This question was answered on Sun 28, Mar 2010 11:20am by Dr. Srivastava

Intense throbbing pain in lower calf

Asked by vadersfist (Male; 23; operation for hernia, other then that haven't been to the doctor in maybe 2 to 3 years doe to no insurance; Relevant drugs:none ) on Sun 28, Mar 2010 10:52am

I have an intense throbbing pain on the back of lower inside left calf muscle that has steadily increased since I started playing handball about 2 weeks ago. The pain is dim at the knee steadily increasing progressively down the leg and fading down the Achilles tendon. If pressure is applied to the Achilles tendon, I do feel throbbing. In addition, there will be a brief spurt of twitching. I'm 23 6 foot about 230lbs

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Answer by Dr. Srivastava  on Sun 28, Mar 2010 11:20am:

Hello, Thank you for your question. Your symptoms of pain in lower half of calf muscle upto achilis tendon sound most likely achilles tendinitis (now a days called tendonopathy). This is a condition which is generally started by overuse of the affected limb and is more common during sports or athelete trainings *(as you also started handball training). Problems occur here due to this tendon is little bit weak in muscle fibre structures and does not have good blood supply, so this injury may be slow to heal. Most common treatment is used like ice, cold compression, heel pads to reduce the excessive strain on the tendon. In addition, few routine exercises may be suggested by physiotherapist to strengthen the tendon. It is essential to consult an orthopedic for treatment as soon as possible since this injury may lead to complete tendon rupture with sustained overuse. In addition, pain killers like non-steroidal anti-inflammatory drugs, physical therapy, rehabilitation, steroid injection may be suggested by your treating doctor. In severe cases, plastic cast may be suggested to restrict movements at the site. Hope this helps. Please do keep us posted for your additional doubts. Take Care & Regards.

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Comment by Dr.Kokil Mathur on Sun 28, Mar 2010 04:54pm:
Hi! Dr Anurag could actually be cent per cent correct on his diagnosis and treatment offered. However I am also suggesting some other causes of calf pain that could be looked into if tendonopathy is not found to be the cause. The commonest cause of pain in the calf is DVT (deep vein thrombosis) and clots and post exercise. A deep vein thrombophlebitis or intermittent claudication (spontaneous spasm and relaxation of arteries) can also cause similar symptoms. Pain in the calf area can also be due to pinched spinal nerves in the lumbo-sacral area or a pinched nerve at the knee joint. At times it is also due to low sodium, potassium, magnesium or calcium in the body. Dehydration is another frequent cause. Hence your doctor may run tests such as dopplar studies, nerve conduction studies, serum electrolytes, MRI etc to reach a diagnosis. Please consult your PCP for primary examination and proper referral to the concerned specialist. Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!

Comment by on Wed 15, Sep 2010 11:11am:
Can this be a simple muscle pull

Comment by on Fri 04, Feb 2011 06:33am:
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