Calf tear test

A Grade 1 strain is a minor tear of the muscle with less than 25% of the muscle fibres affected. You may complain of a twinge in the back of the lower leg, or simply a feeling of tightness. You may be able to carry on playing or competing with minimal pain. However, there is likely to be more tension or aching in the calf muscle after, which. A lot of people, including medical practitioners, call a grade 1 calf tear a calf strain. For the purpose of clarity in this article, I want to create a specific definition of a calf strain. This is a very important distinction that you need to understand in order to be able to diagnose and treat yourself correctly Performing the Test: The examiner gently squeezes the calf. A positive test is considered when the ankle remains still or there is significantly less plantar flexion than the contralateral side

To diagnose a torn calf muscle, look for common symptoms, like an audible pop or snap in your leg, throbbing pain, swelling, tenderness, and bruising. You may also have trouble standing or walking. If you think you may have a torn calf muscle, seek medical attention immediately so you can get a proper diagnosis Additional testing that can be used during evaluation of calf strain includes the Thompson test for complete disruption of the Achilles tendon, circumferential calf measurements to quantify asymmetry and functional movements. These movements may include hopping, running, and jumping in order to illicit more sublet calf muscle dysfunction The calf muscles consist of the Gastrocnemius, which is the big . muscle at the back of the lower leg , and the Soleus muscle, which . is a smaller muscle lower down in th e leg and under the . Gastrocnemius. Either of these two muscles can be strained (torn). INJURY . A calf strain is caused by a tearing of part of the gastrocnemius or soleu Clinical examination of a calf muscle tear will find acute tenderness upon palpation to the entire inside aspect of the calf muscle (medial gastrocnemius muscle). Typically there is bruising associated with this pain and normally the maximum tenderness or location of tear is higher than the bruised area

Calf Tear or Strain. NEVER Do This! Do This Instead to Heal FAST!Bob and Brad demonstrate how to heal your calf tear or strain fast, plus what you should nev.. Grade 2 calf muscle injury. A partial tear of the calf muscle results in a moderate, or grade 2 calf muscle injury. Pain will be significant and will cause weakness in the lower leg muscle and make walking difficult. Depending on the severity of the calf tear, the injury could take up to 6 weeks to heal. Grade 3 calf muscle injury. The most. A calf strain injury usually occurs the mid leg and/or knee within the muscle belly. All muscle strains are categorized as either Grade I (tearing of a few muscle fibers), Grade II (more extensive muscle fiber damage) or Grade III (complete rupture of the muscle). [1

Strain vs. Tear Strain: a force tending to pull or stretch something to an extreme or damaging degree Tear: a hole or a split in something caused by it having been pulled apart forcefully Grading Calf Strains--All muscle strains are grade 1-3 based on disability, physical finding, and pathologic correlatio Simmonds described in 1957 how squeezing the calf muscles could test the rupture of the Achilles tendon. Thompson however had noted this effect in 1955. The Simmonds-Thompson test is an indication for a possible complete rupture, but its mechanism is not completely clear Calf muscle strain injuries (CMSI) occur commonly in sports involving high-speed running or increased volumes of running load, acceleration and deceleration as well as during fatiguing conditions of play or performance. Calf strain is a common muscle injury and if not managed appropriately there is a risk of re-injury and prolonged recovery Following our article on managing acute calf tears we've had a lot of questions on swelling and risk of DVT. So I thought I'd clarify a few issues surrounding this with help from 2 excellent physios who have lots of experience of calf injuries through their time working in A & E - Richard Norris and Seth O'Neill.They kindly shared their knowledge on this topic which I have edited into an.

A doctor or physiotherapist can use one of more than 25 functional tests during a physical exam to diagnosis a torn rotator cuff. Some of these tests directly indicate a rotator cuff injury and. A torn gastrocnemius muscle is a severe injury to the back of the calf area of the leg. During a muscle strain, the muscle tissue fibers disengage and separate slightly. An excessive strain can tear this tissue so that any strength imparted by cohesion of the muscle fibers is lost. Muscle strain symptoms may develop immediately or over time due. A calf strain occurs when fibers of the muscles of the lower leg are overstretched. This can happen when you're increasing your speed, or if you change direction suddenly while running. 2 Calf strains may be minor or severe, and most commonly occur in the gastrocnemius muscle. Calf strains are classified into three grades: 3 Understanding Gastrocnemius Muscle Tear. A gastrocnemius muscle tear is a severe, sudden injury to your calf muscle. This muscle helps flex the lower leg. It also helps you do quick movements, such as jumping and sprinting. An injury to this muscle is sometimes called tennis leg.

