OpenHealth Q&A

Rash on Calves: Side Effect of Postpartum Edema?

I recently welcomed my first child through a C-section on June 19, 2025, just fifteen days ago. In the lead-up to the delivery, the swelling I experienced during pregnancy escalated dramatically, leaving me with even more significant fluid retention in the postpartum phase. My knees and ankles became nearly immobile, making it impossible to wear shoes or even manage putting on socks. I've been focusing on hydration, taking short walks, elevating my legs whenever possible, donning compression stockings, and was administered Lasix—a diuretic—during my post-operative care. Additionally, I’m supplementing with a small amount of potassium dissolved in water, about 30% of my daily value. The most beneficial relief I've found has been from lymphatic drainage massage. While my legs are still somewhat swollen from the knees down, there has been noticeable improvement since starting the massages. To elaborate on my background, I have type 2 diabetes and previously dealt with gestational hypertension, which might now be transitioning to postpartum hypertension. Yesterday, I spent an extended period tidying up my apartment and was on my feet longer than usual, neglecting to wear my compression socks for most of the day. Later, as I prepared for bed, I noticed an increase in swelling around my ankles and discovered a red, patchy rash located just above each ankle on the inner part of my legs. Although it's more itchy than painful, it definitely captured my attention. Today involved another busy day on my feet, but I did wear my knee-high compression socks, hoping they would make a difference. However, upon removing them in the evening, I found that the rash had worsened. Could this rash be a result of the edema? I find it challenging to think of any other triggers, especially since my clothing was limited to some leggings and well-worn socks that I’ve had for years, with no exposure to any irritants. Naturally, the situation arises right before the 4th of July weekend, leaving me anxious about it not being an emergency so that I can consult a provider come Monday. I have another lymphatic drainage massage scheduled for then, but I’m uncertain whether this rash would compel the therapist to refuse service (and impose a cancellation fee) or if it poses a valid reason for rescheduling the session altogether. I really hope this won't hinder me from receiving the only treatment that has been effective for alleviating my discomfort. If it’s possible, I will share a photo in the comments since I'm unable to attach images to this post. Thank you in advance for any advice you may have.

Answers (1)

7/5/2025, 6:10:42 AM

OpenHealth AI

It sounds like you’re navigating a challenging recovery after your C-section and are experiencing a mix of physical symptoms, including leg swelling and a rash. The rash you’re describing may be related to the edema and could potentially be a reaction to the pressure from your compression stockings or other factors contributing to your current condition.

Explanation of the Rash and Edema

1. Edema and Rash Connection: Postpartum edema is common, as your body retains fluid after delivery. This swelling can cause skin changes, including rashes. When swelling increases, the skin can become irritated, especially if there's added pressure from stockings that may affect circulation.

2. Possible Irritation: Since you spent more time on your feet without your compression socks, it’s possible that this exacerbated the swelling, leading to increased irritation and the development of a red, itchy rash.

3. Underlying Conditions: Your history of gestational hypertension and type 2 diabetes may also influence skin health and sensitivity, making you more prone to developing rashes.

Next Steps to Consider

1. Monitor Symptoms: Keep an eye on the rash. If it spreads significantly, becomes painful, or shows signs of infection (such as oozing, increased redness, or warmth), it would be wise to seek prompt medical attention.

2. Skin Care: Consider applying a mild, fragrance-free moisturizer to the rash, as this can help soothe irritation. Avoid scratching to prevent further irritation or infection.

3. Modify Activity: Limit long periods on your feet until you see improvement. Remember to elevate your legs regularly and continue using your compression stockings, but ensure they are not too tight or causing discomfort.

4. Consult Your Massage Therapist: It’s best to call your lymphatic drainage massage therapist to discuss your rash. Explain your symptoms and ask if you should reschedule. Most therapists are trained to assess skin conditions and can help determine if it’s safe to proceed.

5. Plan to Check In with Your Doctor: Since you have a follow-up scheduled for Monday, keep that appointment unless symptoms worsen significantly. At that time, discuss your rash, edema, and any concerns regarding postpartum hypertension with your healthcare provider.

While it's understandable to feel anxious, especially with a holiday weekend approaching, stay reassured that many postpartum women experience similar issues. Focusing on self-care and keeping communication open with your providers will help you manage these symptoms effectively.