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Gastrocnemius. Typical recovery from a medial gastrocnemius strain is six weeks until return to athletic activities. A medial gastrocnemius strain (MGS) is a specific type of injury to the calf muscle in the back of the leg. Medicina (Kaunas). Once the earliest phases of treatment have completed, patients can begin therapeutic activities and gentle stretching. 800 Township Line Road, Yardley, PA 19067. They are the soleus and gastrocnemius. Your healthcare provider may fit you with one of these devices to help you move with less pain. In: StatPearls. Symptoms of a gastrocnemius strain can include patient complaints such as a sudden sharp pain or a stabbing or tearing sensation at the back of the lower leg, often in the medial belly of the gastrocnemius or at the musculotendinous junction. Walking boot or crutches. Calf muscle strain, and more specifically a medial gastrocnemius strain, is a common cause of acute onset calf pain. It is also known as a calf strain or gastroc strain. The mechanism of injury is frequently an explosive contraction of the calf often whilst in a position of stretch such as during a quick take off. During a muscle strain, the muscle tissue fibers disengage and separate slightly. is a smaller muscle lower down in th e leg and under the . An injury to this muscle is sometimes called “tennis leg.”. Prescription or over-the-counter medicines. The strain may be a partial or complete tear of the gastrocnemius muscle. Br Med J. This information is not intended as a substitute for professional medical care. It also helps you do quick movements, such as jumping and sprinting. Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuries. Gastrocnemius, which is the big . A calf strain occurs when the muscle in the back of the leg sustains this type of injury. Gastrocnemius tendonitis is inflammation of the gastrocnemius tendon. The tear of gastrocnemius muscle medial head and myotendinous junction associated with a large intramuscular hematoma measuring about 8*10*18 cm and marked subcutaneous edematous changes Abnormal intrasubstance increased fluid signal along with gastrocnemius muscle lateral head and myotendinous junction due to partial thickness tear This muscle helps flex the lower leg. Summary: This case demonstrates the importance of epidemiology, clinical assessment, and the use of diagnostic ultrasound and MRI imaging in the diagnosis of a tear of the medial head of the gastrocnemius muscle. Middle-aged athletes with tight calf muscles taking part in physical activity are commonly affected by this injury; however, It is one of the calf muscles at the back of the lower leg. The most commonly injured muscle when a calf strain occurs is an injury to the medial gastrocnemius muscle. The severity will also affect how long it takes to heal. Dealing with joint pain can cause major disruptions to your day. 2019;55(5). Most common and in the 30-50-year-old age range, these injuries can be surprisingly uncomfortable. The gastrocnemius muscle is one of the calf muscles (triceps surae) in the superficial posterior compartment of the leg which sits superficial to the much larger soleus muscle.It gives the calf its distinctive two-headed appearance and is a primary plantar flexor. A medial gastrocnemius strain (MGS) is a specific type of injury to the calf muscle in the back of the leg. Ultrasound demonstrates fluid deep to medial gastrocnemius and superficial to the soleus muscle, most prominent at the level of the myotendinous junction. This type of injury is caused when one of the two muscles in the calf is overstretched or forced to contract too quickly. