Managing Swollen Tendons: Steps to Take
Overview: I am a 43-year-old woman, weighing 76 kilograms. I do not have significant underlying health issues, though I have unmedicated ADHD. My blood pressure and resting heart rate are normal. I do not smoke and consume alcohol in very moderate amounts. I maintain a reasonably active lifestyle with over 10,000 steps daily, including walking and cycling. The only supplement I regularly incorporate into my diet is fiber, and I do not have any known allergies. Currently, I am dealing with a swollen left Achilles tendon, which I was diagnosed with by an orthopedic specialist. For the past two years, I have felt a degree of weakness in the tendon, but it was only after my visit to the doctor regarding a stress fracture in my right foot that pain began to develop. I don't believe the two events are directly linked. To manage the swelling and aid in tendon recovery, I have been using 1 cm heel lifts in my shoes. My doctor recommended cutting back on my physical activities, which I've attempted, yet the tendon continues to ache. I have been using the heel lifts for approximately six weeks. To further complicate the situation, I have a stress fracture in my right foot that requires the use of a rigid insole for support. This stress fracture has been problematic for about four months. Both the heel lifts and the insole were prescribed and fitted by a healthcare professional. Timeline of Events: My initial doctor's appointment occurred seven weeks ago, where an examination revealed the swollen tendon, prompting an ultrasound of my feet and legs. During this visit, the swelling was apparent. A follow-up visit six weeks ago included an MRI and X-ray, which confirmed the presence of a stress fracture. My most recent appointment was just one week ago, and at that time, both of my issues persisted. The stress fracture appears to be improving; however, the pain in my Achilles tendon remains. I have another follow-up scheduled in five weeks, where I hope to hear more encouraging news regarding my recovery.
Answers (1)
8/16/2025, 11:11:22 AM
OpenHealth AI
It sounds like you are dealing with a challenging situation concerning your swollen Achilles tendon, especially along with a stress fracture. Managing tendon swelling and recovery is crucial for regaining strength and mobility. Here’s a structured approach to help alleviate your discomfort and facilitate healing.
Main Points:
- Continue using your heel lifts and rigid insoles as prescribed.
- Prioritize rest and modify activities to reduce further strain on your tendon.
- Implement supportive self-care strategies for pain relief and swelling reduction.
Explanation:
Your Achilles tendon may be swollen due to inflammation from overuse, especially with the added strain from your stress fracture and necessary adjustments to your footwear. Heel lifts can help reduce tension on the tendon, but it’s important to ensure they are not causing discomfort or altering your gait negatively. Since the pain persists, rest and careful management of your activities are essential.
Next Steps:
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Rest and Modification of Activities:
- Limit activities that put excessive strain on your Achilles tendon, including high-impact exercises. Consider gentle range-of-motion movements and non-weight-bearing exercises, like swimming or stationary cycling, if you can do so without pain.
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Pain Management:
- Use ice packs on the swollen area for about 15-20 minutes several times a day, especially after any activity. This helps reduce inflammation and manages pain.
- Over-the-counter anti-inflammatory medications like ibuprofen (if you're not contraindicated) may help reduce swelling and pain. Be sure to follow dosing instructions.
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Physical Therapy:
- If not already in place, ask your healthcare provider about physical therapy. A therapist can provide targeted exercises to improve tendon strength and flexibility safely.
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Footwear and Support:
- Ensure your shoes provide good support and cushioning. If you notice increased pain from the heel lifts or insoles, consult your physician to reassess their effectiveness or to explore additional orthotic options.
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Keep a Summary of Symptoms:
- Track your pain levels, activities, and any changes in swelling. This information can be useful during your follow-up appointment to inform your healthcare provider of your progress and difficulties.
If you notice increasing pain, significant changes in swelling, or any other concerning symptoms, it's vital to reach out to your healthcare provider sooner. Your upcoming follow-up is a good opportunity to discuss your experience and any adjustments that may be necessary in your treatment plan. Remember, recovery can take time, and it's okay to seek help and make modifications as needed.
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