Runners, driven by their passion for pushing boundaries and achieving new milestones, often confront formidable challenges that test their resilience and determination. Among these challenges, calf pain emerges as a prevalent issue that not only impedes performance but also diminishes the joy derived from running. Let’s take a look at a compelling case study conducted at Meeting Point Health. Here, we unravel the story of a female runner who embarked on a quest for relief from debilitating calf pain, seeking to reclaim her stride and reignite her passion for running.
The Case Study
The case revolves around a female runner who has a history of participating in marathons and gains a thrill from running. However, her joy was marred by persistent calf pain that surfaced during her runs. The pain was bilateral, affecting both sides of her calves, and worsened with continued running. Eventually, the pain became so severe that she had to cease running altogether, finding relief only with rest. Every attempt to resume running reignited the pain, creating a frustrating cycle.
Upon consulting with Dr. Matta, an examination revealed a crucial finding: entrapment of the tibial nerves on both sides of her legs. The tibial nerve, an extension of the sciatic nerve, plays a vital role in contracting the calf muscles, particularly the soleus. Entrapment of this nerve leads to impaired calf muscle function and consequent pain, which aligns with the patient’s symptoms.
Understanding the Treatment Approach
To address the runner’s condition effectively, a two-fold treatment approach was devised:
1. Nerve Hydrodissection
The primary objective was to alleviate pressure on the tibial nerve. This was achieved through a procedure known as nerve hydrodissection. Ultrasound-guided nerve hydrodissection involves using real-time ultrasound imaging to precisely locate the compressed or irritated nerve. Dr. Matta can visualize the nerve and surrounding structures, such as muscles or fascia, in order to guide the needle placement and ensure accurate delivery of the solution. The injection technique used is a multiplanar hydrodissection involving injecting the solution at multiple points around the nerve in different planes. This technique aims to create a comprehensive cushioning effect and increase the separation of the nerve from surrounding tissues such as fascia, scar tissue and muscle. By targeting the nerve from multiple angles, it can be particularly effective in cases where nerve compression occurs from various directions.r.
Additionally, attention was directed towards enhancing glute activation. It was noted that the runner’s glutes were not firing properly, leading to compensatory actions by the calf muscles and exacerbating the nerve entrapment issue. To rectify this, electroacupuncture was employed to stimulate proper glute activation. As a result, the runner experienced improved glute function.
Treatment Results
The outcome of the treatment was highly encouraging. Following the nerve hydrodissection procedure and acupuncture, the runner experienced immediate relief from calf pain over the 3 months of treatment. Subsequent running sessions were notably smoother, with the runner comfortably managing distances of up to 17 to 18 miles without experiencing debilitating pain.
This case study exemplifies the efficacy of targeted interventions in addressing complex sports-related injuries and restoring athletes’ functionality and performance. This example of the collaboration between the runner and the healthcare team at Meeting Point Health exemplifies the importance of accurate diagnosis, personalized treatment plans, and innovative interventions in overcoming challenges.By leveraging advanced techniques such as nerve hydrodissection and focusing on holistic muscle activation strategies, individuals like the female runner in this case study can reclaim their passion for running and achieve their athletic goals.
Common Questions Asked about Calf Pain in Runners
Calf pain in runners can stem from various factors, including overuse injuries, muscle strains or tears, nerve entrapment, inadequate warm-up or stretching, improper footwear, biomechanical issues, and underlying medical conditions.
It’s essential for runners to pay attention to the nature and intensity of their calf pain. Normal muscle soreness typically improves with rest and mild stretching. However, persistent or worsening pain, especially during activity, may indicate a more significant injury that requires medical evaluation. Other red flags include swelling, bruising, weakness, or a popping sensation in the calf.
Proper footwear is crucial for runners as it provides support, cushioning, and stability, thereby reducing the risk of injuries. Runners should choose shoes that suit their foot type, running style, and terrain. Regularly replacing worn-out shoes is also important to maintain optimal support and shock absorption.
Yes, incorporating specific stretching and strengthening exercises into a runner’s routine can help prevent calf pain and improve overall lower limb function. Stretching exercises targeting the calf muscles, Achilles tendon, and plantar fascia can enhance flexibility and reduce muscle tightness. Strengthening exercises focusing on the calf muscles, as well as the glutes, hamstrings, and core, can improve muscle balance and stability, reducing the risk of overuse injuries.
Runners should seek medical attention if they experience persistent or severe calf pain that interferes with daily activities or worsens with exercise. Other symptoms that warrant medical evaluation include swelling, redness, warmth, numbness, tingling, or difficulty bearing weight on the affected leg. Early diagnosis and intervention can prevent complications and facilitate prompt recovery.
Combatting Pain: Meeting Point Health’s Commitment to Personalized Care
At Meeting Point Health, we are dedicated to finding the right treatments for our patients, ensuring they can continue enjoying the activities they love. Our approach goes beyond standard medical care; it’s about empowering individuals to lead active lifestyles and pursue their passions with confidence. By focusing on accurate diagnosis, personalized treatment plans, and innovative interventions, we strive to not only address ailments but also inspire and enable our patients to live their best lives. Meeting Point Health is committed to personalized care that fosters resilience, well-being, and the joy of staying active. Schedule a consultation today!
Medically reviewed by Dr. Stephen Matta, DO, MBA CAQSM and Mary Anne Matta, MS, MA, LAC
