1. Least Effective Exercises Slideshow
2. Dehydration Slideshow
3. First Aid Care and Pain Relief for Minor Injuries

Medical Author:

Christopher C Nannini, MD

Medical Editor:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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Tendon strain or tendon inflammation (tendonitis) can occur from tendon injury or overuse and can lead to a rupture.

• Call your doctor if you have signs of minor tendon problems.
• Minor tenderness and possible swelling increases with activity. There is usually no specific event causing sudden pain and no obvious gap in the tendon.
• You can still walk or stand on your toes.
• Acute calf pain and swelling can indicate a tear or partial tear of the Achilles tendon where it meets the calf muscle. You may still be able to use that foot to walk, but you will need to see a specialist such as an orthopedic surgeon. Surgery is not usually done.
• Sometimes special heel pads or orthotics in your shoes may help.
• Follow up with your doctor to check for tendonitis or strain before resuming activity, because both can increase the risk of tendon rupture.
• Any acute injury causing pain, swelling, and difficulty with weight-bearing activities such as standing and walking may indicate you have a tear in your Achilles tendon. Seek prompt medical attention from your doctor or emergency department.
• Do not delay! Early treatment results in better outcome.
• If you have any question or uncertainty, get it checked.

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