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No Edema but Pitting
I have been noticing that if I sit for long and my shin/leg is pressed against something for some time, I see pitting. So, i pressed near my shin bone for 10+ secs and I see pitting happening (only near shin bone and no where else). I do not see any visible edema on my legs.
I do weight training (i sweat a lot when I physically exert). and try to be active as I am over weight BMI 32.
I do my yearly health check and nothing alarming has come. Apart from grade 1 fatty liver and hba1c of 6, which is has now come down to 5.1.
Please advise if this is something I need to check. should I go to a general physician or any specialised doctor?
Answers (17)
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**Response:**
**Answer:**
The **localized pitting** near your shin bone (without visible edema) could arise from:
1. **Mild fluid retention** due to prolonged sitting or pressure.
2. **Early venous insufficiency** (though uncommon without swelling).
3. **Localized trauma** from weight training (muscle compression).
Given your **BMI 32**, **fatty liver history**, and **HbA1c improvement (5.1%)**, metabolic factors are unlikely culprits.
**Next Steps:**
- **Monitor for progression**: Check if pitting spreads to other areas or worsens with time.
- **Leg elevation + compression socks** (if sedentary for long hours).
- **Hydration + electrolyte balance**: Excessive sweating during workouts may need adjustment.
**When to Worry?**
❗ If pitting becomes widespread, painful, or is accompanied by:
- Swelling in ankles/feet.
- Skin discoloration/heaviness in legs.
**Consultation:**
For a **detailed vascular or metabolic assessment**, connect with me on **WhatsApp at eight zero zero nine eight two one three three two**. Let’s rule out subtle circulatory issues early
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It could be due to dependent edema of the limbs.If the pitting lasts for only a few seconds , you need not be concerned,keep the feet elevate while lying down.If it's long standing,do a CBC, renal,lft , urine analysis and consult a physician in your area.
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It's dependent edema, you sit with leg on chair not hanging. At night use three pillows under leg.
Other
Thyroid
Anemia
Hypo protein
Bp
Nothing serious in your case.
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Hi there
There are various reasons for pitting /pedal edema . sometimes it may be physiological In case of Pregnancy ,high BMI individual, too much sitting or standing in same position.pathological reasons include different etiologies like renal , cardiac, thyroid , drug induced, low protein etc .Few investigations are to be done .
B/f- CBC , Thyroid profile, Urea-creatinine, uric acid ,LFT, urine RE/ME
(If done within the last 3 months , you can share )
Some other information might be helpful
1-Time your skin takes to recoil back .
2. Is there any pain or not ?
3. Are you taking any medicine as of lately? .
4.Does your work/exercise includes lots of standing/sitting in same position ?
5. Did it happen suddenly or over the time ?.
6. Your vitals , BP, pulse
Next Steps
if the pitting is resolving within 10 seconds on its own and it's not chronic then , No need to worry .simply elevating the limb might be helpful along with regular walk. you can use compression socks .
Health Tips
if symptoms persist even after improvement in BMI , for more than 1 month , you can see a medicine doctor . Hope this was helpful
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Get thyroid profile done and have a follow up.
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