and get treated promptly under his supervision to avoid developing PTS in legs.

Leg swelling with blue-colored veins

Whenever a person does not do daily regular morning walk or has not developed yet a habit of walking and leg exercise, the drainage system of leg gets disturbed and valves inside the leg vein stop functioning normally. This leads to failure of normal upward movement of impure blood and thus causes pooling of a large quantity of oxygen-deficient blood into the lower portion of legs near the ankle.

When pooling of blood inside the leg crosses beyond a prescribed and tolerable limit, the veins situated just underneath the leg skin surface begin bulging outside and well seen prominently from outside. These spider or earthworm-like blue-coloured veins visible prominently on leg skin are called in medical terms as "varicose veins". If a person continues his sedentary life style and does not seek advice from a vascular surgeon, these varicose veins get enormously enlarged and sometimes become a source of bleeding from leg.

Leg swelling with black spots

Our countrymen quite often suffer from this condition of painful leg swelling with appearance of round oval black patches or spots on skin specially near the ankle region. Quite often they complain their legs are almost swelling- free in the morning but as evening sets in, the leg swelling reappears.

This typical problem is generally prevalent among middle-aged ladies and persons who are overweight and sit continuously for long hours especially in shops or in offices in front of computers. This condition is known as CVI, (chronic venous insufficiency) in medical language. If black spots appear in lower part of your leg, consult a vascular surgeon for advice.

Other causes of leg swelling

Besides diseases of veins, there are other reasons of leg swelling, like Lymphedema, elephantiasis, diseases of kidney and heart and medicines used in blood pressure control like Amlodipin etc. Lymphedema or 'elephant leg' is common in damp and foothill areas where mosquitoes are in plenty. One can get rid of leg swelling only after the cause of leg swelling is controlled.

If you have suddenly developed a permanent leg swelling, you should visit those hospitals where exists a fully functional department of vascular surgery and a full-time vascular surgeon is there. Before entering a hospital make sure about the availability of modern investigations like angiography, MRJ, Ventilation perfusion study of lung, venography and Doppler studies.

In our country, a patient of leg swelling especially of sudden onset generally goes to a hospital which is devoid of these mandatory specific investigatory and treatment facilities and thus wastes his precious money and time. This ignorance cost a patient very heavily.

Treatment strategy in leg swelling

If a person develops leg swelling suddenly, he needs urgent hospitalization and efforts are made to dissolve the blood clots lodged inside the leg veins. Special techniques and medicines through intravenous route are used to normalize the condition. Generally, surgery is not required in such cases. A drastic change in daily routine is needed. Regular morning walk, special limb raising excercises, specific medication and use of GC stocking are to be followed to avoid recurrence of the problem.

If a leg swelling with varicose veins are there, a laser surgery or radio frequency ablation technique are used to control varicose veins and swelling. In these methods, no skin cuts are made and the patient can resume his office work from the very next day. In the end, I would say if you have a problem of leg swelling, consult a vascular surgeonprornptly without wasting further time.


* Dr KK Pandey wrote this article for The Sangai Express
The writer is Senior Vascular and Cardio Thoracic Surgeon, Indraprastha Apollo Hospitals Sarita Vihar, New Delhi
The writer can be contacted at drpandeykk(AT)gmail(DOT)com
This article was webcasted on June 30 2022 .



* Comments posted by users in this discussion thread and other parts of this site are opinions of the individuals posting them (whose user ID is displayed alongside) and not the views of e-pao.net. We strongly recommend that users exercise responsibility, sensitivity and caution over language while writing your opinions which will be seen and read by other users. Please read a complete Guideline on using comments on this website.




