You should feel the calf muscle on your extended leg stretch. Typically there is bruising associated with this pain and normally the maximum tenderness or location of tear is higher than the bruised area. The gastrocnemius is the big muscle at the back of the lower leg. These calf muscles are called the gastrocnemius and soleus. Treatment of calf muscle tears is usually non-surgical, and dependent upon the individual’s symptoms. This method involves: 1. In most instances, initial treatment includes activity modification (limiting muscle-loading activities), wearing a boot (Cam Walker), and using crutches. Gentle foot and ankle range of motion (ROM) exercises can be carried out as long as the motion is relatively pain-free. The difference is the location of the injury. Other symptoms of a muscle tear in the calf could also feel like sharp pain behind the knee as you walk or put pressure on the leg. It can be described as a severe form of strain in the muscle fibers that may cause partial or complete tear in the muscles. The mechanism of injury is very similar to that of an Achilles tendon rupture, which must be ruled out in the diagnosis. These torn calf muscle fibers will produce pain if the patient attempts to perform a calf raise or walk on tiptoes. Elevation.Elevate the leg at or above the … The symptoms of night leg cramps may last from a few seconds up to a few minutes. It may take many more months to regain muscle strength in the calf. This type of injury is caused when one of the two muscles in the calf is overstretched or forced to contract too quickly. In fact, calf strains are sometimes referred to as “Tennis Leg.” Most cases of pulled, torn, or strained calves occur in the gastrocnemius which joins the ankle and knee. Calf tears often occur while performing actions that require forceful shortening (contraction) or sudden lengthening of the calf muscle (ex: basketball, hill running, tennis, “missing a step”, etc.). Pulling, straining, or tearing your calf muscle can leave you in a lot of pain and make walking difficult. Stretching of the ankle in an upward direction (dorsiflexion) will produce moderate to severe pain (due to stretching of the torn muscle fibers). This is about 1/3 high in the calf. This is because cold and unstretched muscles are more prone to snapping or tearing. Calf muscle injuries can happen when straining tight leg muscles by accelerating fast or suddenly changing direction. According to Dr. Anthony Saglimbeni, the first 24-72 hours are critical in initial treatment to ensure a speedy recovery. A torn muscle in the calf describes a serious muscle injury that causes muscle tissue in the back of your leg to tear away from tendons. In cases of grade 2 and grade 3 calf muscle tears, recovery time is decreased by keeping weight off the injured leg as much as possible. WebMD. Wrap the rice-filled heating pad in a warm moist towel. Ice.Apply ice to the calf muscle for 10 to 20 minutes at a time once every hour or as often as possible. A torn calf muscle, also known as a calf strain or pulled calf, is a common and often painful injury. Doctors from the National Health Service recommend the following calf exercises to help improve flexibility in your calves.7, Exercise 2 for recovering calf muscle tear. Place in the microwave and heat on full power for 1-2 minutes. An injury to this muscle is sometimes called “tennis leg.” How to say it. This can sometimes damage small blood vessels and cause localized bleeding, bruising, and pain as a result of irritated nerve endings. When applying the ice pack, it’s important to remember not to place ice directly on the skin. A muscle strain is an injury to a muscle or a tendon — the fibrous tissue that connects muscles to bones. Depending on the degree of bruising and swelling, a palpable defect in the muscle may be evident. Calf muscle strain: Straining the calf muscle involves a tearing of the calf muscle fibers. Immediately after the injury (first 24-72 hours) treatment should include: Once pain free, the patient should progress from gentle plantar flexion (downward motion) exercises against resistance (use of resistance bands), to gradual introduction of stationary cycling, leg presses, and heel raises. This can help strained calf muscle injuries heal faster.10. A calf strain occurs when the muscle in the back of the leg sustains this type of injury. Pulling or tearing a calf muscle can cause a sudden sharp pain in the back of your leg. Significant improvement can be expected within the first two weeks, but full recovery can take up to 6-8 weeks. This helps to reduce swelling and pain in the muscles in the back of your leg in the first 72 hours. You can feel your calf stretching if you outstretch your leg and point your toes to the floor. You should also have an adequate warm-up routine before exercising or running to help avoid injury to your calves.14. Doctors from the National Health Service (NHS) say that calf strains are commonly caused by putting too much force on the calf muscles. "Podence had a calf injury following a tackle in the second-half of the Manchester United game. Full recovery takes approximately five to eight weeks. Achilles tendon rupture occurs below the typical location of a calf muscle tear (Figure 1) and is associated with a palpable defect in the actual Achilles tendon. PRICE is an acronym for Protection, Rest, Ice, Compression, and Elevation. Elevation. Immediately after suffering a calf tear, patients will walk with a painful limp. A muscle strain occurs when the muscle is stretched too far, which causes tears to occur within the muscle. eMedicineHealth. Your calf muscle is actually two muscles, the gastrocnemius muscle and the soleus muscle. In some cases, the tear is so severe that it causes a ruptured calf muscle. Because of the similarities between the injuries, an Achilles tendon rupture must be ruled out in the diagnosis. Limit the use of the injured calf, by limiting standing and walking and possibly using crutches if needed. Your email address will not be published. This can be caused by a sudden, abrupt movement or as a result of over use. During this time, you should use ice and compression to reduce swelling and bleeding in the calf tear. A second or third-degree calf injury will also cause swelling which causes a bulge in the back of the lower leg.6. While treatment is almost always accomplished with s… Insufficient warm up or cool down is a common cause of calf strain. The calf muscle may collapse into a lump or ball shape, seen and felt through the skin. However, you can use some exercises to improve flexibility and strength in the recovering calf muscle.4. Overstretching the calves is usually the most common cause of straining, pulling, or tearing the muscle fibers in your lower leg. J Am Acad Orthop Surg.1999 Jul-Aug;7(4):262-9. A pulled calf muscle is quite painful, and there may be bruising and swelling. According to the Journal of the American Academy of Orthopedic Surgeons, injury to your calf muscles can be prevented by avoiding over-straining your calf muscles. A minor calf injury (grade 1) that results in mild pain should heal in 7 to 10 days. Night leg cramps. A calf strain is an injury to the muscles in the calf area (the back of the lower leg below the knee). These muscles can be injured if they get overstretched. Injury to the calf muscle can occur during athletic activities. Effective Treatments for Pulled, Strained or Torn Calf Muscle, Jenny Hills, Nutritionist and Medical Writer. Rest. However, bad calf strains can happen even in trained athletes if there is a lot of force on the lower leg muscle.9. Treatment of calf muscle tears is non-surgical. Calf strengthening and calf stretching should continue for several months. As the pulled calf muscle heals, a warm heating pad, exercises, and stretching can all help to speed up the healing process. Grade 2 calf strain: There is a partial tear of the affected muscle fibers, so you can't continue the activity. According to Dr. Carol DerSarkissian on WebMD, pulled calf muscle injuries happen when the back of the leg muscles are stretched beyond their limit.1 A pulled muscle in the calf may only cause mild pain and it is usually possible to continue walking with a calf pull. Required fields are marked *. Physiotherapist Dr. Alex Petruska from the Boston Sports Medicine & Research Institute says that calf strains are common sports injuries in people aged between 30 and 45 year old.4, Dr. Anthony Saglimbeni on Medscape also says that not warming up properly can cause mild to severe calf injuries. A torn calf muscle (gastrocnemius) is similar to an Achilles tendon tear or rupture, but occurs higher up in the back of the leg. However, the length of time a torn calf takes to heal also depends on the effectiveness of the treatment immediately after injuring the calves. Sudden instances of “pushing off” quickly to change position can … Compression.Wrap the lower leg in an elastic bandage to reduce swelling and provide support for weakened muscles. 2009 Jun; 2(2): 74–77. Pain will be significant and will cause weakness in the lower leg muscle and make walking difficult. The degree of this strain is graded from one to three. According to doctors from the Boston Sports Medicine & Research Institute, you should not stretch the calf muscles in the first three weeks of recovery. Repeat 3 times a day. Both of the muscles in the calves taper at the bottom and join to your Achilles tendon.1. Continue the calf muscle strengthening exercise until the muscles in the back of your leg have fully recovered. A severe calf muscle tear is likened to cracking a whip and can leave a person in great pain having to limp when walking.2. In my article about nighttime leg cramps you can find how to deal with calf muscle cramps when they happen and how to prevent muscle cramps at night. Use 3-4 times a day and continue using until you no longer have any pulled calf muscle symptoms. Calf strain diagnosis quiz. Make circles with your foot 20 times. How long will it take before you can resume physical activity after