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Painless lump above achilles tendon. Had tendonitis. Stiffness in ankles. Should I be concerned?

I have painless bump about 3 inches above my left Achilles tendon . I did have a tendinitis there, rested for several weeks then practiced the Alfredson protocol religiously: eccentric contraction. It brought to considerable strengthening of the area. I was able to resume my running for several weeks now, without pain. The only thing is this aforementioned lump, that I can see and touch (with no pain). I am 62 years old, have always been a runner (and a weightlifter): on the good side, I can very easily do one legged weigthed toe-raises (straight and flexed knees), without any pain. As already mentioned, I can even run short distances (3 miles) with vibram 5 fingers minimalist shoes (no pain before, during, or after), and long distances ( 10 miles) in regular shoes. I know I have painless tendonitis , because I sometimes have a very short period of stiffness (in both ankles) early in the morning, that disappears after a short walk. The right ankle seems to be more affected. By the way, I also had an operation on my right Achilles tendon 6 years ago, from which I totally recovered. The pain there after inactivity (about a 1-2 on a scale of 1 to 10) never left, and is more frequent than in my left, which has that bump. Advice please: should I be concerned about this painless lump on my left achilles tendon?
Asked On : Fri, 28 Sep 2012
Answers:  1 Views:  246
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Orthopaedic Surgeon 's  Response

I have studied your case.

As per your history it looks swelling of soft tissue which can be lipoma or sebaceous cyst.
I will advise to consult surgeon for clinical examination and if required proper investigation.
I will advise you to do MRI and Ultrasound of the swelling.
Benign swelling giving rise to pain can be excised.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care

Answered: Fri, 1 Aug 2014
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