Calf Strain Diagnosis - How Bad Is My Calf Strain

How To Diagnose and Treat Calf Strains and Tears TBM

Calf Squeeze Test - The Student Physical Therapis

3 Ways to Diagnose a Torn Calf Muscle - wikiHo

Figure 2 . Achilles tendon tear. (A) Longitudinal and (B) transverse images of the calf: at the middle third of the left Achilles tendon there is an anechoic collection (C) lying within the Achilles tendon If you actually tore it, you can test by attempting a leg extension against resistance (friend pushing down, isometric against a piece of furniture, anything to let you engage the muscle). In the majority of cases resting is the best treatment for a torn muscle. Following a muscle tear, raise the quadriceps strain

Calf muscle tear - no follow up. You have sustained a soft tissue injury (strain) to your calf muscle (gastrocnemius or soleus). Healing: This normally takes approximately 6 weeks to heal depending of the severity of the strain. Pain and Swelling: The swelling is often worse at the end of the day and elevating it will help.. The best way to recover from a torn calf muscle is by protection, rest, ice, compression, and elevation (PRICE). If treated properly, it can take up to three weeks to heal Grade 1 calf pulls, four to six weeks to heal Grade 2 muscle strains, and three to four months to heal Grade 3 tears.. Though this type of injury can heal on its own, it's important to get a medical evaluation from a. Although a rotator cuff tear won't show up on an X-ray, this test can visualize bone spurs or other potential causes for your pain — such as arthritis. Ultrasound. This type of test uses sound waves to produce images of structures within your body, particularly soft tissues such as muscles and tendons. It allows dynamic testing, assessing the. Muscle Strain Overview. Muscle strain, muscle pull, or even a muscle tear refers to damage to a muscle or its attaching tendons.You can put undue pressure on muscles during the course of normal. A good rule of thumb, however, is to begin by walking for 30-60 minutes to test the calf. If all seems well then try a hilly walk as this works the calf muscles harder. If the muscles feel strong and pain-free, you could contemplate running. Warm-up by walking for at least 5 minutes then start by running half the distance you normally would at.

Gastrocnemius vs. soleus strain: how to differentiate and ..

What is a calf strain? The calf is the name for the muscle bulk on the back of the leg between the knee and the ankle. The calf is made up of two muscles; the gastrocnemius (superficial) and the soleus (deep). A calf strain is a tear in one of these muscles. Physiotherapy is an effective treatment for a calf strain The most common initial symptom of Achilles tendon rupture is a sudden snap at the lower calf, intense pain, and inability to point the foot downward.; Prior tendon inflammation or irritation can predispose one to Achilles rupture. Immediately after an Achilles tendon rupture, walking will be difficult and one is unable to stand on their toes. In addition, the patient will complain of pain. Technique: Standard Thompson Test. Patient lies prone with knee flexed at 90 degrees. Examiner squeezes calf. Observe for plantar flexion of foot. IV. Interpretation: Standard Thompson Test. Normal Response: Plantar flexion as reflex response. Falsely normal if accessory muscles squeezed. Achilles Tendon Rupture: Plantar flexion absent

Simmonds' test (also called the Thompson test or Simmonds-Thompson test) is used in lower limb examination to test for the rupture of the Achilles tendon. The patient lies face down with feet hanging off the edge of the bed. If the test is positive, there is no movement of the foot (normally plantarflexion) on squeezing the corresponding calf, signifying likely rupture of the Achilles tendon. Calf strains range from grade 1 to grade 3 and are classified as follows: Grade 1 Tear: a small number of fibres are torn resulting in some pain, but allowing full function. Grade 2 Tear: a significant number of fibres are torn with moderate loss of function. Grade 3 Tear: all muscle fibres are ruptured resulting in major loss of function Injury to the plantaris muscle may occur at the myotendinous junction with or without an associated hematoma, or partial tear of the medial head of the gastrocnemius or soleus. A strain of the more proximal plantaris muscle belly may also occur as an isolated injury, or in conjunction with injury to the adjacent ACL

