[41M] With sharp, throbbing right foot pain and swelling

Patient Description

A 41-year-old male has been experiencing sharp and throbbing pain in his right foot for the past 3 days. The pain is exacerbated by putting any weight on the foot. The patient reports that the foot is swollen and hot to the touch, with the swelling and heat starting last night. The pain appears to be localized around the Achilles tendon, which has been swollen for the past 2 days. The swelling is soft and feels hot. The patient also experiences difficulty moving the foot or ankle and stiffness in the Achilles area, especially in the morning. There is no redness, no popping or snapping sensation, and no prior history of Achilles or foot problems. The patient has not tried any treatments or medications for this issue. There has been no recent increase in physical activity, infections, illnesses, or changes in diet. The patient does not use tobacco, alcohol, or recreational drugs and is not currently taking any medications.

Show More

Arora's Assessment

What might be happening

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

  • Achilles Tendonitis: This is an inflammation of the Achilles tendon, often caused by overuse or strain. Symptoms include pain, swelling, and stiffness, especially in the morning or after activity.

    • Treatment: Rest, ice, compression, and elevation (RICE) are commonly recommended. Over-the-counter pain relievers like ibuprofen can help reduce pain and inflammation. Physical therapy may also be beneficial.

  • Achilles Tendon Rupture: Although you did not experience a popping sensation, a partial tear could still be a possibility. This condition involves a tear in the Achilles tendon and can cause significant pain and difficulty walking.

    • Treatment: This often requires medical intervention, which may include immobilization with a cast or brace, and in some cases, surgery.

  • Infection: Given the warmth and swelling, an infection cannot be ruled out, even though you do not have a fever. Infections can cause localized pain, swelling, and warmth.

    • Treatment: Antibiotics are typically required to treat infections. It's important to see a healthcare provider for a proper diagnosis and treatment plan.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Rest: Avoid putting weight on your affected foot as much as possible.
  2. Ice: Apply ice packs to the swollen area for 15-20 minutes several times a day to reduce swelling and pain.
  3. Compression: Use an elastic bandage to wrap your foot and ankle, but not too tightly.
  4. Elevation: Keep your foot elevated above the level of your heart to help reduce swelling.
  5. Over-the-counter pain relievers: Medications like ibuprofen or acetaminophen can help manage pain and inflammation.
  6. Journal your symptoms: Use MDandMe to track your symptoms, any treatments you try, and how your condition progresses. This information can be very helpful for your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Increased pain, swelling, or redness
  • Development of a fever (temperature over 100.4°F)
  • Inability to move your foot or ankle
  • Signs of infection, such as pus or increased warmth

Remember, while these suggestions can help manage your symptoms, they are not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

Show More

1
 Hugs
0
 Comments

Save

3 mo ago

People Also Ask

What are the common symptoms of Achilles tendonitis?

Common symptoms of Achilles tendonitis include pain and stiffness along the Achilles tendon, especially in the morning or after activity, swelling, and tenderness in the area. The pain may worsen with activity or when putting weight on the foot.

How can I differentiate between Achilles tendonitis and an Achilles tendon rupture?

Achilles tendonitis typically involves pain and swelling without a sudden onset, while an Achilles tendon rupture may involve a sudden, sharp pain, often described as a popping sensation, and difficulty walking or standing on the toes. A rupture may also cause a visible gap in the tendon.

What are the initial steps I can take at home to manage Achilles tendon pain?

Initial steps to manage Achilles tendon pain at home include resting the affected foot, applying ice to reduce swelling, using compression with an elastic bandage, elevating the foot above heart level, and taking over-the-counter pain relievers like ibuprofen to manage pain and inflammation.

When should I seek medical attention for foot pain and swelling?

You should seek medical attention if you experience increased pain, swelling, or redness, develop a fever, are unable to move your foot or ankle, or notice signs of infection such as pus or increased warmth in the area.

Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback