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Calf Muscle pain causes and treatments

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Calf Muscle pain causes and treatments some time due to CHRONIC EXERTIONAL COMPARTMENT SYNDROME

History of calf muscle pain causes and treatments

■ Definition: ache, sharp pain, or pressure in the lower leg experienced during sporting activity, usually relieved at rest
■ Most commonly anterior compartment but may occur in all
■ Usually nontender on exam
■ No history of trauma
■ Common in runners or any athletes with high demands placed on their lower extremities
■ 75–95% have symptoms bilaterally
■ Etiology unclear

Calf Muscle pain causes and treatments
Calf Muscle pain causes and treatments


■ Pressure elevation due to muscle hypertrophy or noncompliant fascia causing pain by direct mechanical deformation of pain fibers
■ Muscle injury: edema/hemorrhage – increased pressure in enclosed space – ischemia – further soft tissue damage

Physical exam calf muscle pain causes and treatments

■ Often have negative exams in the office
■ Possible tenderness or increased tension over involved compartment after exercise
■ Passive stretching of involved compartment may induce pain after exercise
■ Reduced sensation over first dorsal web space with involvement of deep peroneal nerve
■ Weakness or paresthesias may also occur with chronic cases studies
■ Compartment pressure measurement
➣ Direct measurement of involved compartments using needle catheter such as Stryker STIC catheter, WICK catheter, or transducer from arterial line
➣ Operative treatment: fasciotomy recommended with a measured pressure > 15 mmHg at rest, > 30 mmHg after 1 min exercise or 20 mmHg after 5 minutes after exercise
58 Chronic Exertional Compartment Syndrome

Differential diagnosis

■ Stress fracture
■ Periostitis
■ Tendinitis
■ Nerve entrapment
■ Infection
■ Neoplasm
■ Venous stasis
■ Excessive pronation

Treatment of Calf Muscle pain causes and treatments

■ Nonoperative
➣ Activity modification
➣ Orthotics
➣ Generally unsuccessful
➣ Compartment measurements if clinically suspicious

■ Operative

➣ Anterior compartment is usually the only decompression necessary.
➣ Anterior compartment release: 2- to 3-cm incision off the tibial crest
➣ Careful of superficial peroneal nerve as it exits the fascia approximately 10 cm above fibula
➣ Additional compartment release as clinically necessary disposition


■ Good if recognized and treated early
■ Persistent weakness or nerve damage can occur in chronic untreated cases.

Caveats and pearls

■ Early recognition is the key to successful treatment.
■ Always consider exertional compartment syndrome in cases of
vague lower extremity pain in athletes.

Joint Dislocation/subluxation, Complications in joint Dislocation/subluxation

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Dr .Lalit Choudhary
Hii everyone, I'm Dr Lalit Choudhary PT. Born and brought up in delhi. Practicing as a professional PHYSIOTHERAPIST. As a therapist I love to interact with others and and get myself updated regarding all the social issues which are leading my countrymen to distress themselves. Yes, I agree that Iam a workaholic but my work gives me immense pleasure but there are sometimes when I feel stressed up so to relax myself I travel to new places, meet new people and try to adopt their culture. Most of the time I like to travel hills as it helps me to relax and enjoy our nature beauty. For being a good therapist and to deal with all the difficulties I always prefer to be good listener and have good patience that is what my strength is. I also work as a social worker and the Founder of thesocialphysiofitnessclub and PHYSIO FIT INDIA. In last I just want to say that " I believe that physical therapy is not just a therapy but actually a remedy which not only make you physically fit but also adds happiness, joy and more days to your life." So don't just sit and thought now it's time to stand and work on yourself.

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