Thompson Test - Physiopedia

  1. Achilles tendon anatomy. Most frequently ruptures 2-6cm above calcaneus (where blood supply is weakest) Typical patient is 30-50yr old man who participates in strenuous activities on occasional basis. Quinolone -associated rupture occurs in only 12 per 100,000 treatment episodes, and risk may be equivalent to oral steroids or non-quinolone.
  2. The strain and tear injuries are often synonymous and are classified in three grades according to their severity. Symptoms of gastrocnemius injuries include pain, bruising and swelling in the calf.
  3. McMurray's Test -Lateral Meniscus •Return knee to fully flexed position, turn foot inwards (inverted). •Direct knee so pointed inward. •Hand on knee, fingers along joint lines •Extend and flex knee. •If lateral meniscal injury→feel click w/fingers on joint line; May also elicit pain. Note: McMurray's Test for medial an
  4. e the person using Simmonds triad (angle of declination, palpation, and the calf squeeze test) to help exclude Achilles tendon rupture: Ask the person to lie prone with their feet over the edge of the exa
  5. Commonly called Tennis leg, a tear or rupture of the plantaris involves the plantaris muscle and possibly the medial head or inside of the gastrocnemius muscle which is the larger of the two calf muscles.Injuries are usually the result of a sudden muscular action such as reaching out for a tennis shot
  6. A thigh or calf strain occurs when a muscle or tendon is torn or stretched. The tendons are fibrous cords that connect muscles to bones. A thigh strain is an injury where the muscles in the quadriceps (front of the leg), hamstrings (back of the leg) or abductors (inside of the leg) become overstretched or torn

Specific calf tear treatment such as cross friction massage and ultrasound helps to prevent and treat this. 7. Sudden Calf Pain. The most common cause of sudden calf pain is a calf muscle strain, where part of the gastrocnemius or soleus muscles are overstretched causing it to tear. Calf tears typically occur during sports and may be. A calf strain, commonly called a 'pulled' muscle, is caused by overstretching or tearing of either of the 2 calf muscles - the soleus and the gastrocnemius. Symptoms. A calf strain usually starts with sudden pain in the back of the lower leg. A pop, snap or tearing sensation may be felt. Occasionally, with a severe tear, it may feel like. A medial calf injury is a musculotendinous disruption of varying degrees in the medial head of the gastrocnemius muscle that results from an acute, forceful push-off with the foot. This injury occurs commonly in sports activities (eg, hill running, jumping, tennis), but it can occur in any activity

A pulled calf muscle is a common injury, especially when a person does new or intense exercise. In most cases, people can treat a pulled calf muscle at home with rest, cold and hot packs, and. Perform a Calf Raise Test (seeFig 12), where the patient in a standing position plantarflexes one ankle so that they stand up on their tip-toes with one leg. In an Achilles tendon rupture, patients will not be able to perform this test. In a gastrocnemius tear, this test will reproduce the pain, but patients can partially complete the test

The Achilles tendon tear (rupture) diagnosis is usually made on the basis of symptoms, the history of the injury and a doctor's examination. The doctor may look at your walking and observe whether you can stand on tiptoe. They may test the tendon using a method called Thompson's test (also known as the calf squeeze test) Calf muscle pain is often caused by overuse or a sports injury. However, it can also indicate an underlying medical issue, including deep vein thrombosis or diabetic neuropathy. Learn more about. The Thompson Test is a common physical exam that doctors use to determine if an Achilles tendon has ruptured. This test involves the patient lying face down on the exam table with knees at a 90 degree angle. The doctor squeezes the calf muscles of the injured leg. If the foot flexes downward (like trying to point your toes) the Achilles tendon. The Achilles tendon is a large tendon at the back of the lower leg and ankle that connects the calf muscles to the heel. It is the largest tendon in the body, and its strength allows us to push off with forces up to 10 times our body weight. An Achilles tendon tear, or rupture, usually is a complete gap between the upper and lower portions of. The purpose of this blog is to outline the best clinical combined with evidence based approach to rehabilitating calf strains. 'Calf strain' is the common terminology runners use when describing a calf muscle 'tear'. I'm quite happy with the phrase 'calf strain' as the term 'muscle tear' can be threatening to athletes and runners

The recovery time for grade 1 calf muscle strain is often 7 to 10 days. Prognosis [⁴] is excellent for complete recovery. Grade 2 injury may be caused by partial muscle tear or tendon inflammation, which takes about 1 to 3 weeks for complete recovery. In few cases recovery period is prolonged when injury causes multiple calf muscle partial tear Calf strain exercises are intended to maintain the strength and flexibility of the calf muscles before the occurrence of injury. The calf muscles are used for movement of the legs, ankles, and feet. Each of these detailed exercises works the calf muscles in a unique way, and should be performed consistently

