[26M] With acute Achilles pain after recent increase in physical activity

What might be happening

Based on the information you have provided, here are some possible explanations for your Achilles pain:

• Achilles Tendonitis: This is an inflammation of the Achilles tendon, often caused by overuse or a sudden increase in physical activity. Symptoms include pain, stiffness, and sometimes redness and warmth around the tendon.

  • Treatment: Rest, ice, compression, and elevation (RICE) are commonly recommended. Anti-inflammatory medications may also help. Physical therapy can be beneficial for strengthening and stretching the tendon.

• Achilles Tendon Rupture: The "pop" you felt could indicate a partial or complete tear of the Achilles tendon. This is a more serious condition that often requires medical intervention.

  • Treatment: A partial tear may be treated with immobilization and physical therapy, while a complete rupture often requires surgical repair.

• Achilles Bursitis: Inflammation of the bursa (a small fluid-filled sac) near the Achilles tendon can cause pain and swelling.

  • Treatment: Similar to tendonitis, RICE and anti-inflammatory medications are commonly used. In some cases, corticosteroid injections may be recommended.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Rest: Avoid activities that aggravate your Achilles pain. Give your tendon time to heal.
2. Ice: Apply ice to the affected area for 15-20 minutes several times a day to reduce inflammation and pain.
3. Compression: Use an elastic bandage or compression wrap to help reduce swelling.
4. Elevation: Keep your leg elevated to help reduce swelling.
5. Over-the-Counter Pain Relief: Continue using Tylenol or consider an over-the-counter anti-inflammatory medication like ibuprofen, if you are not allergic and it is safe for you to take.
6. Footwear: Wear supportive shoes that cushion your heel and avoid high heels or shoes that put extra strain on your Achilles tendon.
7. Physical Therapy: Gentle stretching and strengthening exercises can help, but it's best to consult a physical therapist for a tailored program.
8. Journal Your Symptoms: Use MDandMe to track your symptoms, progress, and any treatments you try. This information can be very helpful for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Increased Pain: If the pain worsens or becomes unbearable.
• Swelling or Bruising: If you notice significant swelling or bruising around your Achilles tendon.
• Difficulty Walking: If you find it increasingly difficult to walk or bear weight on the affected leg.
• Fever: If you develop a fever, which could indicate an infection.
• No Improvement: If your symptoms do not improve with rest and home care within a week.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan.