Right Foot Pain and Weakness in the Achilles Tendon - Orthopedics

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Pain on the dorsum of the right foot and weakness in the Achilles tendon while walking?


I have been experiencing pain on the dorsum of my right foot for three days, and it hasn't improved; in fact, it has gotten worse! My ankle hurts significantly with even slight movement, and sometimes when I walk, my Achilles tendon feels a bit weaker than usual.
Thank you, doctor.
👨‍⚕️

Guózhōng shēng, 10~19 year old female. Ask Date: 2022/08/30

Dr. Chen Bochen reply Orthopedics


For acute inflammation and sprains, remember to apply ice for 3 to 5 days and use a bandage for stabilization.
If there is no improvement after a week, you should see a doctor for an X-ray.

Reply Date: 2022/08/30

More Info


It sounds like you are experiencing significant discomfort in your right foot, particularly in the area of your Achilles tendon and ankle. Based on your description, there are several potential causes for your symptoms, and it's important to consider them in order to determine the best course of action.

First, the Achilles tendon is a critical structure that connects the calf muscles to the heel bone. Pain in this area can be indicative of several conditions, including Achilles tendinitis, which is an inflammation of the tendon often caused by overuse or strain. This condition can result from activities that put excessive stress on the tendon, such as running, jumping, or even lifting heavy objects, which you mentioned you have been doing recently. The pain you feel when moving your ankle could be a sign of this inflammation, and the weakness you are experiencing may be due to the tendon being compromised.

Another possibility is that you may be experiencing a partial tear of the Achilles tendon. This can occur due to sudden increases in physical activity or improper footwear that does not provide adequate support. Symptoms of a partial tear can include pain, swelling, and a feeling of weakness or instability in the ankle. If you have noticed any swelling or bruising around the tendon, this could further support the idea of a more serious injury.

Additionally, it is crucial to consider the role of your footwear. Wearing shoes that do not provide proper support can exacerbate foot and ankle pain. If you have been wearing shoes that are too tight or do not fit well, this could contribute to your discomfort. It is advisable to wear well-fitted, supportive shoes, especially if you are engaging in physical activities.

Given that your symptoms have persisted for three days and seem to be worsening, it is essential to seek medical attention. A healthcare professional, such as an orthopedic specialist or a physical therapist, can perform a thorough examination, which may include imaging studies like an ultrasound or MRI to assess the condition of the Achilles tendon and surrounding structures. They can also evaluate your gait and foot mechanics to identify any contributing factors to your pain.

In the meantime, there are several self-care measures you can take to alleviate your symptoms. Resting the affected foot is crucial; avoid activities that exacerbate the pain. Applying ice to the painful area can help reduce inflammation and numb the discomfort. Additionally, elevating your foot can assist in minimizing swelling. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can also provide relief from pain and inflammation.

Physical therapy may be recommended as part of your treatment plan. A physical therapist can guide you through exercises to strengthen the muscles around the ankle and improve flexibility in the Achilles tendon. This can help restore function and reduce the risk of future injuries.

In summary, your right foot pain and weakness in the Achilles tendon could be due to conditions such as Achilles tendinitis or a partial tear. It is important to seek medical evaluation to determine the exact cause and appropriate treatment. In the meantime, rest, ice, and supportive footwear can help manage your symptoms. Remember, early intervention is key to preventing further injury and promoting recovery.

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