Causes Of Pedal Edema


Hi does any know all the causes of PEDAL EDEMA (particular left sided Pedal Edema), or unequal Pedal Edema test done to help differentiate between possible different causes.

If you can take it a step further and differentiate pitting verses non-pitting edema

Here is what I know so far of course

1.Heart DiseaseThe obvious one for Left side pedal edema can equal Heart Failure (TEST:ECHO):redpinkhe (ProBNP)

2. Obsesity

3. Obstructive Sleep Apnea (Sleep Study)

4. Corpulmonale

5. Lyphedema

6. Pretibial Myxedema

7. Renal Disease (BUN/Creat)

8. Diabetic Renal Disease

9. Proteinuria (may need 24hr urine collection) (screen with urine dipstick)

10. Hypoalbuminemia

11. Hepatic Disease

13. Nephrotic Syndrome

14. Throid Disorder (hypothyroidism)

15. Meig Syndrome (triad of benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor. The ovarian tumor in Meigs syndrome is a fibroma.) Not to be confused with Meige's syndrome which is a type of dystonia

16. Pleural Effusions

17. PAD ( not sure if this does) (TEST=ABI testing)

18. PVD

19. Being Sedentary (Couch Potatoe test lol):w00t:

20. Lack of excercise :pumpiron:?

21. DVT (Venous Duplex)

Ok thats my list with the testing I know about can you post your test and what you know about the conditions that you list or if you know about the condition I list. Particular Meig syndrome has any one heard of that one. List the test done to help physician make a differential diagnosis

You can add in any testing to my list if you know.

Please correct any ones that I posted that are not correct thanks

Would like your opinions hope you can post and enlighten me as you post a possible cause and appropriate testing for the cause.




4,177 Posts

being in airplane across the feet looked like a footbal with toes


400 Posts

Socks are too tight - no kidding, this happens to me all the time!


90 Posts

WoW, Angelique alot of what you said I didn't know.

Thanks for the FYI.

I am writing that on my notes, esp. Meig syndrome. I have to look that one up.



1 Article; 6,681 Posts

Has 17 years experience.

If it's just one-sided, I think that trauma and cellulitis jump way up on the list of possibilities. That's a good link that Emmanuel Goldstein posted for you.


22 Posts

very nice topic & information ,,,thnk u 4 ur effort

EmmaG, RN

2,999 Posts

If it's just one-sided, I think that trauma and cellulitis jump way up on the list of possibilities.

DVT and tumor obstruction too.

Daytonite, BSN, RN

4 Articles; 14,603 Posts

Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience.

You'd probably find more in a medical textbook on differential diagnosis.

Here are some more I found in Nurse's 5-Minute Clinical Consult: Signs & Symptoms from Lippincott Williams & Wilkins Publishers.

  • Burns
  • Cellulitis
  • Envenomation (insect stings or bites)
  • Trauma
  • Osteomyelitis
  • Drugs: hormonal contraceptives, lithium, nonsteroidal anti-inflammatories, vasodilators, and any drugs that cause sodium retention
  • any surgery where there has been saphenous vein retrieval or other vascular surgery


263 Posts

Thanks so much great responses thanks for your help. Often like to put information together appreciate it

Thanks Angela

Larry Olsen

1 Post

Specializes in prehospital. Has 13 years experience.

Daytonite was correct but one of the common drugs that will cause this is "Neuronton" (Gabapentin) if the dose is some what high. some Doctors dont tell PT that it will.:D

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