A strain, which is strained stretch or tear to to a muscle or tendon, to the soleus is caused by strenuous exercise and improper body alignment. Pain is felt on the side of the calf after activity The severity of the injury, type of treatment, and any other injuries, can all influence the calf strain recovery time. Football accidents, and other sporting accidents, are commonly the cause of calf strains, where the calf has been pulled or overstretched. This can result in symptoms that range from swelling and bruising, to mobility problems [ The rotator cuff is made up of four muscles that help move and stabilize the shoulder joint. Damage to any or all of the four muscles and the ligaments that attach these muscles to the bone can occur because of acute injury, chronic overuse, or gradual aging.This damage can cause significant pain and disability with a decreased range of motion and use of the shoulder joint A Thompson test can be used to differentiate the 2 injuries. The test is performed with the patient prone and the knee held in flexion. Then, the gastrocnemius muscle is squeezed

Calf pain in runners Calf capacity test The calf capacity test is best performed on the edge of a step. This allows for assessment of the capacity of the calf through the full ankle range of motion. The number of calf raises prior to fatigue, or a reduction in range of movement, is compared between sides. Common compensator Swollen calf can be caused by three categories of conditions - natural, traumatic, and systemic issues. Most often, it's the first two causes, which we will go further in detail below but if you just had a long plane ride or sat down for a long time, blood clots can cause a condition called deep vein thrombosis (DVT). More serious causes involve organ issues such as kidney failure or liver. Ask the doctor: Calf pain may signal nerve and circulatory problems. October 01, 2012. Q. Why does my calf start hurting a few minutes after I start walking? A. The most benign possibility, particularly if this problem started recently, is simply a strain in the calf muscle. Such a strain should cause symptoms pretty much whenever you use the. A tear of the gastrocnemius muscle most commonly occurs in the middle-aged, male athlete (the weekend warrior) when the muscle actively contracts against a foot which is dorsiflexed with an extended knee, as may occur in tennis or jogging; in this particular case, the patient was loading the calf muscles while pushing the car This test isolates the connection between the calf muscle and tendon and eliminates other tendons that may still allow weak movement. A word of caution: Achilles tendon rupture is often misdiagnosed as a strain or minor tendon injury. Swelling and the continuing ability to weakly point your toes can confuse the diagnosis

Internal rotation tests for tears of the lateral meniscus, while external tests the medial meniscus. As this is performed, the doctor lightly touches, or palpates, the knee. In the event of an injury being present, these palpations will produce a thud or click. 1. The Apley's Compression test is commonly used as follows Lisfranc (Midfoot) Injury. Lisfranc (midfoot) injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The severity of the injury can vary from simple to complex, involving many joints and bones in the midfoot. A Lisfranc injury is often mistaken for a simple sprain, especially if the injury is a result.

Calf Muscle Tear - FootEducatio

A calf muscle with a grade III strain will be quite painful, swollen and discolored. You may see a gap or dent where the muscle is torn. As this type of severe calf muscle tear results in complete loss of function, performing any activity will be challenging if not impossible. The symptoms don't really explain how a torn calf muscle feels In our continuing 'uncommon injury' series, Chris Mallac looks at the sural nerve, and explains mechanism of injury, implications for musculoskeletal dysfunction in the athlete, and treatment options for the clinician. The sural nerve, a sensory nerve, courses down the postural-lateral aspect of the calf. Its primary role is to innervate the skin over the distal.. Several nerves can. For example, the S1 (sacrum level 1) nerve in the low back becomes the tibial nerve in the leg, which then innervates the calf muscle. If there is a bulging or herniated disc, for example, at the S1 level, this can put pressure on the nerve, and this nerve irritation can present as a twitching muscle in the calf Over a year ago while running, I felt my left calf muscle release, like a rubber band, almost. I limped home and treated with rest and [] Chondromalicia (0) Softball injury to my calf muscle (0) I PLAY FIRST BASE AND AS I STRECTHED TO CATCH THE BALL THE RUNNER KICKED ME SQUARE IT THE MIDDLE OF MY CALF MUSCLE.I INSTANTLY FELT LIKE [ In a moderate tear, the indicants become intense and the muscles weaken. The soreness of the calf muscle lasts for 2 or 3 weeks. In a severely torn calf muscle, the muscle fibers get completely ruptured. As a result, if you touch the injured calf, you can feel the muscle fibers bunched up at one spot

