Readings - Calf Pain

Question 1

List differential diagnosis for Gastroc strain

Answer 1

1. Soleus strain
2. Plantaris strain
3. Muscle cramp
4. Tibial stress fracture
5. Tibial nerve entrapment

Question 2

Which head of Gastrocs is more commonly strained

Answer 2

Medial

Question 3

List a common MOI for Gastroc Strain

Answer 3

• sudden burst of acceleration

- sudden eccentric stretching with foot in DF

Question 4

List 4 predisposing factors to a calf injury

Answer 4

1. Foot biomechanics
2. Internal femoral rotation
3. Decreased ankle DF
4. Poor jumping and landing technique

Question 5

What gives a good guide to the severity of the tear

Answer 5

The degree of disability, both immediately after the injury and during clinical contact

Question 6

Name 1 not to be missed injuries in this region

Answer 6

• DVT

Question 7

Why is the medial Gastroc head more susceptible to injury

Answer 7

• greater capacity for force generation due to its attachments

Question 8

What are the key points of the first 2 stages of Gastroc rehab

Answer 8

Stage 1: reduce pain, swelling, protect the injury (educate, potential for crutches) = max. 5 days

Stage 2: gentle stretching, gentle ROM, may begin unloaded isometrics

Question 9

Two ways to differentiate Soleus and Gastroc strains

Answer 9

1. Soleus strain is more painful jogging and walking than sprinting
2. Soleus strain will present with pain on DF whilst knee is flexed