Ask The Experts

Can sarcoidosis in leg muscles cause Achilles tendon insertion heel spur or chronic ossification in the Achilles tendon?

Thank you for contacting IPFH. We do not diagnose conditions or recommend medical treatments on line. Sarcoidosis, as you may know, is an idiopathic disease (a disease with undetermined cause or origin) that leads to general inflammation in the body. Typically it affects organs, and most commonly the lungs and lymph nodes. As a result of this constant inflammation, immune system cells can form lumps called "granulomas." You can learn more about the condition at the web site of the Foundation for Sarcoidosis Research. We are not familiar with sarcoidosis as a common cause of spurs or ossification, but we did find one old article (from an Annals of Internal Medicine Journal in 1988) that mentioned heel pain in conjunction with sarcoidosis. We also found an article in the journal Case Reports in Orthopedics that refers to certain systemic conditions as possible causes of Achilles tendon ossification (although the article did not refer specifically to sarcoidosis as one of these conditions). But because the condition is systemic, and can cause lumps or granulomas as we mentioned, it is not outside the realm of possibility that your Achilles tendon could be affected. The best bet for getting your question answered is to consult with your primary care physician. Or, if you are under the care of a specialist for the condition, you could consult with him or her and pose the question. Alternatively, you can consult a foot health professional, who may be able to help you. Hopefully this will help direct you, and we wish you the very best in dealing with and resolving this condition.

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