[18M] With gradual onset of Achilles discomfort

Patient Description

An 18-year-old male reports experiencing discomfort in the lower calf, near the Achilles area, for approximately 10 days. The discomfort is particularly noticeable when standing on toes or flexing toes, and it is bothersome with every step taken. The severity of the discomfort is rated as 4 out of 10. The symptoms developed gradually over time and are accompanied by stiffness and warmth in the area. The patient recently started playing flag football, which may be related to the symptoms. There is no reported swelling, redness, or previous injuries to the area. The patient has not yet tried any treatments such as rest or ice. There is no family history of musculoskeletal issues, no pre-existing conditions, and the patient is not taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Achilles Tendinitis: This is a common condition where the Achilles tendon becomes inflamed, often due to overuse or a sudden increase in physical activity, such as starting a new sport like flag football. Symptoms typically include pain and stiffness in the tendon, especially in the morning or after activity, and warmth in the area.

    • Treatment usually involves rest, ice, compression, and elevation (RICE), along with stretching and strengthening exercises. In some cases, physical therapy may be recommended.
  • Calf Strain: This occurs when the muscles in the calf are overstretched or torn, which can happen with sudden movements or increased physical activity. Symptoms include pain, stiffness, and sometimes warmth or swelling.

    • Treatment involves rest, ice, compression, and elevation, as well as gentle stretching and strengthening exercises once the initial pain subsides.

What you can do

  1. Rest and Ice: Try to rest your leg and avoid activities that worsen the pain. Apply ice to the affected area for 15-20 minutes every few hours to reduce inflammation and warmth.

  2. Gentle Stretching: Once the initial pain decreases, gently stretch your calf muscles to improve flexibility and reduce stiffness. Be careful not to overstretch.

  3. Footwear: Ensure you are wearing supportive footwear, especially during physical activities, to reduce strain on your Achilles tendon.

  4. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share your notes with a healthcare provider if needed.

What you should look out for

  • Seek Medical Attention: If your symptoms do not improve with home care, or if you experience severe pain, swelling, or difficulty walking, it's important to see a healthcare professional for a proper evaluation and treatment plan.

  • Watch for Worsening Symptoms: If you notice increased swelling, redness, or if the area becomes hot to the touch, these could be signs of a more serious condition that requires medical attention.

Remember, while this advice can help manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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People Also Ask


What is Achilles tendinitis and what causes it?

Achilles tendinitis is an inflammation of the Achilles tendon, often caused by overuse or a sudden increase in physical activity. It results in pain and stiffness in the tendon, especially after activity or in the morning.


How can I treat discomfort in the Achilles area at home?

To treat discomfort in the Achilles area at home, you can rest the affected leg, apply ice to reduce inflammation, and perform gentle stretching exercises once the initial pain subsides. Wearing supportive footwear can also help.


When should I see a doctor for Achilles pain?

You should see a doctor if your symptoms do not improve with home care, if you experience severe pain, swelling, or difficulty walking, or if the area becomes hot to the touch or shows increased redness.


What are the differences between Achilles tendinitis and a calf strain?

Achilles tendinitis involves inflammation of the tendon due to overuse, while a calf strain is an overstretching or tearing of the calf muscles. Both can cause pain and stiffness, but a calf strain may also involve swelling and more acute pain with sudden movements.


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