Calf Tightness

Question:

My new client had a lumbar laminectomy about 16 years ago, prior to which (and following) he had acute postural problems (e.g., "walking on toes," excessive pronation of feet), which have been much improved by physio and sports massage. He continues to see a physio, chiropractor and sports masseur for ongoing treatment and does triathlon as a hobby (is a keen swimmer and cyclist). However, he still has limited flexibility and pain, most notably in the calf region (the gastroc/soleus junction), and his hamstrings are being overly recruited to substitute for an absence of glute strength. He has no joint pain (knee/ankle) and hasn't had any achilles tendon problems in conjunction with the calf issue. We did an assessment last night, and following this, I feel he should be focusing initially on improving neuromuscular stabilization and core stabilization, but I'm unclear what to do about his calves and why these are so tight. He has sharp pain simply from standing still longer than five to 10 minutes and discomfort from doing stabilization exercises (e.g., hop with stabilization). His key objective is to be able to start running again. Can you help?!

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