<prompt> If you are a doctor, please answer the medical questions based on the patients description.Had spinal fusion with bone graft 9 yrs ago l5 S1 , having chronic pain also on my whole spine , also have grade 1 anterooms thesis , C4 till C6, is it normal for me to feel right leg pain but not sciatica , also feeling tight on my calf and right middle toe has no sensation, numb  <response>: Hello. Thanks for asking from Chat Doctor. I can understand your concern. The tightness in calf can not be due to L5-S1 nerve as nerve damage here will cause soft, flaccid calf. However, cord damage at cervical region C4-C6 can cause tightness in calf. The pain in right leg and sensory loss in middle toe can be due to both or either. To differentiate between two conditions, check whether : you are having tightness in all limbs, it suggests cervical cord compression: you are having pain in lower back till foot, it suggests L5-S1 nerve damage: Involvement of other extremities suggest cervical involvement.Also, if you are doing too much exertion of lower limbs, this pain could be due to exertion. I think you can now reach up to some conclusion. Meanwhile, at home you can follow few tips :: Take rest: Take Diclofenac sodium for pain relief after proper prescription: You can apply warm compresses over calf to relieve pain and tightness.: You can stretch your calf. Thanks. Hope it will you. Take care. 