management of calf strain

Getting a proper diagnosis of your calf muscle strain is crucial because it determines the type of treatment protocols you should follow. Your answers will help us provide you with medical information and identify services that may be relevant to your health.Buoy Health uses reasonable physical, technical, and administrative safeguards (such as firewalls, encryption, identity management, and intrusion prevention and detection) to protect your information. The gastrocnemius helps flex the knee and flexes the foot downward (e.g. Calf Muscle Injury. Why Does My Calf Hurt? This is a common position for individuals that are running uphill, and the injury, while generally uncommon, is more common in long-distance runners or individuals that run very frequently. Calf strains may involve sudden or sharp pain, a popping sound, a tearing sensation, or limited functioning, or pain may only present with certain movements in milder injuries. ; Grade III calf strain: Severe injury that can cause the inability to walk.Often patients complain of muscle spasm, swelling, and … when stepping on the gas). The immediate line of defense straight after sustaining a calf strain should be the application of ice and compression, followed by rest and elevation. If you are experiencing pain while doing nothing at all it means the injury is more severe and your Physical Therapist may advise a period of complete rest where you do either no activity, or just do light activity such as a few gentle stretches. If you experience a calf strain, let the expert Physical Therapists at Amber Hill Therapy Centers assist you in determining the severity of your strain as well as help get you back to your everyday activity or sport by guiding you through the appropriate rehabilitation program. Few people are aware, however, that there is more than one muscle creating the bulge of the calf area. Massage of the injured area or the tissues surrounding the area may be helpful in both decreasing swelling and decreasing pain. approach — rest, ice, compression, elevation: 1. Pain may be sudden or sharp, accompanied by a popping sound, tearing sensation, or limited functioning. With larger tears, recovery may take four to eight weeks or longer depending on the severity. A STRAIN is an overstretching injury to a muscle or tendon. A calf strain is the type of injury that any of us can experience. Muscle strains are graded as mild, moderate and severe. The large muscle that makes up the bulk of the calf muscle, and the one that most people are aware of, is called the gastrocnemius muscle. 2009;2(2):74–77. Learn about our technology. Radiol Case Rep. 2016;12(1):120–123. A calf strain often occurs when the calf muscles are working eccentrically (working while under a stretch), such as coming down from a jump, and also during the time when you are about to push off to jump again. Depending on the degree of your strain and stage of healing, your Physical Therapist may suggest you see your doctor to discuss the use of anti-inflammatory or pain-relieving medications in conjunction with your Physical Therapy treatment. They are common when an unconditioned individual engages in intense physical activity and damages the muscle fibers of the leg. Immediately following the muscle strain, ice should be applied over the painful area for 20 min. Progressive stretching and exercise ensure that the athlete returns to full function with adequate flexibility and strength, usually within four months. Initially, patients begin with typical \"RICE\" treatments of: Once the earliest phases of treatment have completed, patients can begin therapeutic activities and gentle stretching. A muscle strain can be treated with rest, ice, compression, and pain medication. Acute management aligns to the management of muscle injuries. … Swelling, tenderness and bruising may also be present. A calf strain can occur due to a one-time overstretching or overworking of the calf (acute injury) or it can occur from repetitive use of the calf over time (overuse injury). Together the two heads of the gastrocnemius muscle along with the soleus muscle are collectively referred to as the triceps surae.The soleus muscle functions in conjunction with the gastrocnemius muscle to plantar flex your foot. Theoretically, cyclooxygenase-2 (COX-2) inhibitors may provide pain control without the risk of … These strains are commonly referred to as “tennis leg” strains as they commonly occur when an individual changes direction suddenly to return a volley in tennis. One method of assessing calf muscle flexibility is to apply gentle pressure to the forefoot with the patient sitting with the leg out straight in front. This is a sign of bleeding and means that over-the-counter pain medications like NSAIDs should NOT be taken to alleviate pain. All muscle strains are categorized as either Grade I (tearing of a few muscle fibers), Grade II (more extensive muscle fiber damage) or Grade III (complete rupture of the muscle). Symptoms will likely involve pain and its severity will be dependent on the injury. Objective To systematically review the literature to identify risk factors for calf strain injury, and to direct future research into calf muscle injuries. calf raises. The primary treatment when a mild or moderate calf strain occurs is rest. This is generally done by wrapping the affected area. A calf strain injury usually occurs the mid leg and/or knee within the muscle belly. As your pain improves then the rest to activity balance will swing the other way such that you will still require more rest for the calf than usual, but there will also be a gradual increase in activity including more aggressive stretches along with strengthening as long as there is no return in symptoms. A severe calf strain may result in the inability to walk without a limp or weight bear correctly on the affected leg. Recovery takes approximately 2 to 4 weeks if you do all the right things. 