Achilles tendon rupture - WikEM

Calf Tear or Strain

Calf tightness can lead to a number of problems in the lower leg and foot. As the gastrocnemius and soleus are large and powerful muscles, contraction of these muscles creates considerable force across the foot and ankle. Abnormally tight calf muscles can either cause or exacerbate a foot and ankle problem 10 Clinical Pearls and One Very Useful Test for Groin Strain. Groin disorders comprise 2-5% of all athletic injuries. (1) Groin pain is particularly challenging considering its associated disability, high recurrence, and propensity toward lingering symptoms. (2) Strains involving the adductor muscles are the most common groin injury Pain at the back of the lower leg, most commonly referred to as the calf, is mostly caused by muscle cramps or muscle strain. However, some other factors can cause calf pain and leg pain in general. Usually, when there is a sudden pain in your calf, you might feel a tear, a pop, or snapping. Common symptoms that you may experience when you have.

Effective Treatments for Pulled, Strained or Torn Calf Muscl

Injury to the legs may cause calf numbness. An injury to the legs or to the spine can lead to calf numbness. This is usually a sign that one or more nerves has been compressed or otherwise damaged, and while some instances of nerve compression are not serious, others may be. Prolonged numbness or calf numbness in both legs may be an indication of a serious problem that should be addressed by a. Background: Optimizing calf muscle performance seems to play an important role in minimizing impairments and symptoms after an Achilles tendon rupture (ATR). The literature lacks long-term follow-up studies after ATR that describe calf muscle performance over time. Purpose: The primary aim was to evaluate calf muscle performance and patient-reported outcomes at a mean of 7 years after ATR in.

How to Treat a Torn Calf Muscle: 14 Steps (with Pictures

A grade 1 calf strain is a small tear that may produce a slight twinge. However it won't normally prevent continued activity. Over time, several small tears could become a more severe injury. Grade 2. A grade 2 calf strain is a bigger tear which creates a more obvious pain in the lower leg. It is also accompanied by swelling A calf strain is very common among runners and it often happens as a result of excessive effort when running or a poor muscle warm up. Warm up is very important; after all, the calves are supporting your body weight when doing strides. But starting to run soon after an injury can make it worse or last longer A muscle strain is an injury to a muscle or a tendon — the fibrous tissue that connects muscles to bones. Minor injuries may only overstretch a muscle or tendon, while more severe injuries may involve partial or complete tears in these tissues. Sometimes called pulled muscles, strains commonly occur in the lower back and in the muscles at the. If the test is positive, there is no action of the foot (normally plantar flexion) on squeezing the corresponding calf, suggesting possible rupture of the Achilles tendon. Recent analysis has shown that while the Simmonds' test is a definite detector of Achilles rupture, it cannot distinguish between partial tear and a complete tear of both.

Achilles tendon rupture - week 6 post-op surgical repair

Gastrocnemius/Soleus Strain/Tear - Differential Diagnosis

A calf strain can happen from an acute injury (landing and rebounding too quickly, sprint on a non-warmed up muscle, or collision with the heel planted) or can develop as a result of repetitive overuse. Grade 1 calf strain symptoms. A grade 1 calf strain is a small tear with up to 10% of the muscle fibers damaged. The runner or player will feel. The October 2008 issue of the Journal of Strength and Conditioning has an impressive review article of the anatomy, function, assessment, and strengthening of the gluteus medius from a group of clinicians in New Zealand. The authors do a good job reviewing some of the basic anatomy and function of the muscle and relating this information to research reports looking at dysfunction and treatment. Pain from a calf blood clot is often described as achy, and is usually of mild to moderate intensity. A calf vein clot may be accompanied by swelling and redness of the affected lower leg, and possibly a low fever. The area over the clot may be tender. Unlike the pain from a calf cramp, pain due to a calf clot can persist for days or weeks

Thompson Test - Physiopedi

Plan next 3 weeks from the coming weekend (at that point it's 20 days after injury) -- warmup 15 min on the bike. -- walk 5 min to further warm up. -- run 10 min (not run walk interchange as this is worse for the muscle) at 80 pct of long run pace, stop if tight or painful. Track or treadmill. -- run with compression calf sleeves Signs and symptoms of a medial collateral ligament (MCL) injury include swelling, pain, stiffness, and a feeling that the knee may give way. Read about recovery time, tests, and treatment. An MCL injury is also called a tear or a sprain Blood clot in the calf is a common complaint, while it can also occur in different parts of your body including thighs, arms and hands. The formation of blood clot in the calf is also medically termed as DVT or Deep Vein Thrombosis or Clot. The most common cause of a blood clot in the calf is immobility. In some cases, the condition may turn into serious, especially if the blood clot breaks. Exercising too vigorously can lead to the calf muscles contracting and abruptly lengthening, and this action produces calf strain. In severe cases, the same action can cause a tear of the calf muscle

