Calf strains are one of the most common and recurrent injuries in runners, and how you load them during rehab is often the difference between a smooth return and repeated setbacks.

In Part 2 of this series, I’m again joined by physiotherapist and researcher Brady Green to break down how to actually manage calf injuries from early stage rehab right through to return to running.

We explore how loading should be progressed across each phase of rehab, including the role of isometrics, heavy strength work, and the transition into energy storage and plyometrics. We also unpack how management may differ in aponeurosis-related injuries, and why getting early loading right is critical.

We dive into practical return to running strategies, including how to reintroduce running load, manage spikes, and integrate gym and running without overloading the calf. We also discuss why calf injuries are so prone to recurrence, and what can be done to reduce that risk long term.

Whether you are a runner coming back from a calf strain or a clinician guiding that process, this episode provides a clear, structured approach to rehab and return to performance.

🎯 Key Takeaways

Early loading is important, but needs to be matched to the specific tissue involved
Progressive strength development is key before returning to higher speed running
Energy storage and plyometric work are critical for return to running
Aponeurosis injuries may require a more cautious and structured loading progression
Poor load management is a major contributor to recurrence
Return to running should be gradual, structured and integrated with strength work

🔗 Links and Resources

📄 Show notes: ⁠https://www.healthhp.com.au/the-rehab-runway/calf-strains-explained⁠

📲 Follow Luke: ⁠https://www.instagram.com/sportschiroluke⁠

👤 Connect with Brady

📲 ⁠Socials: X⁠

⁠🌐 Website: Pure Sports Physio⁠ ⁠

🔬Research Gate⁠

Calf Strains Explained Part 2: Rehab, Loading and Return to Running

The Rehab Runway: From the Treatment Room to the Track