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Short Achilles tendon (acquired), right ankle
ICD10CM code
#### Name of the Condition
- Short Achilles Tendon (Acquired), Right Ankle
- ICD-10 Code: M67.01
#### Summary
- Shortening of the Achilles tendon in the right ankle, often resulting in limited flexibility and mobility. This condition is typically acquired rather than congenital.
#### Causes
- Acquired shortening of the Achilles tendon may be attributed to overuse injuries, improper footwear, prolonged immobilization, or previous injury leading to scar tissue.
#### Risk Factors
- Sedentary lifestyle, poor posture, inadequate stretching routines, age-related muscle tightening, and a history of ankle injuries.
#### Symptoms
- Heel pain, difficulty flexing the foot, stiffness, decreased range of motion, and noticeable tension in the back of the ankle.
#### Diagnosis
- Physical examination, assessment of range of motion, patient history analysis, and imaging tests such as X-rays or MRI to rule out other conditions.
#### Treatment Options
- Physical therapy: Stretching and strengthening exercises.
- Orthotic devices: Heel lifts or special footwear to alleviate tension.
- Surgery: In severe cases, surgical intervention may be necessary to lengthen the tendon.
#### Prognosis and Follow-Up
- With proper treatment, individuals can expect significant improvement in symptoms and mobility. Regular follow-up ensures appropriate progression in physical therapy and adjustment of treatment plans.
#### Complications
- Chronic pain, walking difficulties, increased risk of further ankle injuries, and potential for secondary conditions like plantar fasciitis if unaddressed.
#### Lifestyle & Prevention
- Regular stretching, proper warm-up exercises, wearing supportive footwear, and maintaining an active lifestyle to promote flexibility.
#### When to Seek Professional Help
- Persistent pain, significant mobility limitations, or if symptoms do not improve with home interventions.
#### Additional Resources
- American Orthopaedic Foot & Ankle Society (AOFAS): [www.aofas.org](https://www.aofas.org)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): [www.niams.nih.gov](https://www.niams.nih.gov)
#### Tips for Medical Coders
- Ensure the laterality (right ankle) is correctly coded.
- Double-check for any associated conditions that need coding, such as related injuries or complications.
- Avoid coding as congenital; focus on the acquired aspect unless specified otherwise.