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Why Does My Calf Hurt When I Walk?

Published in Calf Pain 3 mins read

Your calf likely hurts when you walk due to a few common reasons, most frequently related to muscle strain or cramps. However, persistent or severe calf pain can indicate a more serious underlying issue.

Here's a breakdown of potential causes:

  • Muscle Strain (Pulled Calf Muscle): This is the most likely reason. Strains happen when the calf muscle fibers are stretched or torn, usually from overuse, improper warm-up, or sudden movements. Symptoms include pain, tenderness, swelling, and difficulty walking.

  • Muscle Cramps: These are sudden, involuntary contractions of the calf muscle, often caused by dehydration, electrolyte imbalances (like low potassium or magnesium), or fatigue. They can be incredibly painful and limit your ability to walk.

  • Dehydration: Insufficient fluid intake can lead to muscle cramps and overall calf pain, especially during or after physical activity.

  • Poor Circulation (Peripheral Artery Disease - PAD): This is a more serious cause. When the arteries supplying blood to your legs become narrowed or blocked (usually due to plaque buildup), your calf muscles don't get enough oxygen during exercise, leading to pain called intermittent claudication. This pain usually subsides with rest.

  • Sciatica or Nerve Impingement: While less common, a pinched nerve in your lower back (sciatica) can radiate pain down your leg and into your calf.

  • Achilles Tendonitis: Inflammation of the Achilles tendon (which connects the calf muscle to the heel bone) can cause pain in the lower calf, especially with walking or running. This is often related to overuse.

  • Deep Vein Thrombosis (DVT): A blood clot in a deep vein in your leg can cause calf pain, swelling, redness, and warmth. This is a serious condition that requires immediate medical attention.

When to See a Doctor:

You should see a doctor if:

  • The pain is severe or doesn't improve with rest and home treatment.
  • You have swelling, redness, or warmth in your calf.
  • You have pain even when you're not walking.
  • You experience numbness or weakness in your leg or foot.
  • You have a history of blood clots.
  • You have risk factors for PAD, such as smoking, diabetes, high blood pressure, or high cholesterol.
  • The pain came on suddenly and is accompanied by shortness of breath or chest pain.

Home Treatment:

For mild calf pain, you can try:

  • Rest: Avoid activities that aggravate the pain.
  • Ice: Apply ice packs to the affected area for 15-20 minutes at a time, several times a day.
  • Compression: Use a compression bandage to help reduce swelling.
  • Elevation: Elevate your leg to help reduce swelling.
  • Stretching: Gently stretch your calf muscles.
  • Over-the-counter pain relievers: Such as ibuprofen (Advil, Motrin) or naproxen (Aleve).
  • Hydration: Drink plenty of water.

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