chronic calf pain

[ickleears]

i have just had a (58 year old) long distance runner in complaining of chronic calf pain. i am lost to what the cause of this may be as all rom for the ankle and knee are fine, strength for knee flex/ext, ankle d/f and p/f are at grade 5. there is no swelling, redness or temp. changes. or palpable tenderness of the calf or hamstring, the pain has been constant and is no different when walking or running, i have checked for DVT, the client has never suffered from back pain or hip problems. the only positive tests are pain on the end rom of passive knee flexion and slight pain on resisted soleus at end range of p/f, there is a slight loss of muscle bulk. as far as treatment all i gave was a massage and strengthening exercises. Can anyone help to what may be causing this and any treatment rehabilitation advice? there has been no changes in training or trainers.

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[vishal]

check out for the neurovascular signs aconstant pain during in activity gives an indication for neurological symptoms

[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.