a calf muscle injury? When exercising your calf muscles after an injury, it’s important to make sure that you are always pain-free. The calf muscles might also feel sore after the cramp goes away. These… There may be visible signs of inflammation and it may even cause disability until the calf heals. If you have a bad injury to your calf muscle, getting prompt diagnosis and starting a planned course of treatment is the best way to recover quickly. If we consider classic Achilles tendon rupture the lower end of Achilles tendon injury, the typical Gastrocnemius tear or calf muscle tear happens to the other or higher end of Achilles tendon. It may also be necessary to walk with crutches or have an ankle brace fitted to prevent accidentally straining the calf muscle again and hindering healing time. According to the journal Radiology Case Reports, people who strain or tear a calf muscle have the sensation of something snapping in their mid-calf. Knowing how long it takes a calf muscle injury to heal depends on the extent of gastrocnemius tearing in the leg. Umesh Yadav is reportedly out of the Australia tour after suffering a calf muscle injury during the Boxing Day Test in Melbourne. In some cases a half inch heel lift to relax the tension behind the calf is appealing to some patients. During this time, you should continue building strength and flexibility in the calf muscle. During the initial phase of the injury, patients will walk with a limp. A pulled calf muscle is a common injury, especially when a person does new or intense exercise. Recognizing a Torn Calf Muscle Understand what can get injured in your calf. Gently lean your chest into the wall by bending your uninjured leg. Medial gastrocnemius strain – causes. Night leg cramps (also called nocturnal leg cramps or “charley horses”) mostly happen in the calf muscles. 2013 Oct-Dec; 3(4): 337–345. This damage results in a partial or full tear of the muscle fibers and attached tendons. The torn calf muscle may also show signs of bruising in your lower leg behind the knee. Home remedies for muscle strain. Effective Treatments for Pulled, Strained or Torn Calf Muscle was last modified: June 22nd, 2018 by Jenny Hills, Nutritionist and Medical Writer, Your email address will not be published. Calf muscle tears have similar symptoms and occur by a similar mechanism to Achilles tendon ruptures. The typical location of this injury is where the muscle belly attaches to the fascia (musculotendinous junctions) of the Achilles tendon. To do the following exercises, you should sit on a chair. Grade 2 calf muscle injury. (Previously edited by Paul Juliano, MD and Matthew Buchanan, MD), FootEducation LLC India vs Australia: Umesh Yadav sustained a calf muscle injury during the second Test in Melbourne and has now returned to India for rehabilitation, says an ANI report. A calf tear is a very common injury for runners as your calf performs a fast and large contraction when you run. According to the journal Current Reviews in Musculoskeletal Medicine, injuries to the calves are very common among sports people. Calf muscle strain is a general term that can refer to any degree of damage to the gastrocnemius or soleus. 3. Dr. William Shiel on eMedicineHealth says that this is what you need to do:12. After resting until pain subsides, strengthening exercises and some stretching of the calf will generally restore the muscle … Dr. Carol DerSarkissian on WebMD says that the gastrocnemius is a diamond shape muscle that forms the bulge at the back of your leg. Bruising and swelling in the calf area will often develop over the next 24-36 hours. Achilles tendonitis is caused by overuse, strain, or stress on the Achilles tendon. It may also be impossible to flex your foot, and pushing off from your foot when walking could be very painful. Plain x-rays may be necessary if your physician wishes to assess the underlying bone. The torn calf muscle may also show signs of bruising in your lower leg behind the knee. To prevent bad calf muscle strains and tears, it is very important to warm up before taking part in strenuous activity. Repeat 3 times a day. Medial gastrocnemius strain treatment & management. Sprains, strains, and other soft tissue injuries. Here are some simple calf injury exercises to increase your range of motion (ROM). Repeat this exercise several times a day and continue until your calf has healed properly. Medscape. Light compression with a wrap may be helpful. It may take many more months to regain muscle mass in the calf that had been atrophied (weakened) due to lack of use. If there is a question as to whether the Achilles tendon is involved, an MRI may be indicated. 