Calf Strain - Physiopedi

These are called the gastrocnemius, which is the big muscle at the back of the lower leg and the soleus muscle, which is a smaller muscle lower down in the leg. A calf strain occurs when fibres of either of these two muscles are torn. It is a common injury and is often caused by overstretching or by putting excess force through the calf muscle Strength 1RM with good form & 1:2 ratio for concentric & eccentric control. Endurance-Pollock muscle endurance test at 70% of 1RM for 20-25s. Posterior tibialis strength: One leg to raise. Forward hip swing preceding toe raise is an indication of poor posterior tibialis strength. Calf raise exercise Grade 2 tears — a moderate amount of muscle fiber is damaged, and there is a potential for loss of function in the hip flexor. Grade 3 tears — the muscle fibers are completely torn. If you have suffered a grade 3 tear, you probably can't walk without a limp. Causes of a hip flexor tear or strain. A hip flexor strain is typically caused by. Australia vs India: Calf injury rules Umesh Yadav out of the Test series. Umesh hobbled off the field during second innings of Melbourne Test after pulling his calf muscle Umesh Yadav has been ruled out of India's last two Tests against Australia with a strained calf muscle, ESPNcricinfo has confirmed. Replacements for both Yadav and Mohammed Shami, who got injured in the first Test, are expected to be named shortly. Yadav's withdrawal adds to a growing list of absentees for India, who came into the tour without.

Calf tears - swelling and DVT RunningPhysi

Key Features of Sciatica Calf Pain. • Often described as shooting down the back of the thigh before reaching the calf. • The same pain may be in both legs. • There may be spasms in the calf. • Sitting or standing may aggravate the pain. • Lying down and even walking or jogging may relieve the pain somewhat It's a serious injury, and if you don't treat it properly, you can have problems with it for years. If you have calf pain or Achilles tendonitis, don't ignore it. Check out these tips on coping with calf pain and Achilles tendonitis. The Calf. There are two muscles in the calf. They are the gastrocnemius and the soleus calf while participating in athletics (e.g., racket sports, running). This condition typically occurs in middle-aged persons, and most commonly involves strain of the medial head of the gastrocnemius. (Isolated rupture of the plantaris tendon and soleus muscle are uncommon [4].) Clinical differential diagnosis may include a ruptured Baker's. Q: Some people try to provide support for the calf muscle by wrapping their lower legs with elastic bandages in the hopes of preventing a strain, pull or tear. Do such wraps work? A: They can. What a wrap does is increase the core temperature of the muscle and adds some compression. Calf muscles like extra heat and compression If you feel discomfort or pain, it could be a soleus muscle strain. Single Leg Bent Knee Heel Raises: This is a variation of the first test. Stand on the injured leg, holding something to help you.

Laterall gastrocnemius flap for knee joint coverage

A distraught James Anderson apologised to his England team-mates after bowling only four overs because of a calf injury on day one of the opening Ashes Test against Australia, says Stuart Broad. Marcus Smart continues 'tough' process in comeback from calf strain. Marcus Smart, who suffered a calf strain during a Jan. 30 game vs. the Lakers, says there is no immediate timetable for his. Summary. A tear/rupture of the plantar plate of the MTP joint can cause pain and dysfunction in the MTP of an athlete. Although they may occur at any MTP, the 2 nd MTP is the most commonly injured. This is often caused by an overload to the MTP joint due to repetitive compression, shear, and tensile forces The calf at the back of the leg comprises two main muscles: the gastrocnemius (which itself has two parts) and the soleus (which lies underneath the gastrocnemius). PREVENTING CALF PROBLEMS As with all the muscles we use for running, the calf muscles need some attention in order to keep them in tip-top condition Unless an injury is recent coccygeal stiffness is not noticed by the patient. The only presenting symptoms is nerve tension that can cause leg symptoms, or even headaches. The coccyx can be effectively mobilized by a trained manual therapist within a few sessions. As manual physical therapists we can use our hands to feel mobility, our eyes to.