[34F] Experiencing calf pain and foot numbness when running

What might be happening

Based on the information you provided, possible diagnoses include:

• Chronic Exertional Compartment Syndrome (CECS): This condition is characterized by exercise-induced pain that is relieved by rest. It's caused by pressure buildup in the muscles that can affect blood flow. It often affects runners and is typically felt as a consistent, aching pain and tightness in the affected muscle compartment, often accompanied by numbness or tingling.

  • Diagnosis is typically confirmed with a compartment pressure testing. Treatment usually involves physiotherapy, but in more severe cases, a surgical procedure known as a fasciotomy may be required.

• Peripheral Artery Disease (PAD): This is a circulatory condition in which narrowed blood vessels reduce blood flow to your limbs. While it's less likely given your age and symptoms, PAD can cause pain and numbness in your legs during exercise, and the symptoms usually go away after a few minutes of rest.

  • Diagnosis is typically confirmed with an Ankle-Brachial Index (ABI) or ultrasound. Treatment usually involves lifestyle changes, medications, and in some cases, surgery.

• Sciatica: This condition is caused by irritation or compression of the sciatic nerve, which runs from your lower back, through your hips and buttocks, and down each leg. While it typically affects one side of your body, it can cause pain, numbness, or tingling in your leg.

  • Diagnosis is typically confirmed with a physical exam and imaging tests. Treatment usually involves physical therapy, medications, and in some cases, surgery.

What you can do

1. Consult a healthcare professional: They can provide a formal assessment and order relevant tests if necessary.

2. Rest and elevate your leg: This can help reduce pain and swelling.

3. Stay hydrated and maintain a balanced diet: Proper nutrition can help your body heal and function properly.

4. Warm up before running and cool down afterwards: This can help prepare your muscles for exercise and reduce the risk of injury.

5. Consider physical therapy: A physical therapist can provide exercises and stretches that can help improve your symptoms.

What you should look out for

Reasons to see a healthcare professional more urgently:

• If your symptoms worsen or don't improve with rest
• If you notice any swelling, redness, or warmth in your calf
• If you experience severe pain, especially if it's accompanied by other symptoms such as chest pain or shortness of breath

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.