Causes of Calf Muscle Pain

The calf muscles are important muscles that we use regularly for walking, climbing stairs, jumping… and anything else that requires use of the legs. Unfortunately though, while they are very useful, they are also very prone to getting damaged and these small muscles that take the brunt of most of our daily activities are often the source of aches and pains. Here we will look at some of these causes and what you can do about them.


The calves are among the muscles most likely to cramp. This will often occur at night when you are trying to sleep, or as a result of exertion – often if you are trying to go up on your tip toes or if you are tensing them. If you have this problem then the best solution is to get up and move around and to try manipulating and flexing your legs. At the same time in order to prevent the cramping from occurring again in future make sure that you get enough sodium and potassium in your diet. Likewise if you workout or engage in sports, then make sure to set aside an adequate cool-down period and to spend the necessary time letting your muscles recover. The contractions that cause cramps are often caused by muscle fatigue.


Of course it is also possible that you have simply injured your calf. This can occur for instance if you have bruised it via trauma or if you have pulled a muscle. Pulling a muscle in the calf is a relatively common ailment and is caused by over stretching the calf suddenly when it is not properly warmed up with a sudden large movement. This can then cause the muscle fibers in the calf to rip as they become overly stretched and this in turn can cause swelling, pain, lack of muscle strength and mobility and bruising. When this occurs it is important to make sure that you rest the injured leg while addressing the swelling by keeping it above heart level, using compression such as with a compression sock and applying a cool pack.

Plantaris Muscle Rupture

The plantaris muscle is a very thin muscle in the calf and what makes it particularly amazing is that not everyone even has this muscle (10-20% of the population do not). This muscle runs across the gastrocnemius muscle, but is just a fraction of the size meaning that it can quite easily rupture. This results in a very sudden snapping pain in the back of the calf. While very painful, this muscle has no benefit to your movement or power in your leg and is therefore not usually treated.

Achilles Tendon Rupture

This is the tendon that attaches the calf muscle to the heel, and so should this rupture the pain will be located just below the calf muscle. This rupture is serious and should be treated by physiotherapy in order to improve balance and strength and thereby prevent future issues.

Blood Clots

A rare but possible cause of calf pain is blood clots. These form when the blood is unable to flow freely around the veins deep in the calf because it has been somehow blocked and this can of course cause result in severe discomfort. This pain becomes more likely when recovering from recent injury or complications and when the individual struggles with high blood pressure or cholesterol.

Deep Vein Thrombosis

Meanwhile the calf is also a common site for deep vein thrombosis or DVT. This occurs when the body is unable to pump the blood around the body effectively and so it pools in the calves creating calf pain along with more visible veins in the area. This can be addressed by spending less time on your feet (it is common for those in jobs that require a lot of standing), by losing weight, by strengthening the heart and by improving blood pressure.


When you exercise in any way then you will cause tiny microtears in the muscle. These tiny tears are what cause your muscle to grow larger – as when the body goes to repair them it will build them back bigger and stronger. These tears are a good thing then and this pain is what is known in bodybuilding circles as ‘the burn’. It should subside on its own after a couple of days of rest and it’s your job to get this rest while fueling your body with protein – the substance that the muscle will be reconstructed out of.


  1. Sir, thank you very much for this article. Since I am a 72 yrs old person (male), I am suffering from pain on my right leg, in the knee joint or below that, (I am confused) from past two months or so. Actually, I can move, walk or rotate my right leg or do all sorts of exercises, but with a pain. I am regular yoga follower and do all the yoga asanas. For a few days, I thought that I must be suffering from osteoporosis, because of my old age. Since two days, now the pain is there below my knee joint i.e. calf muscle. Your article has helped me to understand this problem. Of course, I should have gone to the doctor, somehow I am avoiding it. Now slowly, the pain is reducing. Once again, thanks to you for your article.

  2. Thanks for this article

  3. Excellent. Thanks!

  4. You might want to add a couple of the symptoms of DVT, because some people tend to massage the muscle and cause the DVT to break loose.

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