Calf Pain: Causes and Solutions for Students - Neurosurgery

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Dull pain in the calf?


Hello, doctor.
I am a student, and during this summer vacation, I spend most of my time studying, but I make sure to engage in at least 20 minutes of exercise each day (such as dancing, jogging, or basic strength training).
My diet and sleep are also normal.
I have maintained this routine for about two weeks, but one day, I suddenly started experiencing a dull ache in my left calf, specifically at a point just above the knee on the left side and another point on the front side of the ankle, slightly to the left.
The pain usually occurs when I am not engaged in dynamic activities, and it has a cyclical nature, gradually increasing and then subsiding, only to start again after five to ten seconds.
I suspect this might be related to my poor sitting posture (such as sitting cross-legged, propping my feet up, or sitting on one side of my leg).
I would like to know your thoughts on the possible causes of this issue and any suggestions for improvement.
Thank you.

Niming, 20~29 year old female. Ask Date: 2023/08/06

Dr. Lai Zhaokang reply Neurosurgery


Hello: Your discomfort is in the knee and ankle joint areas, which is suspected to be due to strain on the ligaments and tendons, related to your reported poor posture.
It is recommended to improve your posture, perform warm-up exercises before physical activity, apply heat to the affected areas, and wear a brace for the time being.
Observe for two weeks, and if there is no improvement, you may see a doctor for further evaluation.
Wishing you a speedy recovery.
By Dr.
Lai Chao-Kang, Department of Neurosurgery, Changhua Hospital.

Reply Date: 2023/08/06

More Info


Calf pain in students, especially those who maintain an active lifestyle, can arise from various factors, including muscle strain, poor posture, or even overuse. Based on your description, it seems that your calf pain is localized to specific areas, which could suggest a few potential causes.


Possible Causes of Calf Pain
1. Muscle Strain: Engaging in physical activities like dancing, jogging, or strength training can sometimes lead to muscle strains, especially if the muscles are not adequately warmed up or if there is a sudden increase in activity intensity. A strain can cause localized pain that may come and go, as you described.

2. Poor Posture: Your mention of sitting habits, such as cross-legged or sitting on one side, can lead to muscle imbalances and tension in the lower body. Poor posture can affect how weight is distributed across your legs and can lead to discomfort or pain in specific areas, including the calves.

3. Nerve Compression: Sometimes, sitting in certain positions for extended periods can compress nerves in the lower back or legs, leading to pain that may feel like it originates from the calf. This could explain the intermittent nature of your pain.

4. Overuse or Repetitive Strain: If you have recently increased the duration or intensity of your workouts, your muscles may be reacting to the increased demand. This can lead to overuse injuries, which often manifest as pain in the affected area.

5. Circulatory Issues: Although less common in young, active individuals, circulatory issues can also lead to calf pain. If you notice any swelling, discoloration, or warmth in the area, it may be worth consulting a healthcare professional.


Suggested Solutions
1. Rest and Recovery: Allow your calf muscles some time to recover. If the pain persists, consider reducing the intensity or frequency of your workouts temporarily.

2. Stretching and Strengthening: Incorporate calf stretches into your routine to improve flexibility and reduce tension. Strengthening exercises targeting the calf muscles can also help prevent future injuries.

3. Posture Correction: Pay attention to your sitting habits. Try to maintain a neutral spine and avoid positions that put excessive strain on your legs. Consider using ergonomic seating arrangements that promote better posture.

4. Warm-Up and Cool Down: Always include a proper warm-up before engaging in physical activities and a cool-down afterward. This can help prepare your muscles for exercise and aid in recovery.

5. Hydration and Nutrition: Ensure you are adequately hydrated and consuming a balanced diet rich in nutrients that support muscle health, such as potassium and magnesium.

6. Consult a Professional: If the pain continues or worsens, it may be beneficial to consult a healthcare professional, such as a physical therapist or a sports medicine specialist. They can provide a tailored assessment and treatment plan based on your specific situation.


Conclusion
Calf pain can be a common issue for students who balance study and physical activity. By addressing potential causes such as muscle strain, poor posture, and overuse, you can implement strategies to alleviate pain and prevent future occurrences. Remember to listen to your body and seek professional advice if needed. Taking proactive steps now can help ensure that you remain active and healthy throughout your studies.

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