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Suggest Treatment For Reoccuring Tendonitis

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Posted on Wed, 12 Apr 2017
Question: Pretty sure i know the answer to this, but if im having reoccuring tendonitis on the top of my foot (despite that i press on the tendons and they dont hurt), a day after going to the gym (but only using elliptical) and a rash comes about, could this be a sign of diabetes or just imbedded and irritated tendons?

Im a 30 year old male, weighing 250lbs, but ive been going to the gym 4 days a week and eating way better to shed weight.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (20 minutes later)
Brief Answer:
Information

Detailed Answer:
Hello,

I took a look at the rash, and while I can't say for sure, it may be from irritation from sweat and how your gym shoes fit.

Uncontrolled sugar levels in diabetes make people more prone to infections and poor healing, but not necessarily a rash like this.

To diagnose diabetes, an A1C or fasting blood sugar would be the thing to get. It wouldn't be diagnosed from a rash.

I recommend making sure you have gym shoes that allow enough room for your instep, and wear cotton gym socks. As soon as you are done exercising, wash your feet well with soap and water and dry thoroughly.

I hope this information helps. Please let me know if I can provide further information.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (24 hours later)
Sounds good doctor. However, how does the rash look now, even though i havent worn the shoes today (see newly attached photo). I went to a doctor today and he doesnt think its diabetes but couldnt rule it out.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (11 hours later)
Brief Answer:
Thoughts on this:

Detailed Answer:
I am not sure if it is just due to different lighting/camera exposure, but the redness looks worse in the new picture. If you aren't wearing the shoes, and if it is very red and hot, it could be a skin infection in which case soaking the foot in hot (not so hot you burn yourself) water and possibly taking an oral antibiotic would be the thing to do. What did the doctor who actually saw the rash in person think? Seeing a rash in person is always more accurate than via a picture.

Regarding the blurry vision and possible diabetes, I strongly advise getting your blood sugar checked and having your eyes examined (preferably by an optometrist or ophthalmologist, but if not possible to do quickly, by your primary doctor then).


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (37 minutes later)
He thinks its just reoccuring tendonitis, and not gout or anything. I dont have blurry vision or numbness/tingling in any of my extremeties. Just this ache on top of my right foot/ankle and minor pain in my left knee .
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Information

Detailed Answer:
For tendinitis, you'll want to rest it, and if you can tolerate NSAIDs such as ibuprofen, that can help with the aching. If you take ibuprofen, be sure to have eaten something before so that it doesn't irritate your stomach.

But, if it gets hotter and redder, and if it spreads, then treat it as a soft tissue infection.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (1 hour later)
Will do doctor. As long as this has been occuring (off and on for a few months; will sometimes go a week or two with no pain), it hasnt spread beyond my foot or ankle. The doc said that there was swelling but not of a gout type of attack. As completely ridiculous as I know it sounds, my fear is it bein something that will cause me to lose my foot down the line, hence why ive been going to the gym to try and lose alot of weight .
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (22 minutes later)
Brief Answer:
Information

Detailed Answer:
It is excellent that you are trying to lose weight and exercising.

I can understand the fear about losing your foot, but if your blood sugars are not out of control, and if you are gradually losing weight, eating better, and exercising, then you will not have to worry.

Keep up the good work!

If you feel worried regardless, get your blood sugar checked, and you will be able to see if it is improving.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (2 days later)
Thank you so much doctor!! I'll definitely stick with it. I hate to do this but Im not getting a response from anyone. I had a minor (hopefully) injury to my shoulder last night...

I was trying to open one of those cargo trailer doors (where they open by a relatively small latch on the side), in which the latch is about up to my clavicle. When I tried opening it, a pain came on and has increased ever since in my shoulder (on the top, see picture), to where it's painful/uncomfortable to lift it, yet there isn't bruising or swelling (yet). I'm assuming that this was a minor stress on the muscles or ligaments in the area and that it'll just be sore like this for a few days, would you say that because there isn't bruising or swelling, I should see a doctor? I feel like an X-ray might be a waste of money but I don't know.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (13 minutes later)
Brief Answer:
Information

Detailed Answer:
Hello xxxxxx,

External bruising and swelling is a sign that blood vessels opened and spilled blood and caused inflammation. But not having bruising/swelling doesn't mean that trauma of some type didn't happen.

An X-ray may not help a lot at the moment, but an exam to see your range of motion would be helpful. A muscle or ligament may have been stressed as you said, but if you cannot lift your arm, or if you are having weakness or numbness, then it would be good to have it checked out.

The usual initial treatment is icing the painful area, and if you have no contraindications to taking NSAIDs (such as history of gastritis/ulcers or liver disease) then you can take ibuprofen after you have food in your stomach, 3 times per day. Ice it intermittently for the first 72 hours.

So: If you are very limited now in range of motion, having weakness or numbness, or if the pain is very severe, then I recommend going in to the urgent care or ER.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (6 minutes later)
There isnt numbness, tingling, or swelling.
Just an odd range of motion issue. I went to the gym today and was able to do some bicep exercises but not others. Example is that it hurts to adjust sunglasses but yet i can do arm circles with relative ease. The pain seems to be very localized on the end of the clavicle (i believe, where i pointed in the picture), so maybe its a ligament strain as ou said? y
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Information

Detailed Answer:
A number of muscles attach at the clavicle (I did take a look at the picture you sent - thanks). I think it would be best if you go in to an urgent care clinic as immobilization (via a sling) can help prevent further injury and complications. In the clinic, they can also assess the severity of the strain.

Avoid upper body exercises until you are assessed for the severity of this injury. Then you can be given guidelines for follow up and when you can resume exercises involving the upper body/shoulder.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (3 hours later)
Will do doctor. I just find it so odd that i didnt even have direct contact with the shoulder and now it might be broken? Like i can lift it laterally, but if i lift in front of me, my arm feels 5x heavier
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 minute later)
Brief Answer:
Information

Detailed Answer:
It may not be broken (although an X-ray could help sort that out) but a tear or strain are possibilities, and that's why it should be evaluated in person.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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Suggest Treatment For Reoccuring Tendonitis

Brief Answer: Information Detailed Answer: Hello, I took a look at the rash, and while I can't say for sure, it may be from irritation from sweat and how your gym shoes fit. Uncontrolled sugar levels in diabetes make people more prone to infections and poor healing, but not necessarily a rash like this. To diagnose diabetes, an A1C or fasting blood sugar would be the thing to get. It wouldn't be diagnosed from a rash. I recommend making sure you have gym shoes that allow enough room for your instep, and wear cotton gym socks. As soon as you are done exercising, wash your feet well with soap and water and dry thoroughly. I hope this information helps. Please let me know if I can provide further information.