Calf Pain: Is It Gout or an Old Sports Injury? - Orthopedics

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Calf pain?


Hello Doctor: My boyfriend experiences soreness in his calves whenever there is a sudden change in weather.
Could this be gout? He used to be on a badminton team and often engaged in intense physical activity, so I'm concerned it might be an old injury from sports.
What can be done to improve this situation? Additionally, I have another issue: whenever I go for a slow jog, I experience pain in my right knee.
If I continue to jog, it eventually makes walking uncomfortable.
Should I see an orthopedic specialist? If this issue doesn't improve, would it be advisable to stop jogging altogether? Thank you for your response!

yij, 20~29 year old female. Ask Date: 2004/01/05

Dr. Zhou Lizhi reply Orthopedics


Dear user: Based on your question, your boyfriend's injury is likely due to tendonitis caused by an old injury, which can flare up with changes in weather.
It is recommended that he undergo rehabilitation, and proper warm-up before exercise is also very important.
This should not be related to gout.
As for your own issue, it appears to be more serious and is related to damage within the knee joint.
It is advisable for you to visit an orthopedic clinic for an examination, and if necessary, an arthroscopy should be performed.

Reply Date: 2004/01/05

More Info


When it comes to calf pain, particularly in the context of sudden weather changes, there are several potential causes to consider. Your boyfriend's symptoms could indeed be related to gout, especially if he experiences acute episodes of pain, swelling, and redness in the affected area. Gout is a form of inflammatory arthritis caused by the accumulation of uric acid crystals in the joints, and it often presents with sudden, severe pain. However, given his history as an athlete, it is also plausible that his calf pain could stem from an old sports injury, such as muscle strain or tendonitis, particularly if he has engaged in high-impact activities like badminton.

To differentiate between these possibilities, it would be beneficial for him to consult a healthcare professional who can perform a thorough evaluation. This may include blood tests to check uric acid levels, imaging studies like an ultrasound or MRI to assess for any structural damage, and a physical examination to evaluate the range of motion and tenderness in the calf area.
In terms of management, if the pain is indeed due to gout, lifestyle modifications such as dietary changes (reducing purine-rich foods), staying hydrated, and possibly medication to lower uric acid levels may be recommended. If the pain is related to an old sports injury, physical therapy focusing on strengthening and flexibility exercises could be beneficial. Resting the affected area and applying ice can also help alleviate symptoms.

As for your knee pain during running, this is a common issue among runners and can be attributed to various factors, including improper running form, inadequate footwear, or overuse injuries such as patellar tendinopathy or iliotibial band syndrome. If you find that the pain persists even after rest or worsens with activity, it is advisable to seek evaluation from an orthopedic specialist. They can assess your knee mechanics, provide guidance on appropriate exercises, and recommend modifications to your running routine.

Continuing to run through pain is generally not advisable, as it can lead to further injury or chronic issues. Instead, consider cross-training with low-impact activities such as swimming or cycling, which can help maintain your fitness without exacerbating your knee pain. Additionally, incorporating strength training for the muscles surrounding the knee can improve stability and reduce the risk of injury.

In summary, both your boyfriend and you would benefit from professional evaluations to accurately diagnose and manage your respective conditions. Early intervention can prevent further complications and help you both return to your preferred activities safely.

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