Pain on Both Sides of the Calf: Causes and When to See a Doctor - Family Medicine

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Pain upon touching both sides of the calf?


Hello, I would like to inquire about the pain I experience on both sides of the bones in the front of my lower leg when I gently massage them.
I usually don't feel much discomfort while walking.
Could this be related to standing for long periods? Should I see a doctor? Which specialty should I consult? Thank you.

Youyu, 30~39 year old female. Ask Date: 2021/10/22

Dr. Liao Yaopan reply Family Medicine


Hello, it is recommended to consult an orthopedic physician in person, as online consultations are not equivalent to an in-person visit and cannot provide a diagnosis or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/10/22

More Info


Pain in the calf area, particularly when it is sensitive to touch or pressure, can be attributed to several potential causes. Given your description of experiencing pain on both sides of the calf bones, it is essential to consider various factors that could contribute to this discomfort.

One common cause of calf pain is muscle strain or overuse. If you have been standing for long periods or engaging in activities that require repetitive motion, such as walking or running, your calf muscles may become fatigued or strained. This can lead to tenderness and pain, especially when pressure is applied. Additionally, if you have recently increased your physical activity level, this could also contribute to muscle soreness.

Another possibility is that you may be experiencing shin splints, a condition characterized by pain along the shin bone (tibia) due to inflammation of the muscles, tendons, and bone tissue. This condition is often seen in individuals who engage in high-impact activities or those who have recently changed their exercise routine. The pain typically worsens with activity and may improve with rest.

Furthermore, conditions such as compartment syndrome, which occurs when pressure builds up within the muscle compartments, can also cause pain in the calf area. This condition is more common in athletes and can lead to serious complications if not addressed promptly. Symptoms may include severe pain, swelling, and a feeling of tightness in the affected area.

It is also important to consider vascular issues, such as deep vein thrombosis (DVT), which can present as calf pain, swelling, and tenderness. DVT is a serious condition that requires immediate medical attention, especially if you have risk factors such as prolonged immobility, recent surgery, or a history of blood clots.

Given the variety of potential causes for your calf pain, it is advisable to consult a healthcare professional for a thorough evaluation. You may start by visiting a primary care physician or a family medicine doctor, who can assess your symptoms and determine if further evaluation by a specialist, such as an orthopedic surgeon or a physical therapist, is necessary.

During your visit, be prepared to discuss your symptoms in detail, including when the pain started, any activities that may have contributed to it, and whether you have experienced any other symptoms, such as swelling or changes in skin color. This information will help your doctor make an accurate diagnosis and recommend an appropriate treatment plan.

In the meantime, consider implementing some self-care measures to alleviate your discomfort. Resting the affected area, applying ice to reduce inflammation, and elevating your legs can be beneficial. Additionally, gentle stretching and strengthening exercises may help improve flexibility and reduce pain over time.

In summary, while your calf pain may be related to muscle strain or overuse, it is essential to rule out more serious conditions. Seeking medical advice is the best course of action to ensure proper diagnosis and treatment.

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