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Preventing Swelling, Edema, and Contractures in Decreased Activity

Media Type

Info Sheet

Reviewed Date

Oct 28, 2025

Body

Swelling (edema) in limbs often occurs after reduced activity due to fluid buildup from slowed circulation, especially when legs hang down while sitting. To manage swelling, wear properly fitted elastic stockings before getting up, elevate legs and arms throughout the day, and consider larger shoes to avoid pressure sores.

Contractures—stiff joints caused by shortened muscles and tendons—can affect elbows, shoulders, knees, and hips. They are painful, limit movement, and interfere with daily activities. Signs include difficulty fully straightening or bending limbs; severe cases prevent joint movement entirely.

To prevent contractures, stretch joints daily using range of motion exercises. Prone positioning (lying on the stomach) helps stretch knees and hips. Follow medical guidance for treatment, which may include medication, exercises, splints, or casting.

Publication Information

Title

Complications: Swelling or Edema and Contractures

Author

Shirley Ryan AbilityLab - Spinal Cord Injury Team

This content is provided for general informational and educational purposes only and may not be applicable to your unique circumstances. It is not intended to serve as, and should not be relied upon, as medical advice. Always consult a qualified healthcare professional about your specific health needs or concerns. The inclusion of any information or resources does not imply endorsement by Shirley Ryan AbilityLab. See full disclaimer.

© 2025 Rehabilitation Institute of Chicago d/b/a Shirley Ryan AbilityLab

Henry B. Betts MD LIFE Center, 312.238.5433

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