Ask a PT Response: "I am suspecting you have tibial nerve involvement where L5-S1 and S1-S2 have been affected and has resulted in your current situation. For my patients that may be experiencing a condition similiar to yours I would have them start off with lower level exericses to build up strength for the gastroc including, ankle pumps, seated heel raises, isometric strengthening, resisted strengthening (see attachment), pushing off while sitting in a chair with wheels, or utilizing various machines such as leg press or Freemotion with light weights to work the gastroc muscle. As the patient becomes stronger they can be progressed to more advanced strengthening exercises."