Chronic Calf Issues...

[otto123]

Good Day,

I have been having this recurring calf injury and just had an ultrasound done yesterday.

This is the office dictation of my examination:
Small area of hypoechogenicity noted in the mid portion of the lateral
gastrocnemius. Although there is no gross disruption of the muscle
fibers, this likely represents a chronic intramuscular injury. Size is
roughly 2.0 cm in longitudinal x 1.0 cm in cross section. No
sonographic evidence for acute muscle disruption.

Impression:

1. Small chronic appearing injury in the midportion of the right
lateral gastrocnemius. Otherwise, unremarkable right lower calf
ultrasound.

They really couldn't tell me much of anything to either do or what it really is? The actual sensation is that of someone driving their knuckle into the back of my calf along with an increase in pressure or tightness of the calf. Once it happens, I am off for 6-8 weeks before biting the bullet and get back to running again only to have it happen 2-3 weeks later again. I always start out slow when I get back being careful not to over run with either mileage or by doing intervals, hills, etc. I have and continue to self massage, ice the few days after happens and take an anti-inflammatory.

This injury is becoming more and more frustrating as it gives me no confidence whatsoever as to it finally being healed.

Any help or advice would be greatly appreciated.

Thank you.

[Heidi]

Hi

Basically what I think they are saying is that there is a muscle tear. If this is a recurring problem, then there must be a reason behind it.

You have been doing the right thing to rest, use ice and massage. I think you should also add very regular stretching to this routine and although self-massage can be beneficial, I would strongly advise visiting a professional for 2 or 3 treatments.

The only other thing that it seems like you are missing it strengthening exercises prior to returning to running. Where the muscle is torn will cause a weak spot so I would recommend calf raises, first bilateral (on 2 legs) and then unilateral (on the injured leg only).

Being as this is a recurring problem, I would also get your gait assessed (even if you have had it done before - things can change) to ensure you have the right support for your feet and pick up any other problems.