Calf Pain
Calf pain is a common presenting complaint and if not managed properly it can persist for months or recur. Common causes of calf pain are:

Muscle Strains
Cramps
Biomechanics
DVT
Reffered Pain

Muscle Strains
Muscle strains are the most common causes of calf pain. An explosive acceleration such as stretching to play a ball at squash or tennis may cause injury. The calf region is also a common site of contusion (local damage to the muscle which results in bleeding) caused through a direct blow to the muscle. Some people experience episodes of cramping pain in the calf that may be due to recurrent minor calf muscle strains, which are as a result of poorly rehabilitated scar tissue. Calf pain can also be referred pain from neural structures or from the lumbar spine.

Cramps
The calf is the most common site of muscle cramps in the body. These can be treated with regular muscle stretching, correction of muscle balance and posture, and adequate conditioning for the activity. Other strategies implemented at Manchester Physio include incorporating plyometrics and eccentric muscle strengthening into training programmes, educating regarding maintaining adequate carbohydrate reserves during competition and the treatment of myofascial trigger points. We can advise on adequate fluid, carbohydrate and electrolyte intake with the recommendation of appropriate supplement drinks.

Biomechanics
Biomechanical factors may be the underlying cause of calf pain. Excessive flat footedness (over pronation) can overload the calf muscles causing muscle tightness and soreness. This can predispose to the development of compartment syndrome. Manchester Physio can arrange for you too see one of our accredited podiatrists if we believe that your symptoms are caused by a biomechanical problem.

DVT
Conditions often missed include deep venous thrombosis (DVT) which occurs occasionally in calf injuries. Signs and symptoms include constant calf pain, tenderness, increased temperature and swelling within the calf. Hospital treatment is required for a confirmed DVT.

Reffered Pain
Calf pain can also be referred from the lumbar spine, usually in the form of a ‘slipped disk’. These pains are usually deep and aching all the time but can sometimes be exercise-induced. The knee joint may also occasionally refer pain to the calf.