Cardiff Foot Ankle and Calf Pain – Pain relief and treatment
CALF AND ACHILLES PAIN
A painful calf or Achilles is a very common complaint seen at Recovery & Beyond Physiotherapy. The most common cause of calf pain is an injury to the musculotendinous complex , in the middle of the calf , caused by a traumatic acute strain or pull . While in the Achilles area the injury is classically due to overuse , normally bought on by a change in loading on the legs , such as increasing distance in preparation for a distance running event .
- Acute , sharp pain with a history of sudden injury while pushing off
- Gradual onset
- Stiffness and ache in morning or at the start of training which eases with continuing exercise or heat but returns later
- Cramping pain
Acute muscle strains are most commonly to the gastrocnemius muscle , then the deeper soleus or to any of the other deeper muscles.
Recurrent or chronic muscle strains occur after inadequate rehabilitation from an earlier injury when there is a build up of scar tissue , but can also be from overuse.
Achilles tendinopathy. Also known as tendinitis or Achilles tendon partial rupture
Posterior ankle impingement. An injury with similar symptoms to an Achilles injury commonly seen in dancer’s , gymnasts or footballer’s normally secondary to a previous injury where the foot is pointing down (plantarflexed)
Treatment to an acute muscle or tendon tear involves modalities to encourage and shape the healing process including progressive rehabilitation exercises. This helps ensure a full recovery and prevention of reoccurrence by ensuring the tissues are strengthened and scar tissue and adhesions are minimised.
Overuse type injuries need to be looked at more holistically to determine the source of overuse , which needs the expertise of an experienced practitioner to identify the potential causes and implementing an effective treatment plan to address them.
UK Standardised protocols – For certain conditions there are specific evidence based UK Standardised protocols which are implemented within the treatment programme here at the clinic .