3. Since this muscle crosses both at the ankle joint and at the knee joint, it has functions for both these joints. Recommended conservative management includes RICE, injection of local anesthetic and cortisone in and around the area and graded and active recovery treatment. [1] Some initial inflammation is required to start the healing process, but a large inflammatory response can also lead to secondary inflammation and secondary cell injury, which affects tissues that were not directly related to the initial insult. Rest: It's important to rest your injured muscle, which means avoiding any activities that cause pain, … If you do not eliminate the cause with the appropriate stretches and stability exercises, the calf strain will recur. Lowering yourself off the end of a step or landing from jumping are examples of eccentric exercises for your calf. Read the full piece on rehabilitating an injured calf here: http://lavamagazine.com/training/calf-strains-a-quick-guide-to-home-rehab Milder injuries, however, may only be noticed with certain movements such as standing on the tiptoes. It can occur during high-speed movements like jumping and running or from something as simple as an uncoordinated motion. Advancing age can increase the vulnerability of the calf to injury and strain with less forceful movements. Classically, a long distance runner reaching the end of a long run while running uphill may experience soleus strains as a pain in the deep middle of the calf. Harwin JR, Richardson ML. Compression can help keep swelling down during the first 24 to 48 hours after the injury. Quite often it is an eccentric contraction of the muscle that has caused the calf strain in the first place, so training the muscle (when the time is right) to withstand this type of force is crucial to ensuring it won’t be re-injured. toes toward the sky) while the knee is also flexed or bent. What people need is an in-the-moment champion and guide to help them self-discover, find answers, and navigate to the right healthcare solution. Commonly affected areas are the groin, hamstring, calf, shoulder, and back muscles, and the Achilles tendons. A calf strain can occur due to a one-time overstretching or overworking of the calf (acute injury) or it can occur from repetitive use of the calf over time (overuse injury). Learn about our technology. Even if you're seeking medical help, ice the area immediately. Strength and range of motion of the calf remains full but can be sore, and no swelling or bruising is noted.Grade II (moderate): This is the largest and most variable category. Learning the proper technique for exercise and sporting activities. Prevention . With a severe … Calf strain or injury can occur due to poor stretching or overuse. Manual reference checks, ahead of press searches, citation tracking. With appropriate management, patients with a minor calf strain can usually recover in one to three weeks. A calf strain results from overstretching or tearing any of the nine muscles of the calf. After the earliest stages of healing, applying heat may relax muscles and allow them to stretch further. Spasms may occur, along with a sharp pain in the back of the lower leg when you try to stretch or move the ankle or knee. In cases of a grade 3 tear a visible deformity in the muscle may be evident. Rest is also an important part of your Physical Therapy treatment. American Academy of Orthopaedic Surgeons: OrthoInfo. The medial head extends farther down the calf than the lateral head.The second muscle making up the calf is the soleus muscle. Your message was successfully sent. The primary treatment when a mild or moderate calf strain occurs is rest. Copyright (2020) Amber Hill Therapy Centers. Pain can be graded to determine if you have a mild, moderate, or severe injury. It should be noted that all muscle strains include tearing of some muscle fibers:Grade I (mild): Very few muscle fibers have been injured. Swelling (with or without) bruising in the calf muscle. Chat and find out the top cause for your specific situation. Upper calf strains and lower calf strains may also happen if you quickly stop and pivot or turn direction. It is caused … This muscle is a long, flat muscle that lies behind the gastrocnemius muscle, and directly along the back of the shin (tibia) bone. Feeding the milk to the calves may introduce the bacterial strain that causes mastitis into the mouth of the calf where they will lay dormant until the calf transfers it elsewhere. What calf pain feels like. Treatment options and prevention for calf strain, When to seek further consultation for calf strain, Take a thorough self-assessment on what you may have. RELATED VIDEO: Calf Self Massage Exercise. It is possible that you never fully healed or improper physical activity is causing a recurrent injury. ‘Relative rest’ is a term used to describe a scale of resting compared to the normal activity you would be doing. Common Calf Pain Causes & Treatments. Gradually including weights or additional resistance over time. Calf pain may come from the muscles — in this case, the most common culprit is a cramp. Caution should be used with nonsteroidal anti-inflammatory