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	<title>caitelliott.co.uk &#187; Calf injury</title>
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		<title>Calf update</title>
		<link>http://www.caitelliott.co.uk/blog/2012/11/10/calf-update-2/</link>
		<comments>http://www.caitelliott.co.uk/blog/2012/11/10/calf-update-2/#comments</comments>
		<pubDate>Sat, 10 Nov 2012 12:11:55 +0000</pubDate>
		<dc:creator>Cait</dc:creator>
				<category><![CDATA[injury]]></category>
		<category><![CDATA[Calf injury]]></category>
		<category><![CDATA[chronic muscle damage]]></category>
		<category><![CDATA[compex]]></category>
		<category><![CDATA[compressport]]></category>
		<category><![CDATA[midsole cleats]]></category>

		<guid isPermaLink="false">http://www.caitelliott.co.uk/blog/?p=3250</guid>
		<description><![CDATA[Calf injury status &#8211; not fully recovered but somewhat improved. I took my focus off fixing my calves for a while in the summer, the constant hope for improvement with minimal success and nobody being able to really tell me &#8230; <a href="http://www.caitelliott.co.uk/blog/2012/11/10/calf-update-2/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
				<content:encoded><![CDATA[<p>Calf injury status &#8211; not fully recovered but somewhat improved. I took my focus off fixing my calves for a while in the summer, the constant hope for improvement with minimal success and nobody being able to really tell me what the problem is became too much of a head wrecker. Playing in the Alps for a couple of months was much better for my mental state of mind and can be easily justified as great technical training but to be honest, despite the nice photos I would swap it all in an instant to be back racing again.</p>
<p>The <a href="http://www.caitelliott.co.uk/blog/2012/08/13/mid-sole-cleats/" target="_blank">mid-sole cleat</a> set up has helped, it took a while for my muscles to adapt (the quads and hamstrings have to work a lot more than normal) but I can now ride for longer without my calves shutting down. Living in <a href="http://www.compressport.ch/DE/index-2.html" target="_blank">Compressport</a> calf compression sleeves has helped to reduce recovery time a lot too. Now that the weather has turned towards winter and snow is already covering the higher trails my brain is dying to get into winter training mode but first I&#8217;m on an all out mission to get fully fit.<br />
<div id="attachment_3251" class="wp-caption aligncenter" style="width: 360px"><a href="http://www.caitelliott.co.uk/blog/2012/11/10/calf-update-2/compex/" rel="attachment wp-att-3251"><img src="http://www.caitelliott.co.uk/blog/wp-content/uploads/2012/11/compex-350x262.jpg" alt="" title="compex" width="350" height="262" class="size-medium wp-image-3251" /></a><p class="wp-caption-text">Compex electrotherapy</p></div><br />
A month completely off bikes (killer!), twice a week massages/dry needling and I&#8217;m currently sitting here plugged into a <a href="http://www.compex.info/en_EU/index.html" target="_blank">Compex</a> electro-therapy machine with my legs pulsating spontaneously. Yoga, gym strength work and swimming are keeping me sane and will hopefully be beneficial on the bike later in the year. Whatever happens, enough messing around I&#8217;m racing next year, back to xc is first choice but if the calves aren&#8217;t yet perfect then I&#8217;m working on plan B&#8230; </p>
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		<title>Calf update</title>
		<link>http://www.caitelliott.co.uk/blog/2012/07/08/calf-update/</link>
		<comments>http://www.caitelliott.co.uk/blog/2012/07/08/calf-update/#comments</comments>
		<pubDate>Sun, 08 Jul 2012 18:50:29 +0000</pubDate>
		<dc:creator>Cait</dc:creator>
				<category><![CDATA[injury]]></category>
		<category><![CDATA[bio mechanics]]></category>
		<category><![CDATA[Calf injury]]></category>
		<category><![CDATA[compartment syndrome]]></category>
		<category><![CDATA[cycling]]></category>

		<guid isPermaLink="false">http://www.caitelliott.co.uk/blog/?p=3068</guid>
		<description><![CDATA[Having tested almost everything that could be wrong with my calves a process of elimination left the doctors convinced that compartment syndrome was the problem. Muscles are surrounded by a sheet like thing called fascia and when the muscles grow &#8230; <a href="http://www.caitelliott.co.uk/blog/2012/07/08/calf-update/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
				<content:encoded><![CDATA[<p>Having tested almost everything that could be wrong with my calves a process of elimination left the doctors convinced that <a href="http://en.wikipedia.org/wiki/Compartment_syndrome" target="_blank">compartment syndrome</a> was the problem. Muscles are surrounded by a sheet like thing called fascia and when the muscles grow too fast the fascia doesn&#8217;t stretch with them causing pressure to build up in the muscle compartment, reducing blood flow and ultimately preventing the muscle from working properly. All the symptoms made sense but to confirm it they had to test the pressure in my muscles. The test is pretty nasty so took a long time to convince them to do it and for the first time I really hoped they didn&#8217;t find something &#8211; the only cure is an operation, which I was told would be highly un-recommended due to the long term side effects so I&#8217;ve actually spent the last few months trying to accept that I might never be able to ride properly again.  </p>
<p>For the test they stuck giant needles 3cm into both calf muscles and injected some fluid to measure the pressure. Then I had to do some flat out intervals on a stationary bike in 35°C heat until my calves got tight and sore (painful in itself when you haven&#8217;t trained for 9 months!). And finally to take the pain further then stuck the needles in again to find out the change in pressure, this time jabbing them around a few times to be sure they had the right spot. Thank god the pressure wasn&#8217;t enough for it to be compartment syndrome but I was left hobbling around for a few days with super bruised calf muscles! <div id="attachment_3069" class="wp-caption aligncenter" style="width: 360px"><a href="http://www.caitelliott.co.uk/blog/2012/07/08/calf-update/attachment/18062012160/" rel="attachment wp-att-3069"><img src="http://www.caitelliott.co.uk/blog/wp-content/uploads/2012/07/18062012160-350x262.jpg" alt="" title="pressure test" width="350" height="262" class="size-medium wp-image-3069" /></a><p class="wp-caption-text">bandaged up after the pressure test </p></div><br />
Next step &#8211; a visit to <a href="http://www.holywellhealth.co.uk/sheffield.html" target="_blank">Holywell Healthcare</a> in Sheffield while I was over in the UK. They took a far more active and bike specific approach, looking at the bio-mechanics of my pedaling technique on a Wattbike and body positioning whilst standing. The conclusion is that foot positioning could be causing the problem. Too much movement in the joints and sloping arch means that the calves will be working more that they should be to stabilize the feet both on the bike and for general movement. I now have some insoles on the way that are specially molded to my feet and physio exercises to help improve the positioning. Riding bikes is allowable but I have to keep rides short and sharp (curtailing my adventures a bit but the prospect of a cure makes me disciplined). It&#8217;s a relief to feel I can do something positive about the situation so fingers crossed after a bit of time I will notice an effect. If it wasn&#8217;t happening to me it would be fascinating stuff! </p>
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