Rehab for a lifter of calf pull/tear from running

Pain & Rehab Forum [Moderated]
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Hi BBM, was getting my conditioning in a couple of days ago with a run, when I got a sudden “pulling” sensation and sharp pain in my calf (inside right leg, so soleus just below gastroc), after which I struggled to walk, and definitely couldn’t continue running. Today I can walk fine (after a bit of a warm up), but hurts to go up stairs and would not want to run. Also got a visible bruise where the original pain was.

Realise you can’t diagnose over the internet, so will go see someone locally, but assuming I have done a (minor) tear, I was wondering if I could get advice on rehab. From what I have read of your articles, I believe I should be returning to exercise as soon as is possible with moderated loads, and also return to the exercise I injured myself with as well. I’ve got some specific questions I’d like advice on:

  1. This week would be the penultimate week of the low-fatigue template (great template!). I’m guessing I should avoid testing any leg-based exercises (the last week of the template) for now?
  2. Would it be suitable to return to the beginning of the template and moderate the load to where I am not in pain (or at least doesn’t feel too bad), and then increase conservatively from there?
  3. Wasn’t sure what to do for running (realise might not be the right forum to ask this). Injury occurred when my right leg was outstretched behind me, which is not a position I get into when walking. Not sure how to slowly increase my exposure here; maybe it’s just walk for now or pick another form of conditioning?

Any advice greatfully received. Thanks!

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Hey Michael,

Thanks for the post and for joining our forum. Happy to have you here, though I wish it were under more pleasant circumstances.

You are correct that we cannot diagnose you from this information alone, though we likely could -and guide management- in the context of a consultation with our pain and rehab team. It’s pretty challenging to tell you what to do in this setting, as I would prefer more information on how you’re feeling, as well as regular follow up to monitor and change things as needed.

Based on what you’ve said here, I don’t think testing is likely a great idea. I don’t think exact exposure to the position where the injury is believed to occur, but rather gradual reintroduction of the activity, e.g. walking with gradually increased pace, some plyo exposure starting with low amplitude stuff, and gradually getting back to running and unrestricted activity.

To summarize, I think this is best dealt with via a consultation with our pain and rehab team, but I think you’re on the right track regarding your plan.

-Jordan

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Hi Jordan, thanks for the response, and will contact the pain and rehab team.

Mike