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Why shouldn't you cross your legs at the ankles?

4 min read

According to a study reported by UF Health, crossing legs can alter the speed of blood flow in your lower limbs, which can invite health complications over the long term. While often seen as a minor habit, there are several reasons why you shouldn't cross your legs at the ankles, as it can affect your circulation, nerves, and overall musculoskeletal health.

Quick Summary

Crossing your ankles restricts blood flow, can cause temporary spikes in blood pressure, and may irritate nerves, leading to numbness or tingling. While less problematic than crossing at the knees, prolonged or habitual ankle crossing contributes to poor posture and muscle imbalances that can impact long-term comfort and joint health.

Key Points

  • Circulation Restriction: Crossing your ankles can compress blood vessels and hinder proper circulation, potentially causing temporary blood pressure spikes.

  • Nerve Compression: It can put pressure on the peroneal nerve, leading to temporary numbness, tingling, or, in prolonged cases, nerve irritation.

  • Posture and Alignment: Habitual ankle crossing can cause postural imbalances, potentially leading to a misaligned pelvis and spine over time.

  • Muscle Imbalances: Favoring one side of the body can create imbalances, with some muscles becoming tight and others weak, contributing to back and hip pain.

  • Exacerbates Venous Issues: While it doesn't cause varicose veins, restricted blood flow from crossing ankles can worsen symptoms for those with existing venous conditions.

  • Less Harmful Than Knee Crossing: Crossing at the ankles is generally less detrimental than crossing at the knees, but it is still not the most ideal sitting posture.

  • Promotes Sedentary Behavior: The habit is often part of a prolonged, sedentary sitting pattern, which is independently linked to numerous health problems.

In This Article

The Impact of Restricting Blood Flow

Sitting with your legs crossed at the ankles can compress blood vessels in your lower limbs, making it more difficult for blood to flow back toward your heart. This restriction forces the heart to work harder to pump blood through the constricted vessels, which can lead to a temporary increase in blood pressure. For most healthy individuals, this is a minor, temporary effect, but it's particularly relevant during blood pressure readings and for those with pre-existing conditions like hypertension.

Over long periods, consistently impeding blood flow can have more significant consequences. While crossing your legs doesn't directly cause varicose veins, it can exacerbate the symptoms of underlying vein problems by increasing the pressure in leg veins. This pressure can weaken the valves in the veins, leading to blood pooling and stretched vein walls, which in turn can make existing spider or varicose veins more pronounced.

Potential for Nerve Irritation and Damage

One of the most noticeable side effects of crossing your ankles is the tingling or "pins and needles" sensation, also known as paresthesia. This occurs when nerves, particularly the peroneal nerve located below the knee, are compressed by pressure from the other leg. While this sensation is usually temporary and resolves once the pressure is released, prolonged and habitual compression can lead to nerve irritation or, in rare cases, nerve damage.

This nerve irritation can manifest as:

  • Numbness in the feet and lower legs
  • Weakness in the ankle and foot muscles, leading to difficulty moving them
  • Pain or discomfort along the nerve's path

Comparing Crossing at the Ankles vs. Knees

It's important to note that crossing at the ankles is generally considered less harmful than crossing at the knees, but it is not without its risks.

Aspect Crossing at the Knees Crossing at the Ankles
Pressure on Nerves Higher risk of compressing the peroneal nerve, potentially leading to foot drop. Lower risk of direct nerve compression, but can still cause tingling and discomfort.
Effect on Circulation Significant restriction of blood flow due to greater compression of major blood vessels. Milder restriction compared to knee-crossing, but still affects circulation over time.
Impact on Posture Causes greater hip tilt and spinal misalignment, leading to back and hip pain. Less severe impact on hip and pelvic alignment, but still encourages poor posture.
Pressure on Joints Puts more strain on the knee and hip joints due to uneven weight distribution. Milder pressure on joints, but still not the ideal seated posture.

