Hi, im in a position with the Canadian Forces that makes me responsible for re-conditioning programs for injured military. unfortunatly due to my isolated post I am without the standard base physio or physician. The result is Im getting referals (from a "physicians assistant") with vague or inappropriate diagnosis. I plan on picking the collective Brain tof this forum for possible guidance. I recently recieved a referal that indicated "calf strain", it is up to me obviously to determine what exactly it is that is strained. The strain is grade 1. The patient reported pain at the MT junction during active dorsi flexion in full knee extension, less in plantar flexion. the same results with passive flexion in both directions. Little pain with active and passive flexion in full knee flexion.......So im thinking Grade 1 strain at the MT junction of the gastroc...........then he reported much more pain during resisted seated calf raise (suggesting soleus) and much less during standing calf raise, resisted and body weight....... The symptoms span the entire MT junction when present......any thoughts on diagnosis.......Im a kinesiologist and diagnosis is not within my scope. thanks

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