Blood Pressure Measurement and Calf Tendonitis Symptoms - Internal Medicine

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Tendonitis of the calf?


Hello, when measuring blood pressure with a traditional mercury sphygmomanometer, do you hear the maximum pulse sound? Or is the first pulse sound considered the systolic pressure? Then, is the subsequent pulse sound the diastolic pressure? Please clarify the timing for interpreting blood pressure.
Additionally, if the pulse sounds are very faint with no obvious "loud and soft" distinction, how should it be interpreted? A clinic doctor diagnosed me with calf tendonitis, and after taking medication for a week, there has been improvement, but I still experience sharp pain.
Could it truly just be tendonitis? Is there a possibility of something more serious? Thank you!

Song, 20~29 year old female. Ask Date: 2000/12/08

Dr. Hong Hongchang reply Internal Medicine


Hello: 1.
In a traditional mercury sphygmomanometer, the first sound indicates systolic pressure, while the disappearance or reduction of sound indicates diastolic pressure.
If the pulse is very faint, it may be due to improper placement of the stethoscope or an issue with the stethoscope itself.
2.
Symptoms of tendonitis can be severe and may last for several weeks, so it is recommended to rest more.
If pain persists, it is advisable to consult a neurologist for further examination.
If there are any issues, please visit our neurology department for an evaluation.

Reply Date: 2000/12/08

More Info


When measuring blood pressure using a traditional mercury sphygmomanometer, the process involves listening for specific sounds known as Korotkoff sounds. The first sound you hear, which is a clear tapping noise, indicates the systolic blood pressure (the pressure in your arteries when your heart beats). As you continue to deflate the cuff, you will hear a series of sounds that will eventually fade away. The point at which the sounds disappear indicates the diastolic blood pressure (the pressure in your arteries when your heart is at rest between beats).
If the sounds are faint or difficult to discern, it can be challenging to accurately determine the systolic and diastolic pressures. In such cases, it may be helpful to ensure that the cuff is properly placed and that the person being measured is relaxed and at rest. If the sounds remain unclear, it may be advisable to use an automated blood pressure monitor, which can provide a digital reading without the need for auditory cues.

Regarding your concern about calf tendonitis, it is important to understand that while tendonitis typically presents as pain and inflammation in the affected tendon, it can sometimes be confused with other conditions. If you are experiencing persistent pain despite treatment, it is essential to consider other potential causes. For instance, conditions such as a muscle strain, a tear, or even issues related to circulation could mimic tendonitis symptoms.
In your case, if the pain persists or worsens, it would be prudent to follow up with your healthcare provider. They may recommend imaging studies, such as an ultrasound or MRI, to rule out any structural issues or other underlying conditions. Additionally, if you notice any swelling, warmth, or changes in color in the affected area, these could be signs of a more serious condition that requires immediate attention.

In summary, when measuring blood pressure, listen for the first sound for systolic pressure and the last sound for diastolic pressure. If sounds are faint, consider using an automated device. For your calf pain, if symptoms persist despite treatment, further evaluation may be necessary to rule out other conditions. Always consult with your healthcare provider for personalized advice and treatment options.

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