LATEST IN E-PAO.NET
  • Jhulon Festival: Nupee Pala #1 :: Gallery
  • Read all about 13th August day significance
  • Report released : 'One District, One Crop'
  • Comment on ADC Bill
  • 'BHEEM' - Breastfeeding to Harness...
  • Moirang INA Martyrs Memorial campaign
  • 'Har Ghar Tiranga' with Ex-Serviceman
  • COVID-19 : Impact in Manipur :: News Timeline
  • HAC members under Govt, public scrutiny
  • Tearing apart the idea of Manipur?
  • Houses @ Thalon, Tamenglong #1 :: Gallery
  • Cattle crossing Sekmai River :: Gallery
  • Resilient students: KEDO boys crack HSLC
  • Why people impacted by climate disasters...
  • 1000 Cr disbursed to farmers in Meghalaya
  • India Innovation Centre for Graphene
  • Employees doubling up as social media warrior
  • Only the unfortunate get caught?
  • 1st session: 12th Manipur Assembly
  • The beauty in random acts of kindness
  • Beauty :: Poem
  • 'Survival of Meetei Vs privilege of few'
  • Briefing on National Lok Adalat at Lamphel
  • Economic blockade is temporarily suspended
  • Fissures grow as indigenes stare at future
  • Raising the ST banner again
  • Leima Jagoi @Thangjing Haraoba :: Gallery
  • The ATSUM blockade
  • World's Indigenous Peoples Day at Leibi
  • World Indigenous Peoples' Day
  • 'Denounce agreement signed with State Govt'
  • Integrated crop management in Manipur
  • Fuel outlets, traders feasting on blockade
  • Omitting blockade: Clever play of words
  • Martial Art @Shirui Festival 2022 :: Gallery
  • Local coordinated action firewall HIV response
  • Mahua of MP on sale
  • Drug Awareness campaign at Ningthoukhong
  • The emptied :: Poem
  • The other younger version in you
  • Economic blockade, acts of arson tension
  • Busting drug manufacturing unit
  • Kangla Nongpok Torban #1 :: Gallery
  • Understanding Hill Areas Committee & ADC Bill
  • 'Release the arrested Tribal student leaders'
  • Unloved :: Poem
  • Eco-system & its economic evaluation #2
  • Neem for hair care during monsoon
  • Shutting down internet to quell protests
  • Suspending mobile data services
  • Pi Thadoi performed @JNMDA #1 :: Gallery
  • WABA | World Breastfeeding Week 2022
  • Figuring out real value of thing is key to living
  • "Tribe" in India: shrouded in uncertainty #3
  • We cannot #endAIDS if we depend on North
  • NDA to get its nominee into Upa Rashtrapati
  • Indo-Naga Talks (2012-) :: News Timeline
  • Tarao Harvest Fest @ Chandel #5 :: Gallery
  • COVID-19 Status 05 August : Govt of Manipur
  • Conversion of Jhum fields for sedentary agri
  • National Aquifer Mapping Programme
  • NEP : Preparing for a knowledge economy
  • Govt move to put curb on new villages
  • HAC recommended ADC Bill, 2021
  • Media protest against NIA [4 Aug] :: Gallery
  • COVID-19 Status 04 August : Govt of Manipur
  • The untold story of Koubru Mountain
  • UNAIDS data paint a grim picture of HIV
  • 'Nasha Mukt Bharat Abhiyan' at MU
  • Water approach to solving water scarcity
  • Environmental Activist Anish #2 :: Gallery
  • COVID-19 Status 02 August : Govt of Manipur
  • First rain :: Poem
  • Eco-system & its economic evaluation #1
  • My first colour film roll
  • House debates ADC Bill after protest threat
  • Ideas from the man from Ukhrul AC
  • Hiyang Tannaba @ Loktak #2 : Gallery
  • Online class : Interpretation
  • Acid test for Amit Shah & Neiphiu Rio
  • Nonage :: Poem
  • HIV care is essential, but not enough...
