L&R Medical

Long Shifts, Aching Legs: A Nurse's Guide to Better Leg Health

Tired, heavy legs are often accepted as "part of the job" - but should they be? From the demands of long shifts and community nursing to the early warning signs and how compression socks can help, discover how to look after your legs throughout your nursing career.

As nurses, we're trained from day one to care for others. We monitor patients, administer treatments, provide reassurance, and often go above and beyond to ensure those in our care receive the support they need. But when it comes to our own health and wellbeing, many of us are less attentive.

Conversations about healthcare worker wellbeing often focus on stress, mental health, burnout and resilience. These are all incredibly important. But there is one aspect of health that is rarely discussed despite being something nurses rely on every single day: our legs.

For many nurses and healthcare professionals, tired, heavy or aching legs are often accepted as "part of the job." But should they be?

Nursing Places Unique Demands on Your Legs

Few professions ask as much of their legs as nursing.

Whether you work in acute care, community nursing, district nursing, care homes, primary care or specialist services, your lower limbs are constantly under pressure.

A typical shift can involve:

  • Standing for long periods during medication rounds, clinics or procedures.

  • Walking several miles throughout a shift.

  • Remaining stationary while carrying out patient care.

  • Kneeling, bending and squatting when delivering treatments.

  • Driving between patient visits in community settings.

  • Spending extended periods sitting to complete documentation and administrative tasks.

  • Working long shifts with limited opportunities to rest and recover.

Many nurses alternate between long periods of standing and long periods of sitting throughout the same day. Both can affect circulation and contribute to leg discomfort.

Why Do Nurses Often Experience Tired, Aching Legs?

Healthy circulation relies on movement.

Every time we walk, our calf muscles help push blood back towards the heart. This is often referred to as the "calf muscle pump" and plays a vital role in supporting venous circulation.

However, when we stand still for prolonged periods, gravity causes blood and fluid to collect in the lower legs. Equally, when we sit for extended periods, such as during long drives or while completing paperwork, circulation can become less efficient.

Over time, this can lead to symptoms including:

  • Aching or tired legs.

  • Swollen feet and ankles.

  • A feeling of heaviness in the legs.

  • Visible spider veins.

  • Varicose veins.

  • Discomfort that worsens towards the end of a shift.

Many nurses will recognise that feeling of finally sitting down after a 12-hour shift and realising just how tired their legs feel.

Community Nursing: The Hidden Risk

When people think about nursing, they often picture ward environments and long hours on the move. But community nurses face a unique combination of challenges.

A typical day may involve:

  • Long periods driving between patients.

  • Carrying equipment and supplies.

  • Standing while providing care.

  • Kneeling beside beds or chairs.

  • Completing documentation in vehicles or at home.

This cycle of sitting, driving, standing and moving throughout the day can be demanding on the venous system and may increase feelings of leg fatigue and swelling.

The Early Warning Signs You Shouldn't Ignore

Many healthcare professionals dismiss early symptoms because they seem minor.

You may notice:

  • Sock marks around your ankles.

  • Mild swelling at the end of the day.

  • Aching calves.

  • Restless legs in the evening.

  • Spider veins appearing around the ankle or calf.

  • Varicose veins becoming more noticeable.

These can be early indicators that your veins are working harder than they should be and may be showing signs of venous disease.

The earlier you take action to support your leg health, the better.

Looking After Your Legs Throughout Your Career

Nursing is a physically demanding profession, and many healthcare workers remain in practice for decades.

Looking after your legs shouldn't be something you think about only when a problem develops. Small preventative measures taken today could help support your comfort and wellbeing throughout your career.

Simple strategies include:

  • Moving regularly whenever possible.

  • Taking short walking breaks during administrative tasks.

  • Performing ankle and calf exercises.

  • Staying hydrated throughout your shift.

  • Elevating your legs after work when practical.

  • Wearing comfortable, supportive footwear.

  • Maintaining an active lifestyle outside of work.

Could Compression Socks Help?

One of the simplest ways nurses can support their leg health is by wearing compression socks.

Compression socks and stockings apply graduated compression, meaning the pressure is firmest at the ankle and gradually reduces up the leg. This helps support blood flow back towards the heart and reduces the pooling of blood in the lower limbs.

Many healthcare professionals choose to wear compression socks during work because they can help support tired, aching legs and provide all-day comfort. Compression therapy is also used to help manage swelling and support vein health.

A simple change, such as replacing standard socks with compression socks, may help provide support during long shifts and busy working days.

Caring for Yourself Is Not Selfish

As nurses, we spend our careers helping others stay healthy. Yet we are often guilty of putting our own wellbeing at the bottom of the list.

Your legs support you through every shift, every patient visit, every clinic and every emergency. They deserve the same level of care and attention that you give to others every day.

So whether you're ward-based, community-based, working in primary care, or supporting patients in their own homes, consider making leg health part of your wellbeing routine. Your future self may thank you for it.

Lisa Wood

BSc, RN.