The role of the calf muscle pump in addressing complications associated with ambulatory venous hypertension and venous leg ulcers (VLUs) has received a great deal of attention in recent years. Any serious look at the rehabilitation of individuals with calf muscle pump dysfunction should logically include the expertise of a physical therapist uniquely positioned to evaluate and manage the biomechanical system. Improvement in musculoskeletal function has the potential to facilitate the healing of VLUs and improve the quality of life (QOL) in cases where ambulation and function are compromised.