[66F] Experiencing multiple symptoms including stiff Achilles tendon

Patient Description

A 66-year-old female presents with a constellation of symptoms including wavy fingernails, a painful and stiff Achilles tendon, fatigue, patches of scaly skin, and eye conditions diagnosed as uveitis and scleritis. The Achilles tendon stiffness has been present for approximately one year and is described as constant, with a severity rated 8 out of 10. The stiffness began gradually and does not vary throughout the day. No interventions have been reported to relieve the stiffness. The patient has not provided information on the onset or duration of the other symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, here are some possible conditions:

  • Psoriatic Arthritis: This is a type of arthritis that affects some people who have psoriasis — a condition that features red patches of skin topped with silvery scales. Psoriatic arthritis can cause stiffness and pain in the Achilles tendon, fatigue, and skin changes. It can also affect the eyes, causing conditions like uveitis and scleritis.

    • Treatment typically involves medications to reduce inflammation and slow the progression of the disease. Physical therapy may also be recommended to improve flexibility and strength.
  • Reiter's Syndrome (Reactive Arthritis): This is a type of inflammatory arthritis that develops in response to an infection in another part of the body. It can cause inflammation in the eyes (like uveitis and scleritis), skin changes, and musculoskeletal symptoms like Achilles tendon pain and stiffness.

    • Treatment usually involves medications to manage symptoms and treat any underlying infections.

Please remember, this is not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history.

What you can do

While waiting for a medical appointment, here are some things you can do to manage your symptoms:

  1. Rest: Try to avoid activities that put strain on your Achilles tendon.
  2. Apply Ice: Applying an ice pack to the area for 15-20 minutes a few times per day can help reduce inflammation and pain.
  3. Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help manage pain and inflammation.
  4. Gentle stretching: Gentle stretching exercises might help improve flexibility and reduce stiffness. However, it's important to avoid any exercises that cause pain.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain or swelling in your Achilles tendon
  • Difficulty walking or moving your foot
  • Symptoms that rapidly worsen or do not improve with rest and over-the-counter treatments.

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11 mo ago

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People Also Ask


What are the common symptoms of psoriatic arthritis?

Common symptoms of psoriatic arthritis include joint pain and stiffness, swelling in fingers and toes, fatigue, and skin changes such as red patches with silvery scales. It can also affect the eyes, causing conditions like uveitis.


How is uveitis related to conditions like psoriatic arthritis or Reiter's syndrome?

Uveitis is an inflammation of the middle layer of the eye and can be associated with autoimmune conditions like psoriatic arthritis and Reiter's syndrome. These conditions can cause systemic inflammation that affects various parts of the body, including the eyes.


What are some effective treatments for Achilles tendon stiffness?

Effective treatments for Achilles tendon stiffness include rest, ice application, over-the-counter pain relievers like ibuprofen, and physical therapy exercises to improve flexibility and strength. In some cases, medical treatments may be necessary to address underlying conditions.


Can lifestyle changes help manage symptoms of psoriatic arthritis or Reiter's syndrome?

Yes, lifestyle changes such as maintaining a healthy weight, engaging in regular low-impact exercise, and following a balanced diet can help manage symptoms of psoriatic arthritis or Reiter's syndrome. Stress management and avoiding activities that exacerbate symptoms are also beneficial.


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