Right Ankle Pain: Insights on Achilles Tendon Issues

Regarding issues with the right ankle (Achilles tendon)?

Hello Dr.
Lin,
I would like to ask you a question.
My right ankle (Achilles tendon) has been experiencing intermittent pain for the past six months due to an injury I sustained five years ago.
Not only is there pain, but I also feel tightness in the tendon.
I have undergone rehabilitation and even received local injections, but the results have been unsatisfactory, and the pain continues intermittently.
Could you please advise me on what might be the issue? Additionally, besides X-ray examinations, are there other diagnostic methods available? I am reaching my limit with this condition.
Lastly, could you let me know where you are currently practicing and your clinic hours? (I know you were previously at Hsinchu Hospital, but you are no longer there.) I look forward to your response.
Sincerely,
Patient Shih Chih-Hung

Zhihong, 20~29 year old female. Ask Date: 2000/10/04

Dr. Lin Junliang reply Orthopedics

The right Achilles tendon has been intermittently painful for the past six months due to an injury sustained five years ago, which may be related.
When no other issues are confirmed, the primary treatment approach will focus on rehabilitation.
In addition to physical examination and X-ray imaging, an MRI (Magnetic Resonance Imaging) may also be considered for this area, although it is expensive and has limitations on insurance coverage.
Currently, I am serving at the Miaoli Hospital under the Department of Health, with outpatient hours on Tuesdays and Fridays all day (morning and afternoon), as well as Wednesday evening clinics.

Reply Date: 2000/10/04

More Info

Hello, Mr. Shih,
Thank you for reaching out with your concerns regarding your right ankle pain, particularly related to the Achilles tendon. It sounds like you have been dealing with this issue for quite some time, and I can understand how frustrating it must be to experience persistent pain and tightness despite undergoing rehabilitation and local treatments.

From your description, it seems that you may be experiencing a condition known as Achilles tendinopathy, which is characterized by pain, stiffness, and sometimes swelling in the Achilles tendon. This condition can arise from various factors, including previous injuries, overuse, or biomechanical issues. Given that you mentioned a prior injury five years ago, it is possible that the tendon did not heal completely or that there has been some degeneration over time.

In terms of diagnostic methods, while X-rays can help rule out bone-related issues, they do not provide detailed information about soft tissues like tendons. Other imaging techniques, such as ultrasound or magnetic resonance imaging (MRI), can be more effective in assessing the condition of the Achilles tendon. An ultrasound can help visualize the tendon structure and detect any tears or inflammation, while an MRI can provide a comprehensive view of both the tendon and surrounding tissues.

As for treatment options, since you have already undergone rehabilitation and local injections with limited success, it may be worth considering a few additional approaches:
1. Physical Therapy: A specialized physical therapist can tailor a rehabilitation program focusing on strengthening the calf muscles and improving flexibility. Eccentric exercises, in particular, have shown effectiveness in treating Achilles tendinopathy.

2. Orthotics: Custom orthotics or supportive footwear can help correct any biomechanical issues that may be contributing to your pain. This can alleviate stress on the Achilles tendon during activities.

3. Extracorporeal Shock Wave Therapy (ESWT): This non-invasive treatment uses sound waves to promote healing in the tendon. Some studies have shown positive outcomes for patients with chronic Achilles tendon pain.

4. Surgery: In cases where conservative treatments fail, surgical options may be considered to repair the tendon or remove degenerated tissue. This is typically a last resort after exhausting other treatment avenues.

5. Activity Modification: It may be beneficial to modify your activities to avoid exacerbating the pain. Low-impact exercises, such as swimming or cycling, can help maintain fitness without putting excessive strain on the tendon.

Regarding your inquiry about my practice location and office hours, I am currently serving at [insert current hospital or clinic name], and my office hours are [insert specific days and times]. I encourage you to schedule an appointment for a thorough evaluation and to discuss your treatment options in detail.

In conclusion, it is essential to address your ongoing pain and tightness effectively. I recommend seeking further evaluation with imaging studies to better understand the underlying issues with your Achilles tendon. Please do not hesitate to reach out if you have any more questions or need assistance in scheduling an appointment.

Wishing you a speedy recovery.

Best regards,
Doctor Q&A Teams

Similar Q&A

Understanding Right Foot Pain and Weakness in the Achilles Tendon

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, ...

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.

Understanding Ankle Nerve Pain: Causes and Rehabilitation Tips

Hello Dr. Yin, recently I don't know why I've been experiencing pain in the nerves on the side of my right foot (around the ankle, it hurts at a certain fixed angle). It feels fine when walking normally, but it's very noticeable when going up and down stairs. Could...

Dr. Yin Xinbei reply Rehabilitation
It may be inflammation of the tendons or ligaments in the ankle. If it does not improve, please visit a rehabilitation clinic for evaluation.

Understanding Ankle Discrepancies: Causes and Treatment Options

I have uneven ankle sizes; my right ankle has an extra bump. When I squat, I can't put weight on my right foot because the extra bump on my ankle hurts. I also can't perform significant stretches. Recently, I noticed swelling above my right heel, which doesn't hurt...

Dr. Shi Guozheng reply Orthopedics
It is possible that you have inflammation of the Achilles tendon. It is advisable to temporarily avoid strenuous activities and consider taking some anti-inflammatory pain relievers. If the symptoms do not improve, you should see a doctor.

Understanding Foot Pain: Causes and Solutions for Rehabilitation

Hello Dr. Chen: My mother has been experiencing some issues with her right foot recently. She cannot easily turn left or right; she must pause before changing direction. Sometimes, she can only lightly place her right foot on the ground, and while standing, her thigh occasionally...

Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and recommendations: 1. Patients with a history of ankle sprains may experience this phenomenon, which could be due to ligament inflammation that has become chronic. Sudden light movements or weight-bearing may cause...