Peripheral edema

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Peripheral edema
Other namesPeripheral oedema (alternative spelling), dependent edema

Peripheral edema is edema (accumulation of fluid causing swelling) in tissues perfused by the peripheral vascular system, usually in the lower limbs. In the most dependent parts of the body (those hanging distally), it may be called dependent edema.

The condition is commonly associated with aging, but can be caused by many other conditions, including congestive heart failure, renal failure, liver cirrhosis, portal hypertension, trauma, alcoholism, altitude sickness, pregnancy, hypertension, sickle cell anemia, compromised lymphatic system, or merely long periods of time sitting or standing without moving.[1] Some medicines (e.g. amlodipine, pregabalin) may also cause or worsen the condition.[2]There was case reported that spinal manipulation may change lympthatic return via autonomic nervous system, which may have help alleviating oedema.[3]


Successful treatment depends on control of the underlying cause. Severe swelling can cause permanent damage to nerves, resulting in peripheral neuropathy. Many cases from temporary or minor causes resolve on their own, with no lasting damage.[2]


  1. ^ Cho S, Atwood J (2002). "Peripheral edema". Am J Med. 113 (7): 580–6. doi:10.1016/S0002-9343(02)01322-0. PMID 12459405.
  2. ^ a b "Lyrica – Pregabalin Capsule". Parke-Davis Division of Pfizer Incorporated. December 2016. Retrieved 24 April 2017.
  3. ^ Chu, Eric Chun Pu (March 2018). "Subsiding of Dependent Oedema Following Chiropractic Adjustment for Discogenic Sciatica". European Journal of Molecular & Clinical Medicine. 5 (1): 1-4. doi:10.5334/ejmcm.250.

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