What is one of the primary indicators of Achilles tendonitis during a physical assessment?

• A. Swelling over the mid-portion of the tendon
• B. Pain in the anterior compartment of the leg
• C. Tightness in the hip flexors
• D. Weakness in plantarflexion

Answer: (A)

Swelling over the mid-portion of the tendon is a primary indicator of Achilles tendonitis during a physical assessment. This condition involves inflammation of the Achilles tendon, which is located at the back of the ankle and connects the calf muscles to the heel bone. In cases of Achilles tendonitis, patients often present with localized swelling in this area due to the inflammatory process. This swelling can be accompanied by tenderness and pain when pressure is applied to the affected site, making it a key physical sign for practitioners to identify.

Other indicators, such as pain in the anterior compartment of the leg or tightness in the hip flexors, may relate to different conditions and focus on areas not directly involving the Achilles tendon. Weakness in plantarflexion typically arises due to more significant issues with the tendon or surrounding structures but is not as immediate an indicator as localized swelling. Thus, the presence of swelling is a more immediate and accurate manifestation of Achilles tendonitis during the assessment.