  • Fish based integrated farming system #2
  • The memories of my business school
  • Govt desperate to reopen IMFL sale outlets
  • Prohibition in force since 1991!
  • Kwatha (Indo-Myanmar border) #2 : Gallery
  • COVID-19 Status 01 August : Govt of Manipur
  • Post for Project Associate at MU
  • "Tribe" in India: shrouded in uncertainty #2
  • Why is status of daughters not changing...
  • Animal Farm (In the Context of Imphal City)
  • ..with a pinch of salt & enjoy the humour
  • Sportspersons shine as state grapples ...
  • Call for ADC Bill, NRC: Studying the whys
  • Seasonal food items @ Ema Keithel : Gallery
  • COVID-19 Status 31 July : Govt of Manipur
  • How will children living with HIV grow up ...
  • Trafficking laws: to curb modern slavery
  • Pieces :: Poem
  • Drinkwell: Making safe water accessible
  • Tokyo to Birmingham: Hailing the Golden Girl
  • Infrastructure must to fuel Act East Policy
  • Aribam Syam Sharma :: Biography
  • Mirabai Chanu: gold @ Commonwealth Game
  • Petitions to Assembly for public grievances
  • Impact of science on society deliberated
  • 'Reinvent Northeast' initiative launched
  • Skin fasting for refreshed skin
  • NDPP-BJP Alliance for Nagaland Elections
  • Survey report of Tupul landslide
  • August Calendar for Year 2022 : Tools
  • COVID-19 Status 29 July : Govt of Manipur
  • Propose: Dada Saheb Phalka to Aribam Syam
  • Indigenous peoples lead to #endAIDS
  • World Hepatitis Day
  • 'Education abroad' by Stars of Northeast
  • Tigers, their survival is in our hands
  • Condition of road testifies cash-strapped state
  • Give more teeth to IMC call
  • Phuba Thapham, Senapati Dist. #2 : Gallery
  • Pu Neilienthang Telien : IAS MN-2013
  • Fish based integrated farming system #1
  • Lies :: Poem
  • Gaidinliu Vihar inaugurated at Tamenglong
  • Chatham Saw Mill - Asia's oldest & largest
  • Rosy surrender policy enticing armed outfit
  • Need to look beyond the academics
  • Pi- Thadoi :: A synopsis of the Play
  • COVID-19 Status 27 July : Govt of Manipur
  • Fixture for Durand Cup Trophies 2022
  • "Tribe" in India: shrouded in uncertainty #1
  • VUCA Plus in Manipur
  • Ukhrul observed Bijili Mahotsav & Ujala Diwas
  • CM unveils the Durand Cup Trophies
  • Performance of Government schools
  • Peaceful session in Assembly as tension...
  • Leima Jagoi by Transgender #2 : Gallery
  • COVID-19 Status 26 July : Govt of Manipur
  • Marangching: could it be a wake-up call ?
  • AIDS: turning adversities into stepping stones
  • Fr. Joseph Kachiramattam: a Positive Aura
  • Dairy farming: A means of sustainable income
  • Spotlight back on Lhoukhosei Zou
  • Law makers must to curb drug scourge
  • Basanta Raas @ Govindajee Temple : Gallery
  • COVID-19 Status 25 July : Govt of Manipur
  • Naga American Foundation: 2023 Conference
  • Where fish are no longer forced to climb tree
  • Wholesale & retail price for 19 items revised
  • Tourism potentials of border pillars
  • The Fathomless Pain :: Poem
  • The poser: 'Kyam Pharaba Ngashidi'
  • Modern devices must to tackle drug menace
  • Pathetic Imphal-Jiribam Road #1 : Gallery
  • COVID-19 Status 24 July : Govt of Manipur
  • Poppy/ganja plantation and Christianity
  • People living with HIV demand medicine
  • Apple benefit for skin
  • President Droupadi Murmu is the first tribal
  • Yearning for justice as encounters declines
  • The freebies put up for all to see
  • Meghachandra Kongbam & Manipuri Cinema