drugs (NSAIDs) during the acute injury phase, as these agents can predispose the patient to increased bleeding and hematoma formation in the initial days after an injury. Along with stretching exercises, your Physical Therapist will also prescribe strengthening exercises in order to get your calf back in top shape. Manual reference checks, ahead of press searches, citation tracking. Common Signs and Symptoms. This injury is a ‘pulled muscle’ with a … A calf strain can easily be aggravated if too much stress is put through it at an inappropriate time. You’ll feel pain, soreness, and tightness deep within the muscles along the back of your lower leg. The calf muscle is actually composed of up to nine separate muscles, any of which can be injured individually or together. We will not share your information with third parties unless you give your consent or unless permitted by applicable law. Keeping calf muscles strong so they can absorb the energy of sudden physical stress. Dynamic stretches are used to prepare the tissues for activity whereas static stretches focus more on gaining flexibility. Most calf strains can usually be easily treated at home. As your range of motion improves, more aggressive stretches will be added, however stretching should be limited such that it never causes pain. Only in severe cases … This requires emergency surgery. The strain may be a partial or complete tear of the gastrocnemius muscle. Soon after the injury, the affected individual will often have a sudden difficulty bearing weight. When the knee is bent, the gastrocnemius is biomechanically at a disadvantage so it is the soleus muscle that is the main muscle to perform the plantar-flexion action. It does not cross over the knee joint but rather attaches simply to the back of the shinbone and the back of the bone on the outside of the lower leg, called the fibula. You can help prevent muscle strains and pulled calf muscles by: warming up for at least five minutes before exercise, including deep stretches stretching your legs before exercising cooling down for five minutes after you work out stretching your … Questions may relate to diseases, illnesses, or conditions you may have or that may run in your family. Over time the limits of stretching without causing pain will increase until the calf can be fully stretched, at which point more aggressive stretches may be necessary to further improve healing. Pain management should include analgesics as indicated. Soleus strains are caused when the ankle is flexed upward (e.g. Your physiotherapist will grade the injury accordingly: Grade 1: The muscle is stretched causing some small micro tears in the muscle fibres. Plyometrics involves repetitive jumping which forces your calf muscle to engage in force as it repetitively shortens and lengthens. This muscle spans from the back of your heel on one end (the Achilles tendon) to the lower end of your thighbone on the other end. Walking on the “tip-toes” can also aggravate a soleus strain. Plyometrics is a form of power strengthening that is a particularly important part of the end stage of your rehabilitation for a calf strain, especially if you are involved in sport. Do you experience lower leg pain at night? Typical recovery from a medial gastrocnemius strain is six weeks until return to athletic activities. Toe Dip. Free, private, and secure to get you the best way to well. Treatment will depend on the severity of the strain but will likely involve rest and supportive measures. Stretching out calf muscles before physical activity, i.e. … This will decrease stress on all … Treatment of calf strains for runners. Gastrocnemius strains are fairly easy to identify. has two … Published Nov. 29, 2016. A strain usually occurs when muscle fibers in this area are weakened, stretched, or torn. Definition: A "calf strain" is a nerve-related muscle dysfunction. Usually, a soleus strain causes pain when applying pressure to the Achilles tendon. A calf strain usually occurs about 15 - 40 minutes into a run and is not due to a change in force or acceleration, it … In addition to the tissue changes, often these people are ‘weekend warriors’ who do little to keep their muscles flexible and strong throughout the week but aggressively do sport on the weekend, which also puts them at greater risk. You stand on the edge of the … COVID-19: Check your symptoms and find the right care. Feeding the milk to the calves may introduce the bacterial strain that causes mastitis into the mouth of the calf where they will lay dormant until the calf transfers it elsewhere. Initially your therapist may suggest that you only do isometric contractions of your muscle, which means that you tighten the affected muscle without actually moving the associated joints. When the knee is extended outward, it stretches the gastrocnemius, and if the ankle is flexed upward (e.g. Over the first 3–5 days, muscle rest by limiting stretch and contraction, cryotherapy (ice), compressive wrap or tape, and elevation of the leg are generally recommended (4). Immediate management of a calf strain. Pain is present both when stretching the calf and on muscle strength testing. Calf pain is often caused by muscle cramps or strains. Muscle Contusion (Bruise). Returning to your normal physical activity at a graduated pace is key in avoiding a repetitive calf strain. When the runner stops… the painful signals often stop too. Wrenching or twisting motion that disrupts the stabilizing action of ligaments. Tottenham Hotspur forward Gareth Bale will miss the next “few weeks” after he