Monday, June 11, 2012

Achilles Rupture?

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Gender: Female
How tall are you (feet and inches)?: 64
What is your weight in pounds?: 160
How old are you?: 75
How long has this been going on?: A few days
Check all symptoms you are currently experiencing:
None of these

Describe associated symptoms not listed above: Left ankle and lower leg swelling. Had successful Achilles surgery in 1991. Experiencing pain in the Achilles area and there is a knot the size of a larger pea in the lower Achilles area.

What have you done so far to remedy this condition? Please include tests and relevant studies here.
: Raised leg and iced.

Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): Achilles surgery 1991
Check all conditions present in your immediate family... :
None of these
Please list any medication allergies that you have : : n/a
Please list any medications you are currently taking (and dosage if known) :: n/a
Are you currently using or do you have a history of tobacco use?: No
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Rarely
HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED?: As soon as possible
Chances of re-rupture?
_______________________________
Obviously this diagnosis is one that can only be made by a physician doing a good exam, and this will likely require an MRI. However, there is a simple test you can do at home to assess the integrity of the Achilles tendon. It is usually called the "Thompson test". Simply lie on your stomach and have a friend or family member gently squeeze your calf muscle. If your foot moves, then you have not ruptured your Achilles tendon. If it doesn't not move, like in this video, then there is likely a rupture. Please see your doctor asap to have this properly evaluated.

1 comment:

Space Doc said...

Dear achilles ? rupture:

I doubt that this is s rupture of the achilles---Usually you are barely able to walk with a rupture.

Certainly you could have strained or sprained the achilles which could give you pain and swelling of the lower extremity'

The nodule you describe could be a ganglion cyst which occur along tendon sheaths and from joints. These are benign and often require no treatment.

MDSTAT ER's suggestion of the Thompson test is a good way to see if there is any rupture.

It will still be good to see your orthopedist to be sure there is no partial tear in the tendon or any problem with the prior surgical repair.

Hopefully this will be a minimal problem--but does need to be checked out.

Best of luck! Would love to hear how it all turns out

Space Doc