The Cure for Cankles
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The word "cankle" was made popular in 2001 when Jason Alexander's character in the movie Shallow Hal used the term to criticize an overweight women’s lower leg saying, "It's like the calf merged with the foot, cut out the middleman."

Since the film was released, the term has been assimilated into our lexicon, making many women overly aware and insecure about this part of their bodies. And this increasing insecurity did not go unnoticed by plastic surgeons and personal trainers who claimed to be able to fix the problem. But can anything really irradicate the dreaded cankle? Here are three distinctively different types of cankles and what can and cannot be done for them.

1. Genetic Predisposition
Many women who have cankles are genetically predisposed to this type of lower leg, meaning if one of your parents had them, you might too. This may be caused by obesity or the structural absence of a well-defined calf muscle—even if you are physically fit. 

What can I do? I’m not a proponent of this type of procedure, but surgery may work. Many women have gone under the knife in what is known as ankle liposuction. This one-hour, outpatient surgery is becoming extremely popular with women hoping to reduce their ankle circumference. However, with every surgery there are risks and nothing is guaranteed.  

Will exercise help? As I’ve said time and again, you cannot spot reduce! This idea is still around, even after exercise physiologists and the medical community have proven that it cannot be accomplished. If you are predisposed to this body type, embrace the body you have and focus on nutrition, wellness, and sticking to a exercise regimen that is fun and boosts your confidence.

2. Fluid Retention
Fluid buildup in the ankle generally comes from a heavy sodium intake; it's a pure reflection of one's dietary habits. 

What can I do? If you notice that your ankles have begun to swell and/or feel as though you are retaining water, visit your physician or schedule an appointment with a registered dietitian. Remember that 80 percent of your overall wellness is based on what you eat, not what you do physically. 

Will exercise help? A structural wellness plan can be established with a certified personal trainer. But again, you cannot spot reduce—exercise is just part of the equation. Walking, running, hiking, or simply taking the stairs instead of the elevator will contribute to a healthy overall lifestyle.

3. Pregnancy
My wife recently gave birth to our son Max, and I had the personal pleasure of witnessing the physical changes of a woman during pregnancy. During those nine months, my wife’s ankles swelled a great deal, which is quite common due to poor circulation. 

What can I do? To help minimize swelling, avoid high-sodium, processed, and fast foods. 

Will exercise help? Stay active. Regular exercise throughout pregnancy promotes circulation, just be sure to consult your OB/GYN before starting any fitness program. Massage and elevation also help with circulation and fluid retention. 

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