Pregnancy is often described as a beautiful journey, but it also brings many physical changes that can put unexpected strain on the body, particularly the feet. Many expectant mothers notice new or worsening foot pain, especially during the second and third trimesters.
This is no coincidence: Pregnancy directly affects weight distribution, hormones, circulation and fluid balance, all of which can impact foot health.
Why pregnancy causes foot pain
Weight gain and posture changes. As the baby grows, extra body weight places more pressure on the arches and heels.
To balance this, many women adopt a wider stance and turn their feet outward, which can strain muscles and joints in the feet, ankles and calves.
Hormonal effects
The hormone relaxin helps prepare the body for childbirth by loosening ligaments.
Unfortunately, this can also affect the feet, causing arches to drop, joints to feel unstable and pain to increase.
Fluid retention (oedema)
Swelling of the feet and ankles is very common, especially in warm weather or after long periods of standing. This can make shoes tight and uncomfortable, while also increasing friction, blisters and calluses.
Circulation challenges
The growing uterus puts pressure on pelvic veins, slowing blood return from the legs and feet. This can cause varicose veins, swelling or a heavy, achy feeling in the lower limbs.
Specific foot problems
Pregnancy can trigger or worsen conditions like plantar fasciitis (heel pain), metatarsalgia (ball-of-foot pain), leg cramps, varicose veins, paraesthesia (tingling and numbness) and even ingrown toenails. In some cases, changes in posture can also lead to sciatica, where back pain radiates down the leg to the feet.
Long-term changes
Some women notice their shoe size permanently increases after pregnancy due to ligament loosening and arch collapse; a reminder of how lasting these changes can be.
Thankfully, there are simple ways to ease foot pain during pregnancy:
- Wear supportive shoes with cushioning and arch support
- Avoid standing for long periods; take breaks to sit
- Elevate feet to reduce swelling
- Try cool foot soaks to relieve discomfort
- Use compression socks to improve circulation
- Do gentle stretches for feet and calves
- Consider custom orthotics if your foot posture changes significantly
Pregnancy and foot pain often go hand in hand, but with proper care and support, expectant mothers can stay comfortable and active throughout their journey.
For consultations, visit us at Manzini (Philani Clinic Building) or Mbabane (Litsemba Park).
+268 7679 9934 / 7815 2253
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