sustained a calf injury in their League Cup quarter-final win at Stoke City last week, manager Jose Mourinho has said. Ice the muscles for 15- to 20-minute stretches during the first 24 hours to help reduce pain, inflammation and muscle spasm. The more severe the strain, the longer the time to recover. Gallo RA, Plakke M, Silvis ML. In this case, the problem is NOT the calf or even hamstring that the runner thinks. In severe cases, bruising can cause a disorder caused compartment syndrome where increased pressure threatens the viability of tissue within the calf. AnatomyThe calf is a shapely area of the body that most people know as the area that works hard to lift you up onto your toes and help you jump. This type of contraction is an effective way to begin strengthening your calf. The next most common strain is to the soleus, and then to the plantaris muscle. This action is used to raise you up onto your tippy toes and to push yourself up as you jump. Depending on how badly you have injured your calf, a calf strain can either be a little nagging pain while you walk, or can take you fully out of your regular activity, … The immediate line of defense straight after sustaining a calf strain should be the application of ice and compression, followed by rest and elevation. Factors to consider in calving management include dystocia … 4. Gastroc. Lower Leg Pain: Causes, Symptoms & Common Doctor Questions. 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. If the sciatic nerve in your lower back gets pinched or inflamed, you'll feel a burning pain … Calf strains are a well-known problem for runners, soccer and … For the first two days, ice may be appropriate and useful as a means of limiting pain and swelling in the lower leg. Symptoms of a pulled calf muscle can depend on the severity of the injury. Later pieces will examine non-traumatic calf pain and rehab of strength and flexibility. A calf strain injury usually occurs the mid leg and/or knee within the muscle belly. The initial aim of treatment for acute calf strains at Amber Hill Therapy Centers is to decrease the pain as well as any secondary inflammation in the area. It is vital that during this 14-day rest from running period that you undertake a proactive rehabilitation program to reduce any lower back tension and to mobilise the sciatic nerve. The calf is made up of 2 large muscles – gastrocnemius and soleus and a smaller muscle called plantaris. Because NSAIDs can interrupt the body’s ability to naturally stop bleeding, they must be limited in their use if any bleeding is suspected. A mild strain can leave you with pain and feelings of pulling within the lower half of your leg. This muscle crosses over both the knee and ankle and also attaches into the Achilles tendon. Sudden pop or crack in the calf at the time of injury, feeling like being kicked or hit sharply in the calf or shot in the calf. If the strain is severe, bruising may occur along the back of the affected leg. Free, secure, and powered by Buoy advanced AI to get you the best way to better. Middle-aged athletes with tight calf muscles taking part in physical activity are commonly affected by this injury; however, unlucky everyday circumstances can also be responsible. Calf strains rarely require surgery, but is carried out in extreme cases. Some muscle fibers remain uninjured and intact. These grades can be used when describing a calf strain. It can come on suddenly over the course of 2 - 3 steps and can feel like quite a sharp pain rather than just a cramp. For instance, when you sit in a car and press the gas or brake pedals it is the soleus muscle hardest at work. Acute management aligns to the management of muscle injuries. Numbness in lower legs may be accompanied by other symptoms such as pain, burning, and difficulty walking, and causes can be mechanical, metabolic, and inflammatory, amongst others. As the muscle continues to heal, more aggressive strengthening will be prescribed where you are raising up onto your toes with part or all of your body weight. Try a compression bandage. Being that the swelling from a calf injury often ends up in the ankle or foot due to gravity pulling it downwards, elevating the ankle while there is still swelling can greatly assist in moving excess tissue fluid back towards your heart and out of your limb. That sudden pull in your lower leg from walking, running or jumping is quite a common problem. This is the first of a series of pieces on calf injury and will guide you through early management of a calf tear. The objective of the surgery will be to reattach the muscle to a point on the bone so that it might again help flex the ankle and the knee. What about lower back and leg pain? The most common place to incur this injury is at the muscle tendon junction, roughly halfway between the knee and the heel. Recent research on the benefits of applying ice immediately after an injury are beginning to be questioned as it can halt the much-needed inflammatory response, but the general consensus is still to apply ice. And lengthens muscles strong so they can absorb the energy of sudden physical stress advice the!, compression, elevation: 1 steps you need to take to ensure readiness to.... You quickly stop and pivot or turn direction while the knee and flexes the foot plantar. Progressive stretching and exercise ensure that the athlete returns to full function with adequate flexibility strength... Self-Care of a pulled calf muscle questions may relate to diseases, illnesses, curb... 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