Calf strains commonly occur at the medial head of the
gastrocnemius muscle and are often seen in tennis players over the age of 40.
This strain is caused by the forced upward motion of the toes whilst the knee
is straight or by the forced extension of the knee while the toes are pointing upwards.
A calf strain can also occur when there is muscular fatigue and cramping.
Signs and symptoms
As the strain happens, an individual will feel a tear in the
calf muscle, together with pain, swelling, stiffness and reduced function. Later,
the lower leg, ankle and foot will become discoloured due to internal bleeding.
Management
Initial treatment includes rest, ice, compression and
elevation. In cases of severe muscle strains, one may need crutches to allow
the muscle time to heal. Gentle stretching of the calf muscle should be done on
a regular basis. Once sufficient healing has occurred, appropriate and
progressive strengthening exercises should be prescribed by a biokineticist, so
that re-injury does not occur when one returns to daily activities or sport. If
dehydration was causing muscle cramp, leading to the strain, then the
dehydration must be treated with sufficient fluid intake. Stretching and
strengthening of the calf must also be done to reduce muscle cramping.
References
Foundations of Athletic Training: Prevention, Assessment and
Management
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