chronic calf pain

[jacinta]

hi all,

I am lost of idea in my case.

* pt is a 40 y.o /M/footballer by profession

-on & off mild pain since few episodes of trauma to med Rt. calf(started few yrs ago)
-pain increase 3/52 ago; symptoms only reproduce during kn flx to mid range with
foot grounded ( single leg squat/single leg support)
-no pain in sitt. / std.; occasionally when walk down the stair with Lt. leg down 1st, followed by Rt.
- on deep palpation: hardening cord-like structure of med gastroc at
tendinomusculo junction; mildly tender
-all muscle power 5/5, pain at full range against resistance

* claims pain mildly reduce aft 3 sessions of rx.
* pt is due to play next week.

any suggestion/idea is deeply appreciated.

jacinta

[rugby18]

I recently fractured my fibula and ruptured the AFTL and the syndesmosis. I went to hospital on the day that i was injured (15th of November) and was told to return on the 17th, on that day i was diagnosed with a weber c3 ankle fracture had surgery to fix a syndesmosis screw through the tibia and fibula and a plate fixed onto the break. After the ORIF surgery i was put into a back slab cast on the 17th untill the 1st of December.. I have since been since been in a non weight bearing cast. I was firstly wondering what the long term ramifications would be if any and also how soon would i be fit to play rugby(the doctors seem to stray away from answering this question when asked). Also would a patient normally be put into another cast after having the non weight bearing cast removed or would they be given some sort of support brace. Finally how long is a patient typically on crutches for after sustaining a pretty severe ligament damage injury such as mine. thanks very much.