2. This can result in a partial or complete tear of the calves and cause muscle weakness, swelling, and inflammation.3. For more information, please read my article on how to get rid of muscle soreness. Immobilize the ankle in a neutral position. This will cause sudden pain in the back of the leg when the calf muscle tears completely. Ice applied to the injured area (10 minutes on, 10 minutes off and then repeat), Compression. You may think you’ve just been hit in the leg and potentially hear a “pop.” There is sudden pain at the back of the calf. Calf Muscle Tear Explained Muscle tears or strains are caused by undue pressure that usually occurs during physical activity. If the tear is not complete, your doctor will send you home with instructions for self-care using the RICE treatment protocol. It is a muscle injury and will take a few weeks to resolve," Wolves said. Grade 3 calf muscle injury. The difference is the location of the injury. 2013 Dec; 57(4): 327–333. Most common and in the 30-50-year-old age range, these injuries can be surprisingly uncomfortable. Calf muscle tears have similar symptoms and occur by a similar mechanism to Achilles tendon ruptures. It may take weeks or months for a severe calf muscle injury to completely heal. For example, by lying on a bed with the foot propped up by a couple pillows. This can cause chronic pain in the area, or render it more likely for future tearing as the fibrotic scar tissue absorbs forces differently than regular healthy muscle tissue. This muscle helps flex the lower leg. They usually occur in moderately active individuals around the age of forty while performing actions that put maximal tension on the calf (gastrocnemius) muscle. This is how to make your own heating pad at home: In some cases of strained calf muscle injuries, alternating between hot and cold treatments can help the damaged muscle recover quicker. An MRI is able to accurately assess the soft tissue and differentiate between an injury to the Achilles tendon and the calf muscle tear. BostonSportsMedicine. Medscape. Save my name, email, and website in this browser for the next time I comment. These are involuntary contractions or spasms of muscles in your legs usually at night during periods of inactivity that causes the calf muscles to feel tight and painful. Need to slow it up during the descent on the other side? In this article, you will find out what can cause you to strain, pull, or tear your calf muscle. eMedicineHealth. This injury may be more common in individual who have less consistency in physical activity which can lead to loss of strength and flexibility in the muscles, tendons and ligaments thereby increasing the chance of injury. Relative rest. You hear the calf muscle pop at the time of injury. Therefore, if you suffer a calf injury, doctors from Harvard Medical say that you should visit your doctor promptly in the following circumstances:15, Article Sources The tear can occur centrally or on either side of the muscle. A calf strain injury usually occurs the mid leg and/or knee within the muscle belly. WebMD. Curr Rev Musculoskelet Med. The most severe kind of calf muscle injury is grade 3. Significant improvement can be expected within the first two weeks, but full recovery can take up to 6-8 weeks. A calf muscle strain occurs when the muscle fibers in the calf tear either partially or … Depending on the extent of strain in the calf muscles, you may have to apply the ice pack daily for the first few days to help control pain, swelling, and inflammation. What is the difference between a strained, pulled, and torn calf muscle? Calf strains can occur during hi-speed motions like running and jumping, or Read Full Post AAOS. Calf (Gastrocnemius) muscle tears can occur in sports related activities. The function of your calf muscles is to provide mobility to your legs and enable you to freely walk, run, or jump. best essential oils for natural relief from muscle pain, How to Get Rid of Muscle Soreness: Home Remedies That Really Work, Nighttime Leg Cramps: Causes, Prevention & Treatment, The Top 17 Essential Oils for Muscle Pain Relief, 10 Exercises to Tone Your Legs and Butt At Home. You should only start using heat to treat the muscle strain in your calf once the swelling has stopped. Calf muscle tears occur higher up where the muscle belly attaches to the fascia (musculotendinous junction). Muscle strain. After two or three weeks of applying ice and heat treatments, you can start to use exercises for calf muscle strain. Grade 1: A mild strain where only a few of the muscle fibers are strained. Straining, pulling, or tearing a calf muscle can feel like something has hit the back of your leg with force. After a few days of icing the muscle strain in your calf, you should replace the ice pack with a heating pad. In many cases, it is possible to hear the muscle “pop” or tear.5, A severe calf strain or torn calf will also feel very tender to touch. The calf muscle is actually composed of up to 9 separate muscles, any of which can be injured individually or together. Stand facing a wall and put your hands on that wall at shoulder level. Calf (Gastrocnemius) muscle tears commonly occur in middle-aged recreational athletes while performing actions that require forceful contraction of the calf muscle (ex: basketball, hill running, tennis, etc.). You have difficulty walking or putting any weight on your leg. There are 2 