How is Achilles Tendon Pain Diagnosed?

Physical Examination Techniques

The physical examination of the Achilles involves palpating the tendon to check for tenderness, thickening, or defects. The patient is often asked to lie prone with their feet hanging off the table to assess for swelling, bruising, and foot alignment. The Thompson test, which involves squeezing the calf to check for plantarflexion, is a key test for detecting ruptures.

Role of Imaging in Diagnosis

While Achilles tendinopathy can often be diagnosed clinically, imaging helps confirm the diagnosis or rule out other conditions. Ultrasound is a common choice, revealing tendon thickening or tears. MRI is used when more detailed anatomical information is needed, especially if ultrasound findings are unclear.

When to Use Diagnostic Tests

Diagnostic imaging is recommended when physical exam findings are inconclusive or when a serious injury is suspected. It is especially useful in cases of suspected tendon rupture or when the patient does not respond to initial treatment. Imaging might also be considered if the patient has unusual symptoms or risk factors.

Frequently Asked Questions

Key Takeaways

Accurate diagnosis is the first step to effective treatment.

Related Articles

• What's Behind Achilles Tendinopathy?
• How Do You Treat an Achilles Tendon Tear?
• Can You Prevent Achilles Tendon Injuries?
• Are You at Risk for Achilles Tendon Injuries?

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