Patient case: Achilles Tendinitis
A 38-year-old recreational runner presents with a 3-month history of pain and stiffness in the back of his right ankle. The pain typically starts after running and is most severe in the mornings, gradually improving throughout the day. Over the past few weeks, he has also noticed swelling in the area and occasional crepitus during movement.
He recently increased his running distance, going from 5 kilometers to 10 kilometers per session. On physical examination, there is tenderness and swelling along the Achilles tendon, with noticeable thickening of the tendon compared to the left side. The Thompson test is negative, ruling out a complete tendon rupture.
Based on his history and physical examination, he is diagnosed with Achilles tendinitis, likely due to overuse from increased running activity. Conservative treatment, including rest, stretching exercises, and physical therapy, is recommended, with a gradual return to activity to prevent further injury.
a). Severe ankle weakness
b). Pain and stiffness in the back of the ankle
c). Numbness in the toes
d). Sharp pain in the kneel
a). Decreased physical activity
b). Increased running distance
c). Switching from running to cycling
d). Change in diet
a). Positive Thompson test
b). Swelling and thickening along the Achilles tendon
c). Reduced sensation in the foot
d). Decreased range of motion in the knee
a) Immediate surgery
b). Rest, stretching exercises, and physical therapy
c). Corticosteroid injections
d). Complete immobilization of the ankle