The Effect on Posture and Muscle Imbalances

Consistent, prolonged sitting with your ankles crossed places your body in an asymmetrical position. This subtle misalignment can have cascading effects on your posture and musculoskeletal system over time. By favoring one side, you can cause muscle imbalances where some muscles become tighter and others weaker.

This can result in:

  • A pelvic tilt, leading to lower back discomfort or pain
  • Misalignment of the spine and shoulders
  • Increased muscle tightness in the hip flexors and piriformis muscle, potentially leading to piriformis syndrome

Better Sitting Habits for Long-Term Health

Developing better sitting habits is a proactive way to mitigate the risks associated with ankle crossing. By being mindful of your body, you can improve circulation, reduce nerve pressure, and maintain proper postural alignment.

Here are some practical tips:

  1. Change positions frequently. Avoid staying in one posture for more than 20-30 minutes. Shift how you are sitting to allow for different muscle engagement and blood flow.
  2. Use proper ergonomic support. Make sure your chair and workspace support good posture. Use a footrest if your feet can't comfortably rest flat on the floor.
  3. Incorporate movement. Taking short, regular breaks to stand up, stretch, or walk around is crucial for promoting healthy circulation and preventing muscle stiffness.
  4. Strengthen weak muscles. Regularly stretching tight muscles (like hip flexors) and strengthening weak ones (like your core and glutes) can help counteract postural imbalances.
  5. Listen to your body. If you feel discomfort, numbness, or tingling, take it as a signal to change your position and move around.

By being mindful of your sitting habits, you can protect your long-term health and avoid the potential negative consequences of routinely crossing your legs at the ankles. For more information on maintaining proper posture and preventing musculoskeletal issues, consult resources from reputable physical therapy associations. For example, the American Physical Therapy Association provides excellent guidance on proper body mechanics and injury prevention. Learn more from the American Physical Therapy Association.

Conclusion

While crossing your ankles is a common habit often seen as a minor, harmless comfort, prolonged and frequent practice carries real health risks. By putting unnecessary pressure on blood vessels and nerves, it can contribute to circulatory issues, temporary blood pressure increases, and nerve irritation. Moreover, the asymmetric posture can cause muscle imbalances and spinal misalignment over time, leading to chronic discomfort and pain. Making a conscious effort to adopt better sitting habits—like keeping your feet flat, moving frequently, and using proper ergonomics—can help protect your venous health, nerves, and overall musculoskeletal well-being. It's a small change that can have a big, positive impact on your long-term health.

Frequently Asked Questions

No, crossing your ankles does not cause varicose veins. The primary causes are genetic factors, aging, and lifestyle. However, prolonged sitting in any position, including with crossed ankles, can exacerbate the symptoms of existing varicose veins by impeding circulation.

Crossing your ankles is generally considered less harmful than crossing at the knees. The latter causes greater compression of blood vessels and nerves and has a more significant impact on pelvic and spinal alignment.

Numbness or tingling, often referred to as "pins and needles," is caused by nerve compression. When you cross your ankles for a long time, pressure can be placed on the peroneal nerve, temporarily disrupting its function.

Yes, crossing your ankles can cause a temporary increase in your blood pressure. This is due to the constriction of blood vessels, which forces your heart to pump harder. Your blood pressure returns to normal once you uncross your legs.

The best sitting posture involves keeping both feet flat on the floor, using proper back support, and changing your position frequently. A footrest can be beneficial if your feet don't reach the floor comfortably.

To break the habit, be mindful of your body and position. You can set reminders to change position every 15-20 minutes, focus on sitting with your feet flat, or use physical cues like adjusting your chair so it's uncomfortable to cross your legs.

Yes, over time. Habitual ankle crossing encourages asymmetrical posture, which can lead to a pelvic tilt and spinal misalignment. This uneven weight distribution can increase strain on your lower back and contribute to chronic pain.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.