Management of Acute calf tears: Risk Factors, Rehab & Return to Running.
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- Опубліковано 3 чер 2024
- Management of calf tears. A condition where there limited little research and guidance for clinicians.
In this video, we look at the risk factors and rehab strategies we might implement and how we might plan the return to running process after an acute calf tear.
We have had a few requests for this so we thought we'd put this together to help and support clinicians.
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Amongst the few videos that dive into research, grades the injury, and considers athlete individuality for rehab. Thank you!
Great insights. Some recent studies have suggested that calf raises performed on a step can overly compress the achilles and thus a flat surface is preferred. I recommend this to my patients and slowly progress to weighted calf raises.
You eventually progress them to weighted calf raises on a step then? Or stop at the flat surface?
I was in the middle of doing a kicking drill in taekwondo last week when I felt a sharp pain and tightness in my calf like the worst night leg cramp I could imagine. I could almost hear the pop of the tear. Then, I had much difficulty in walking. I hobbled to work the next day where I sat at my desk for most of the day. But it still hurt when not doing anything. The following day, I was able to get a boot and a prescription for extra strength ibuprofen. I get woken up at night from the pain after my ibuprofen has worn off, and I stretch in my sleep. I wake up suddenly. I just started walking a little yesterday, for about half mile with many stops for rest in between.
i have a grade 2 tear been following doctors orders said 3 - 6 weeks recovery on week 3 can jog slowly ok and doing single leg calf raise now and almost ready to get back to playing football (soccer) im hoping to do squat jumps this week. this video is really good subscribed. really wanted to get back to sport this week but after hearing your advice will hold off for a week or two
I play football too but got injured in last summer training I can walk fine but my calf feel very tight and hurts when running. How many calf raises and sets did you do per week I need help I would really like to get back to training I consulted a physical therapist but they just gave me stretches
@@estherfrancois8952 I found once I was able to start jogging without to much discomfort Stretches and mobility work really accelerated my recovery I was able to start playing competivly about 3 months after my tear in goal. 2 months after that was able to play on pitch absolutely fine. I have not had any trouble since. So about 5 months to fully recover. I'd recommend trying mobility work as it worked for me but I'm not at all qualified. It's just my opinion
@@djeeze88 thanks 🙏
I am 77 don’t run but have developed chronic pain up from my outside ankle up through to my calf which is also severely painful and makes it difficult to walk similar to a dropped foot. A hospital visit X-ray and ultrasound (no mri) has eliminated DVT issue. I am approx 10 kg overweight with flat feet and as this issue is entering its 5th month it limits my walking ability and the severity of pain is not reducing. What can I do?
I'm going to watch your video as soon as I have chance. Is there any research about chronic recurrent calf "tears" and I mean years in duration, seems to happen in over 40's anecdotally. Risk factors, etiology, therapy...
Hi Ashley, I've found very little research in calf tears in general I'm afraid. That presentation can be down to calf fatigue rather than true tears. Often the solution is bringing training to a manageable level and progressively strengthening the calf complex
@@RunningPhysio Yes it's interesting isn't it given that it is such a common problem. That's what I would do with any client of mine, but in my case 15 years of recurrent "sprains" and yes sprains not fatigue, even had MRI once, which showed two tears, one in soleus one in gastrocs, + "milky oedema" and no matter what I did, recurrence, sometimes just jogging across the street warming up, so fatigue not a factor. Probably happened 20-30 times over last 15 years, until recently I have now gone (touch wood) 8 months calf pain free (although have picked up a hammy issue!), I started wearing a compressport calf sleeve religiously and was doing some quick fast rebounding calf raises, plus using a stick massager on the troublesome calf regularly, have now dropped the massager, and the frequency of the calf exercises, but keep the compression. Seems OK so far. No evidence for any of it except the strengthening, which I had tried before with no improvement over the years. So I'll take the improvement (for now anyway!) I won't be confident until I have gone a year with no recurrence and am back to some sort of race fitness. Am now 56 so that is going to be a lot slower than when my trouble started at a young 40! Happy running Tom.
The spot between and under the gastric. Sharp pain and then 3 days of limping. PT can't understand it
I can understand..same thing here.. "cross friction massage" helps.. believe me, don't start running a week later, or you'll set yourself back another two weeks! Like this video says, proper foot wear and dorsiflexion stretches help.. foam roll nightly ..let pain be your guide with activity
Give yourself time..that deep 'gastroc-knot' is a b*tch!! I feel your pain