Create.

Looks like your SGM training is going perfectly. That is so cool that Ryan is doing SGM also.

Rhett~

I'm getting in the miles but I definitely wish I weren't worrying about my leg. :)

We will see how it goes. :)

(I agree: WAY cool that Ry is doing SGM.)

Teena, you're a PT. Can't you heal yourself? :0 For that matter I need you to heal my calf. It is frustrating me to no end.

Rhett~

I'm actually thrilled that I am running this many miles without making it worse. I would not have been able to do that a year ago. I was able to do a few things: control the periostitis through ice and ionto, determine a few key places were the inflammation was accumulating and tape my leg to encourage that inflammation to not get trapped there, adjust the heel lift and arch support to exactly what I needed, sleep in a stassburg sock so that the muscles don't tighten up too much and pull on the bone, and begin strengthening a few key muscles that had weakened and put added stress on my medial calf (my problem is actually a posterior tibialis and flexor digitorum longus issue, but it's just easier to say medial calf. :))

In other words, the schooling is paying off! :)

What is going on with you and your calf????

Wow, most of that was Greek to me. :) You are definitely learning something in school. Good job. I wish I knew what was up with my calf. At first I just thought it was a mild strain in my lateral soleus muscle. (Not sure if that is what it is called.) It just tightened up on me one day a few miles into an easy run. I rested it for a week and the same thing happened. Then another week and the same thing happened again. I don't think it is a muscle strain because it feels fine at the beginning in of the run and doesn't tighten up until I get into the run a bit. It hurts good when it happens and then is sore for a couple days even walking around and then feels perfectly fine like nothing is wrong until I try and run again. Any ideas? I'm wondering if it is compartment syndrome. It seems to be localized to one muscle fiber. I'm icing and resting but it doesn't seem to be getting any better.

I wish you lived close. It is so hard to know without actually examining it. How lateral and would you say distal third? mid? or upper third? Do you have any bone pain? Does it hurt more or less when you very first wake up? Can you hop on it? Is there any pain moving your foot in a specific direction while just holding it in the air? Any pain if you move it in any direction against resistance? Any visible swelling compared to the other leg? Is it tender to touch? Does ibuprofen or ice appear to help? Have you ever had this pain before? Describe the pain: throbbing, stabbing, burning, constant, intermittent.

Seriously ... just wish you lived closer.

I guess I'm just going to have to move to Utah so I can get better. :)

It's weird. I'd say it is in the mid to upper third of the lateral part of the soleus. Since I haven't run since Monday, I am pain free right now. No pain with resistance. No pain hopping. I bet if I hopped long enough it would seize up though just like happens if I run long enough. In past experience most of my muscle pains actually were worst when I started running then got better after it warmed up. There is no bone pain. It is definitely muscular. I know how it is to try and diagnose things without actually seeing it. People try and get me to do it for their eyes all the time. I was just wondering if you had any ideas.

I am certain you have looked up everything and have a good idea of what it is not. There is an area close to where I think you are describing that the common peroneal/fibular nerve sometimes gets trapped between the fascia layers where it splits into the superfical fibular and deep fibular nerves (but that would not be innervating the soleus, but it would innervate the fibularis longus which is close to where you are describing as well). The tibial nerve, which innervates the soleus, could be entrapped. Although that usually happens closer to the ankle if there was a lot of swelling or other impairment in the popliteal fossa area (back of your knee) that could cause soleus pain. Compartment syndrome, as you mentioned, is also a real possibility. And then, of course, you could simply have a soleus grade II-III strain/tear.

Nerves can be super tricky and slow to heal.

Rhett,

I'm not sure what all you have tried. But ... I keep coming back to a nerve issue (or more serious muscle strain). How much did you look into a nerve entrapment or compartment syndrome?