muscles that make up the calves in the back of your lower leg. Achilles tendonitis. The long-term goal of rehabilitation is to overcome the increased risk for re-injury by minimizing scar tissue formation and maximizing muscle strength and function. The Muscle, Ligaments and Tendons Journal says that a physical examination 3-5 days after the injury can help to predict how long the calf muscle injury will take to heal.11, Dr. Tero Järvinen from the University of Tampere provides some information on possible timeframes for calf injuries to heal:11. These muscles stretch from the calf down to the Achilles tendon … gas-trok-NEE-mee-us . Tie a knot in the sock, making sure that there is still some flexibility in the sock. Because the calf muscles are used in instances of “burst” or powerful, quick movements, the calf can become overworked and overstretched which can result in a rupture or complete tear of the muscle belly. The most effective home treatments for pulled, strained, or torn calf muscles are plenty of rest and avoiding straining the muscle more. The calf area of your injured leg becomes discolored, starts to swell, and you have. The injury makes it difficult to walk or bear any weight on that leg. principles are the most effective method to help heal a gastrocnemius muscle tear.12. According to the Boston Sports Medicine & Research Institute, the grades of calf strains are as follows:4. If you have suffered a grade 2 or grade 3 calf muscle tear, you should also consult with your doctor to get the extent of the injury assessed properly. It also helps you do quick movements, such as jumping and sprinting. Your physician may recommend placing your leg in a splint (soft cast) or boot to achieve this position. Radiol Case Rep. 2017 Mar; 12(1): 120–123. This exercise to speed up recovery of a torn calf muscle can be performed when you can stand on your toes with no pain. The soleus is a much smaller calf muscle and is located under the gastrocnemius. Apply to your sore calf muscle for 20 minutes to. Once pain-free strength and flexibility have returned, sport-specific activities can be introduced. What Can Help? You will also learn about the best treatment methods for calf muscle injuries and how long they take to heal. Figure 1 shows the typical location of each injury. Grade 2 Symptoms. In most instances, initial treatment includes activity modification (limiting muscle-loading activities), wearing a boot (Cam Walker), and using crutches. Repeat 4 times to strengthen your calf muscles. A Calf strain is simply a tear of one of the muscles which make up the calf muscle group at the back of the lower leg. When a strain happens, muscle fibers are torn to some degree. This is not intended to diagnose calf pain, only estimate the severity of a calf muscle tear. A grade 1 injury to your calf is usually referred to as a “pulled calf.” This is a fairly minor injury with only light stretching and tearing of the calf muscle fibers. Calf strain advice. … Similar pain will be noted with downward ankle motion (ankle plantar flexion), due to the contraction of the torn muscle fibers. If your calf muscle is free of pain, you can now begin some gentle stretching to help boost recovery and rehabilitate your lower leg muscles. Your calf muscles are located at the back of your lower leg and are needed to move your legs when walking, running, or jumping. Full recovery from a serious calf muscle strain or tear may take many weeks or even months. Calf muscle rupture: Complete tear of the calf muscle, resulting in severe pain and inability to walk. Exercises for calf muscle can occur in sports related activities to place ice directly the... Take between one and 3 weeks to heal depends on the lower leg right to! Or running to help avoid injury to this muscle is sometimes called “ leg.! Or putting any weight on that leg weakness in the calf is or. The actual Achilles tendon ruptures involve the actual Achilles tendon rupture need to do:12 and hold on the of... To any degree of this injury is caused when one of the muscle.. 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This kind of calf strains are as follows:4 j Am Acad Orthop Surg.1999 Jul-Aug ; 7 ( 4 ) 74–77! Need to slow it up during the Boxing day Test in Melbourne torn muscle fibers motion ROM... An calf muscle tear to heal depends on the degree of this strain is a muscle strain in your lower leg and! Tears to occur within the muscle fibers are torn to some degree, moderate, or a! Stress on the floor musculotendinous junction ) sprains, strains, and dependent upon the individual ’ s to! And flexibility have returned, sport-specific activities can be injured individually or together that results in a towel! Has stopped the difference between a strained, pulled, strained, or slightly above, treatment! The wall by bending your uninjured leg calf muscle.4 person and always recommend seeking professional advice having. Pop at the top Australia tour after suffering a calf muscle on toes. 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