Xanthomas of the Achilles Tendon: Causes, Symptoms, and Treatment
Xanthomas of the Achilles tendon are fatty deposits that build up within the tendon tissue. These growths are often linked to metabolic disorders such as familial hypercholesterolemia and can serve as visible markers of high cholesterol and cardiovascular risk. At the Foot Care Center, we provide evaluation and management of Achilles tendon xanthomas to protect tendon health and overall well-being.
What Are Xanthomas of the Achilles Tendon?
Xanthomas are firm, yellowish nodules made up of cholesterol and lipid deposits. When they form in the Achilles tendon, they can cause thickening, stiffness, and discomfort in the back of the ankle. Unlike typical tendon injuries, xanthomas are often associated with systemic conditions affecting lipid metabolism.
Causes of Achilles Tendon Xanthomas
- Familial hypercholesterolemia (a genetic condition leading to high cholesterol)
- Other lipid metabolism disorders
- Long-term elevated cholesterol or triglyceride levels
- Underlying cardiovascular disease risk factors
Symptoms of Achilles Tendon Xanthomas
- Visible or palpable nodules along the Achilles tendon
- Tendon thickening or enlargement
- Stiffness and reduced flexibility in the ankle
- Pain or discomfort when walking, running, or standing for long periods
- Increased risk of tendon injury or rupture due to structural weakness
Diagnosis of Achilles Tendon Xanthomas
Diagnosis typically involves a physical examination combined with imaging such as ultrasound or MRI to identify fatty deposits within the tendon. Blood tests are essential to evaluate cholesterol levels and detect underlying metabolic conditions. Identifying xanthomas can provide critical early warning of cardiovascular risk.
Treatment Options for Achilles Tendon Xanthomas in Billings, MT and Sheridan, WY
Non-Surgical Treatments
- Lifestyle changes such as a heart-healthy diet and exercise
- Cholesterol-lowering medications (e.g., statins)
- Regular monitoring of cardiovascular health
- Physical therapy to maintain tendon flexibility and strength
- Orthotics to reduce strain on the Achilles tendon
Surgical Treatments
In cases where xanthomas are large, painful, or interfere with mobility, surgical removal may be considered. Surgery may also be necessary if the tendon is at risk of rupture due to severe thickening.
Complications of Untreated Achilles Tendon Xanthomas
- Progressive tendon thickening and stiffness
- Reduced ankle mobility
- Increased risk of Achilles tendon rupture
- Ongoing cardiovascular health risks due to underlying high cholesterol
Why Choose Foot Care Center for Achilles Tendon Xanthomas?
At the Foot Care Center, our team takes a comprehensive approach to treating Achilles tendon xanthomas. We not only address the tendon health but also collaborate with medical providers to manage underlying cholesterol and cardiovascular risks. Our goal is to improve mobility, reduce pain, and support long-term health.
Final Thoughts
Xanthomas of the Achilles tendon are more than a local tendon problem—they are an important sign of underlying systemic conditions such as high cholesterol. If you notice thickening or nodules in your Achilles tendon, contact the Foot Care Center for expert diagnosis and treatment.
