Question – Painful calf and tingling foot
"For going on three years now I have had bother with my right foot/calf. The problem started one day when I was at the gym I had just done some calf raises then went straight on to the running machine, about 15-20 mins in to a run I started getting a numb tingly feeling in my foot which then went in to an excruciating pain in my calf and I have had it ever since. Its always the same after about 20 mins constant walking/running my foot gets numb/tingly then the pain in my calf. The pain almost stops immediately when I stop but always returns. I have been to the doctors with this and they did send me for an MRI scan but it came back clear. As you can understand this is a bit frustrating I just wish somone could tell me what the problem is. I’ve been looking online for some answers and came across a condition called nerve entrapment but I am not sure if this would affect my calf? Any advice would be much appreciated"
Answer from Bill Ferguson, Osteopath in Tenterden
I would guess at posterior tibial compartment syndrome. The muscle sheath has probably thickened and when you train it is not able to stretch enough to accommodate the muscle as it gets bigger. The increase in pressure will be causing the nerve tingling and pain. I doubt it would show up on MRI. Treatment options: try myofascial release therapy, if that doesn’t work consider a surgical release (closed decompression using a special fascotome leaves a smaller scar).