Calf Pain Differential Diagnoses

From WikiMSK

Differential Diagnosis

  • Muscle strain (gastrocnemius, soleus, plantaris) or contusion (gastrocnemius)
  • Compartment syndrome - superficial posterior compartment syndrome and deep posterior compartment syndrome
  • Referred Pain - lumbar spine (Lumbar Radicular Pain or Somatic Referred Pain, myofascial structures, superior tibiofibular joint, baker's cyst, knee posterior cruciate ligament, knee posterior capsular sprain, Knee Osteoarthritis or Ankle (Tibiotalar) Osteoarthritis
  • Tendon injuries - Achilles Tendinopathy, Plantaris Tendinopathy
  • Nerve entrapment - Common peroneal nerve and branches, tibial nerve, sural nerve
  • Fractures (including malunion) or Stress fractures (fibula, posterior cortex of the tibia)
  • Vascular abnormalities - entrapment of popliteal artery, endo-fibrosis of external iliac artery, aneurysm, arterial insufficiency, Deep vein thrombosis, Varicose veins e.g. superficial thrombosis, venous insufficiency
  • Calcific myonecrosis
  • Infection - osteomyelitis, brodie abscess, soft tissue abscess
  • Neoplasm - intraosseous or soft tissue