Thursday, December 6, 2012


A 34 year old man presents with ankle pain. The pain is worst when he tries to push off from the ground; it is minimal when his foot touches down. The pain and stiffness is about 2-6 cm above the posterior calcaneus. It is burning, worse with activity, relieved by rest. Since his last visit, he has started to run because you counseled him to get more exercise for weight loss; his BMI is 32. You palpate crepitus when the patient dorsi and plantarflexes the foot.

Challenge: What's the diagnosis?

Image is in the public domain.

1 comment:

Craig Chen said...


This is Achilles tendinopathy. The image is a fresco showing Achilles dragging the dead body of Hector in the front gates of Troy.

Sources: Wikipedia; UpToDate.