Finger and Foot Swelling During Walking: Causes and Solutions

During walking exercises, there is a sensation of swelling, stiffness, and numbness in the fingers?

During walking exercises, my fingers and the soles of my feet experience swelling (similar to edema) and a tingling sensation.
The swelling in my fingers gradually subsides only after a period of time post-exercise.
Occasionally, I also experience unexplained pain in my left upper back (around the scapula) that feels like a heavy impact and lasts for several days.

Xiao Mi, 40~49 year old female. Ask Date: 2008/10/07

Dr. Gao Chunde reply Neurology

During exercise, blood circulation to the extremities improves; however, the sensation of swelling and numbness is difficult for me to explain.
If someone is not accustomed to regular exercise and suddenly introduces new physical activities, this could potentially be attributed to a period of adaptation for the peripheral blood vessels.
Generally, this condition tends to resolve after some time.
If this explanation does not apply, my current experience and knowledge may not provide a satisfactory answer.
Pain in the acupoint can have many causes, with the most common being improper use or poor posture leading to inflammation or injury of the muscles or soft tissues.
It could also be referred pain due to nerve compression in the cervical spine.
If the issue recurs frequently over a long period, it is advisable to seek further evaluation from a physician.

Reply Date: 2008/10/07

More Info

When experiencing swelling and a sensation of numbness in the fingers and feet during walking or exercise, it is essential to consider several potential causes and solutions. The symptoms you describe, including the swelling (similar to edema) and numbness, can be attributed to various factors, including circulation issues, nerve compression, improper footwear, and underlying medical conditions.

Possible Causes:
1. Circulatory Issues: Swelling in the extremities can often be a sign of poor circulation. When you engage in physical activity, your body requires increased blood flow to the muscles. If there are any blockages or restrictions in blood vessels, it can lead to swelling and discomfort.

2. Nerve Compression: Conditions such as carpal tunnel syndrome (in the hands) or tarsal tunnel syndrome (in the feet) can cause numbness and swelling. These conditions occur when nerves are compressed due to repetitive movements or prolonged pressure.

3. Improper Footwear: Wearing shoes that do not fit properly can lead to a variety of foot problems, including swelling and pain. Shoes that are too tight can restrict blood flow and cause discomfort, while shoes that lack proper arch support can lead to foot fatigue and swelling.

4. Overuse Injuries: Engaging in physical activities without proper conditioning can lead to overuse injuries. This can result in inflammation and swelling in the affected areas, including the feet and hands.

5. Underlying Medical Conditions: Conditions such as diabetes, arthritis, or heart problems can also lead to swelling in the extremities. If you have a history of such conditions, it is crucial to consult a healthcare professional.

6. Hydration and Diet: Dehydration or excessive salt intake can contribute to fluid retention, leading to swelling. Ensuring proper hydration and a balanced diet can help mitigate these symptoms.

Solutions:
1. Footwear Assessment: Evaluate your shoes for proper fit and support. Consider investing in shoes designed for your specific activity, ensuring they provide adequate arch support and cushioning. Custom orthotics may also be beneficial if you have specific foot issues.

2. Stretching and Strengthening Exercises: Incorporate stretching and strengthening exercises for your feet and hands into your routine. This can help improve flexibility and strength, reducing the risk of injury and discomfort.

3. Rest and Recovery: If you experience swelling and discomfort, it is essential to allow your body time to recover. Resting and elevating your feet can help reduce swelling. Applying ice can also alleviate inflammation.

4. Hydration: Ensure you are adequately hydrated before, during, and after exercise. This can help prevent swelling and improve overall performance.

5. Consult a Specialist: If symptoms persist, consider consulting a healthcare professional, such as a podiatrist or a physical therapist. They can provide a thorough evaluation and recommend specific treatments or interventions tailored to your needs.

6. Monitor Symptoms: Keep track of when the swelling and numbness occur, their duration, and any accompanying symptoms. This information can be valuable for healthcare providers in diagnosing the underlying cause.

In summary, the swelling and numbness you experience during walking may stem from various factors, including circulatory issues, nerve compression, improper footwear, and underlying medical conditions. By assessing your footwear, incorporating exercises, ensuring proper hydration, and consulting with a healthcare professional, you can address these symptoms effectively. If the discomfort persists or worsens, seeking medical advice is crucial to rule out any serious underlying conditions.

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