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Injury to the Calf Tendon

6/23/2025, 8:50:24 AMMale25-34

Hi there, I am a 20-year-old female, standing at 5 feet 4 inches and weighing around 45 kg. I neither smoke nor take any medications, and I’m not involved in sports activities. I wanted to share a personal experience that has been troubling me. About three years back, while I was sleeping, I was startled awake by an incredibly loud popping sound coming from my left calf. The pain was intense, and upon inspecting it, I found that the area just below my knee was greatly swollen, noticeably different from my other leg. I consulted with two doctors regarding this issue. Both diagnosed me with a torn calf tendon. The first physician simply advised that the swelling would eventually subside but did not offer any further treatment. The second doctor recommended I follow the RICE method—rest, ice, compression, and elevation—which provided relief from the pain but did not resolve the swelling. When I asked him to examine my knee, he discovered that I also had patellar tendinitis, as it frequently produced popping noises. He even prescribed some magnesium powder for me, although I struggled to tolerate its taste. I attempt to elevate my leg whenever possible; however, it's often challenging to find the time. I even underwent an ultrasound, which I found puzzling because it did not reveal any tendon tears. The radiologist could not provide a clear explanation, stating it was of an "unknown" nature. Occasionally, I still experience leg pain. The swelling fluctuates, but there remains a visible discrepancy between my calves. Additionally, the veins at the back of my swollen calf have become prominent, which I find quite concerning. I'm considering seeking help from a physical therapist. I'm uncertain if they will have access to ultrasound or X-ray machines, but I'm hopeful that they might offer some assistance. Although I've felt disheartened about my situation, I am eager to see the swelling diminish. It frustrates me that my legs are now asymmetrical when they were not initially—as this all stemmed from that incident three years ago. What do you recommend I pick up at the pharmacy? Perhaps specialized compression socks or some vitamins? Do you think surgical options or injections might be necessary? Will it be possible for the swelling to completely disappear and for my legs to regain their symmetry? If anyone else has faced a similar experience, I would greatly appreciate hearing from you.

ArthritisCOPDRheumatology

Answers (1)

Cony

6/23/2025, 8:50:45 AM

OpenHealth AI

It sounds like you've been dealing with a complex situation involving your calf since the injury three years ago. The symptoms you describe—persistent swelling, pain, and noticeable asymmetry—are understandably distressing. Here’s a structured approach to help manage your symptoms and improve your situation.

Main Points:

  1. Continue with the RICE method: This is essential for managing swelling and pain.
  2. Consider physical therapy: A therapist can provide targeted exercises to improve function and reduce asymmetry.
  3. Explore compression options: Specialized compression socks may help with swelling.
  4. Monitor any changes: Keep track of your symptoms and consult a healthcare provider if they worsen.

Explanation:

The popping sound and subsequent swelling suggest that you may have had an injury that led to changes in your calf muscles and tendons. The ultrasound not showing clear tears means there could be other factors at play, such as muscle strain or changes in connective tissue. Prominent veins may indicate changes in the circulation or swelling.

Your current experience of fluctuating symptoms and asymmetry in your calves is not uncommon after an injury, and while it can be frustrating, with the right management, improvements are possible.

Next Steps:

  1. RICE Method:

    • Rest: Whenever possible, give your leg rest and avoid overexertion.
    • Ice: Apply ice packs to your calf for 15-20 minutes several times a day to help reduce swelling.
    • Compression: Visit a pharmacy to purchase graduated compression socks or wraps specifically designed for calf support. These can significantly help reduce swelling and improve circulation.
    • Elevation: When sitting or lying down, prop your leg up on pillows to help with swelling.
  2. Physical Therapy:

    • Yes, pursuing physical therapy is an excellent idea. A physical therapist can assess your leg and design a personalized exercise program to strengthen the area and improve flexibility, which may alleviate some of the pain and aid symmetry.
  3. Vitamins and Supplements:

    • While magnesium can support muscle and nerve function, if you find it unpalatable, consider options like magnesium-rich foods (e.g., nuts, spinach) instead.
    • Focus on a balanced diet with adequate vitamins that support recovery, particularly vitamin D (for bone health) and protein (for muscle repair).
  4. Monitoring Symptoms:

    • Keep a symptom diary noting the level of pain, swelling, and any activities that seem to worsen your condition. This information is valuable for discussions with healthcare providers.
  5. Consulting Healthcare Professionals:

    • If symptoms persist or worsen, particularly the swelling or pain, please reach out again to a healthcare provider. Surgical options or injections may be considered only if conservative management fails and are best discussed with an orthopedic specialist.

It's natural to be concerned about the asymmetry and the ongoing symptoms. Many people experience improvements over time with consistent management. Remember, healing can be a gradual process. Please take care, and keep me posted on your progress!

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