Long Flights and Heavy Legs? Blood Doesn’t Like to Stay Still
By Dr. Alberto Caggiati, Vascular Surgeon – Aventino Medical Group, Rome Why Legs Swell During Travel Swelling, tingling, a feeling of heaviness: after a long flight, train ride, or car journey, many people notice their ankles are swollen, sometimes marked by sock lines.The reason is simple: sitting for a long time slows venous return—the flow of blood from the legs back to the heart. Gravity makes this worse, especially when wearing tight clothing or sitting with crossed legs for extended periods. Young or Not So Young: Who’s at Risk? You don’t need to have a diagnosis of venous insufficiency to feel heaviness or swelling in your legs after traveling. Even young, healthy individuals may experience symptoms, especially after long-haul flights.People with additional risk factors—such as a family history of varicose veins, use of oral contraceptives, smoking, or blood clotting disorders—should be particularly careful. In some cases, deep vein thrombosis (DVT), a serious but preventable condition, may develop. Helpful Tips to Prevent Discomfort During a long journey, a few simple precautions can help: The most effective stockings are graduated compression class I or II, providing stronger pressure at the ankle and gradually less toward the thigh. They should be worn before departure and only removed after arrival. Choosing the correct size and model with medical advice is essential—avoid self-prescribing. When to See a Specialist If your legs often swell or ache, even after short trips, it’s advisable to undergo a specialist evaluation. A venous Doppler ultrasound can rule out more serious conditions and help define a personalized prevention and treatment plan.Travel should never compromise leg health: with just a few simple measures, you can reach your destination light and leave again feeling great. Not Just Travel Swelling: Possible Diagnoses Leg swelling may have various vascular causes, not all related to travel. A proper evaluation can distinguish between common issues and potentially serious conditions: A specialist visit and a venous Doppler ultrasound are essential for correctly identifying the cause of swelling and initiating the right treatment. Listen to Your Body, Trust Those Who Understand It Persistent or recurrent swelling should never be ignored. If you notice changes in your circulation or unusual symptoms, book a consultation: prevention is the easiest way to protect your health.Vascular Surgery – Aventino Medical Group










