During pregnancy, your body naturally changes to prepare for birth.

Weight gain, fluid retention and hormonal changes can alter your posture and walking pattern, increasing pressure through the feet, knees and lower back.

One important hormone involved is relaxin, which helps soften ligaments around the pelvis in preparation for delivery. While beneficial for childbirth, it can also temporarily increase flexibility in other joints including feet and ankles, reducing stability and increasing strain on muscles and soft tissues.

Combined with the extra load placed on the body, this may lead to changes in foot shape, arch height and overall comfort.

Flat Feet & Overpronation

Overpronation occurs when the arches flatten and the feet roll inward excessively during walking.

This is common during pregnancy due to:

• Hormonal ligament relaxation
• Increased body weight
• Changes in posture and balance

Overpronation may contribute to:

• Heel pain
• Arch discomfort
• Ball of foot pain
• Plantar fasciitis
• Tendon strain
• Increased fatigue in the feet and legs

At Podiatry Medics, treatment may include:

• Footwear recommendations
• Custom orthotics or supportive insoles
• Pressure reduction strategies
• Exercise and stretching advice

Early management can help reduce discomfort and support long-term health.

Swollen, Hot or Aching Feet (Oedema)

Swelling of the feet and ankles is extremely common during pregnancy, particularly later in pregnancy.

This occurs due to:

• Increased blood volume
• Fluid retention
• Hormonal changes

Added pressure on circulation from the growing uterus

• Some women also experience:
• Hot or burning sensations in the feet
• Tired, aching legs
• Cramping
• Increased discomfort at the end of the day

Although swelling is common, persistent or sudden swelling should always be discussed with your healthcare provider.

Simple changes may help improve comfort:

• Elevate your feet regularly
• Avoid sitting or standing for long periods
• Wear supportive, properly fitted footwear
• Consider compression garments if recommended
• Stay active with gentle exercise such as walking
• Take regular breaks during long drives
• Keep hydrated throughout the day
• Use cooling foot baths or cooling gels if comfortable

Your foot size may also temporarily change during pregnancy, so reassessing footwear can make a significant difference.

Comfort and support become increasingly important throughout pregnancy.

• When choosing footwear:
• Select supportive shoes with cushioning
• Avoid narrow or restrictive styles
• Choose low, stable heels where possible
• Prioritise comfort over fashion

If you are unsure what footwear is best for you, our podiatrists can provide personalised recommendations.

As your pregnancy progresses, reaching your feet may become more difficult.

Increased pressure through the feet can also lead to:

• Hard skin (callus)
• Nail discomfort
• General foot fatigue

Professional podiatry care can help keep your feet comfortable while safely managing nails and skin during pregnancy.

At Podiatry Medics, we understand the unique demands pregnancy places on your body.

Our team provides assessment, treatment and support for pregnancy related foot concerns with a focus on comfort, prevention and keeping you active throughout pregnancy.

No referral required.