Inner Calf Pain: Recovery Tips for Dancers

Inner calf pain?

I am a dancer.
Last January, while practicing and teaching dance, I performed a lot of stationary running movements.
Suddenly, I felt a sharp pain on the inner side of my calf halfway through, which caused me to stop and rest.
However, I continued to perform the next day as scheduled.
After two days of performances, I returned to school but still experienced the sharp pain.
I thought it was temporary and didn't pay much attention to it until the pain persisted for nearly two weeks, at which point I decided to visit a large hospital.
The doctor only mentioned that it was a strain without specifying which part was affected, and arranged for an ultrasound, heat therapy, and electrical stimulation.
After more than a month of treatment without improvement, I switched to a rehabilitation clinic.
The treatment was similar, but included shortwave therapy.
This time, the doctor diagnosed it as a gastrocnemius strain and advised me to rest.
Consequently, I reduced my activity and stopped dancing for six months.
Initially, I was diligent, attending treatment twice a week, and occasionally daily.
However, after three months, due to high costs, I changed to treatment every three to four days.
If I went more than three days without treatment, the sharp pain in my calf would return.
After six months of persistent treatment without complete recovery, I eventually gave up.
Now, any prolonged activity causes discomfort, and I experience sharp pain in cold weather or when exposed to air conditioning.
I would like to ask if it is indeed a gastrocnemius strain.
If I resume treatment now, would combining it with traditional Chinese medicine massage yield better results? If I need to engage in activities that heavily involve my calves, such as the 200-meter and 800-meter fitness tests at school and my dance performances, how can I manage to reduce the pain during these activities? Thank you, doctor.

Tao Le Bi, 10~19 year old female. Ask Date: 2016/10/04

Dr. Yin Xinbei reply Rehabilitation

Is it really a calf muscle strain? To confirm the diagnosis, an ultrasound scan is needed to observe changes in the muscle tissue.
It seems that you have already undergone all the rehabilitation equipment typically available.
If the strength in the affected area is intact, it is possible that the recovery speed is not keeping up with the rate of muscle damage.
Daily activities, especially going up and down stairs, can lead to re-inflammation of the injured area.
The muscle in the injured area may have undergone fibrosis.
You can continue with the recovery treatment and incorporate traditional Chinese medicine techniques such as tui na (massage therapy), unless there is a sudden acute inflammation, in which case massage should be avoided.
Additionally, at home, you can use heat therapy, massage, and stretching to expedite recovery.
If exercise is necessary, you may consider using kinesiology tape to alleviate pain in the affected area.

Reply Date: 2016/10/04

More Info

Inner calf pain, especially for dancers, can be quite challenging and frustrating. Based on your description, it seems you may be dealing with a gastrocnemius muscle strain, which is common in dancers due to the high-impact and repetitive nature of dance movements. Here’s a comprehensive approach to understanding your condition and tips for recovery.

Understanding the Injury
The gastrocnemius muscle, located at the back of your lower leg, plays a crucial role in movements such as running, jumping, and dancing. When you experienced sudden pain during a dance routine, it likely indicated a strain or tear in this muscle. Strains can occur when the muscle is stretched beyond its limits, often exacerbated by inadequate warm-up, fatigue, or overuse.

Recovery Tips
1. Rest and Activity Modification: Since you’ve already reduced your activity level, it’s essential to continue allowing your body to heal. Avoid high-impact activities that exacerbate the pain, such as running or jumping, until you are pain-free. Gradually reintroduce these activities as your strength and flexibility improve.

2. Physical Therapy: It sounds like you’ve been through various treatments, but consistency is key. If possible, consider returning to physical therapy, focusing on exercises that strengthen the calf muscles and improve flexibility. A physical therapist can tailor a program specifically for your needs, ensuring you don’t rush back into dancing too soon.

3. Pain Management: For ongoing discomfort, consider using ice therapy after activities to reduce inflammation. Applying ice for 15-20 minutes can help alleviate pain. Over-the-counter anti-inflammatory medications, like ibuprofen, can also be beneficial, but consult with a healthcare provider before starting any medication.

4. Stretching and Strengthening Exercises: Once the acute pain subsides, incorporate gentle stretching and strengthening exercises into your routine. Stretching the calf muscles can improve flexibility and reduce the risk of future injuries. Strengthening exercises, such as calf raises, can help build muscle resilience.

5. Cross-Training: While you’re recovering, consider engaging in low-impact activities that don’t strain your calves, such as swimming or cycling. These can help maintain your fitness level without aggravating your injury.

6. Alternative Therapies: You mentioned considering traditional Chinese medicine (TCM) and massage therapy. These can complement your recovery process. TCM, including acupuncture and herbal remedies, may help reduce pain and inflammation. Massage therapy can improve blood flow and promote healing in the affected area.

7. Gradual Return to Dance: When you feel ready to return to dancing, do so gradually. Start with low-impact routines and avoid high-intensity movements until you’re confident in your calf’s strength and flexibility. Listen to your body and stop if you experience pain.

8. Warm-Up and Cool Down: Always include a proper warm-up before dancing and a cool-down afterward. This can help prepare your muscles for activity and aid in recovery post-exercise.

Conclusion
In summary, while it seems you may indeed be dealing with a gastrocnemius strain, the key to recovery lies in a combination of rest, targeted rehabilitation, and gradual reintroduction to dance. If you continue to experience pain despite these measures, it may be wise to seek a second opinion from a sports medicine specialist or orthopedic doctor. They can provide further insights and possibly imaging studies to rule out any underlying issues. Remember, patience is crucial in the healing process, especially for dancers who rely heavily on their lower limbs. Prioritize your recovery to ensure a safe return to your passion for dance.

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