My daughter, who is now 22 years old, is complaining of pain in her knees, elbows and shoulders. The doctor has ruled out arthritis etc and doesn't know what can be causing the pain. When she was a child she always walked on her tip toes - despite us trying to correct it! I remember a shoe shop assistant telling us that my daughter was in danger of shortening the achilles tendon and that she would have "trouble later on". Therefore, I'm wondering if the pain in her joints could be as a result of a shortened achilles tendon? I shall be most grateful for any advice you can give.
A shortened tendon can be a possible etiology for the symptoms. A rehabilitation specialist, or physiatrist, would be the appropriate referral to exclude this possibility.
Otherwise, you can go to a rheumatologist to test for a variety of joint conditions. Rheumatoid arthritis and lupus are two diseases that need to be ruled out.
Obtaining a blood count, sedimentation rate, ANA, and rheumatoid tests can all be discussed with this specialist.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
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