  • COVID-19 Status 23 July : Govt of Manipur
  • Featured Front Page Photo 2022 #3: Gallery
  • The flesh profiteth nothing
  • 5 days Skill Training through Photography
  • Career through Skill Development
  • Don Bosco University adds new courses
  • Choidev Chongba @Kang Fest: Gallery
  • COVID-19 Status 22 July : Govt of Manipur
  • Legend of Lord Koubru & Liangmai princess
  • Pandemic talks resume amidst corporate ...
  • Nationwide hackathon for developers
  • The elasticity of love
  • Raj Bhavan to Rashtrapati Bhavan
  • Laying siege on highways to air grievances
  • Kabui Jagoi @Nongshaba #1 : Gallery
  • COVID-19 Status 21 July : Govt of Manipur
  • Bhavamochani- Image of Manipuri dance form
  • Rooftop rainwater harvesting for water supply
  • Remains :: Poem
  • 'Let thy food be thy medicine'
  • What is the stand of Imphal ?
  • Used vehicles flooding into state inevitable
  • 13th Foundation Day EEVFAM #2 : Gallery
  • COVID-19 Status 20 July : Govt of Manipur
  • Predicament of NH-202 construction in Ukhrul
  • Weeding out Congress Grass from Imphal
  • 'Out Of The Box' concludes in Agartala
  • National Lok Adalat at Lamphelpat
  • Making a beeline for private schools
  • ..State to justify double engine narrative
  • Environmental Activist Anish #1 :: Gallery
  • COVID-19 Status 19 July : Govt of Manipur
  • Overpopulation, an Asset or a Curse
  • NPF re-organization of Peren Division
  • Rev Joseph Mittathany Vision for Manipur
  • Chanakya IAS Academy launches at Jorhat
  • Announced on Jul 6, actualised on Jul 18
  • Loktak clean-up: Scapegoating soft targets
  • Tribute to Meira Paibis 2004 :: Gallery
  • COVID-19 Status 18 July : Govt of Manipur
  • The fourth wave of pandemic
  • Unparliamentary expressions not words
  • Kharchi Monsoon Festival of Tripura
  • MicroEnsure : Democratizing Insurance
  • Lessons to learn from Mizoram
  • Frauds feasting on pathetic higher education
  • Kanglen Kang Chingba @Konung :: Gallery
  • COVID-19 Status 17 July : Govt of Manipur
  • Epidemiology of breast cancer in Manipur
  • Solidarity Meet in support of Sri Lanka
  • Plastic mulching for vegetable production
  • The savour of one desire :: Poem
  • IM under scanner of Nagaland politicians
  • Call of 'Nagas of Nagaland'
  • Shang-gi Chaminnaba @Andro #1 :: Gallery
  • COVID-19 Status 16 July : Govt of Manipur
  • Memorandum to PM : Enlist Meetei in ST
  • The Abandoned Village :: Poem
  • 94th ICAR Foundation day at CCpur
  • Demography as a Career Choice
  • Routine childhood immunization back on track
  • Anti-Repression Day #1 :: Gallery
  • Ibudhou Thangjing Lam Thokpa #5 :: Gallery
  • Late Most Rev. Joseph Mittathany
  • 13th Foundation Day EEVFAM #1 : Gallery
  • Kang Chingba at Konung #3 : Gallery
  • Kang Khichri @Bamon Leikai :: Gallery
  • HSLC 2022 : List Of Top 25 Rank Holders
  • HSLC Result 2022 : Statistical Abstract
  • HSLC Result 2022 : Subject Topper
  • HSLC Result 2022 : Compartmental
  • HSLC Result 2022 : Full Listing
  • HSLC Result 2022 : pass % : Private
  • HSLC Result 2022 : pass %: Aided
  • HSLC Result 2022 : pass %: Govt
  • Environmental Activist Anish Ahmed
  • Landslide at Tupul [Jun 30] #2 : Gallery
  • Landslide at Tupul [Jun 30] #1 : Gallery
  • 21st Great June Uprising #2 : Gallery
  • Padmashree Award Moirangthem Muktamani
  • Rules of English Pronunciation : Download
  • Sub-Syllables in English : Book Download