Name of the Condition

• Unspecified injury of right Achilles tendon
• ICD-10 Code: S86.001A

Summary

The unspecified injury of the right Achilles tendon refers to damage to this crucial tendon without a specific classification or grade. Typically caused by sudden stress or trauma, this initial encounter involves addressing immediate symptoms and determining the extent of the injury.

Causes

• Sudden increase in physical activity or intensity
• Direct trauma or accident affecting the tendon
• Overuse or repetitive strain from activities like running or jumping

Risk Factors

• Participation in high-impact sports or activities
• Poor conditioning or flexibility of the calf muscles
• Inadequate footwear that fails to support or cushion the foot

Symptoms

• Pain and stiffness in the Achilles tendon area
• Swelling or tenderness around the heel
• Difficulty in walking or standing on tiptoe

Diagnosis

• Physical examination by a medical professional
• Imaging tests such as MRI or ultrasound to assess tendon damage

Treatment Options

• Rest and immobilization to prevent further injury
• Application of ice to reduce swelling
• Physical therapy to restore strength and flexibility
• Surgery in severe cases to repair the tendon tissue

Prognosis and Follow-Up

• With proper treatment, most tendon injuries heal within weeks or months
• Regular follow-ups to monitor healing progress and adjust treatment plans

Complications

• Tendon rupture or chronic tendinopathy if left untreated
• Prolonged recovery time and risk of reinjury

Lifestyle & Prevention

• Engage in proper warm-up and stretching exercises before activities
• Gradually increase activity intensity to allow tendons to adapt
• Use supportive footwear suitable for specific activities

When to Seek Professional Help

• Severe pain or swelling that does not subside with rest
• Inability to bear weight on the affected foot
• Sudden "pop" or snap at the back of the ankle indicating a possible rupture

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS): www.aaos.org
• Achilles International: www.achillesinternational.org

Tips for Medical Coders

• Ensure accurate coding by verifying the laterality (right side) of the injury
• Confirm that this is an initial encounter for the injury
• Avoid confusing this unspecified injury with other specific conditions of the Achilles tendon, such as tendinitis or rupture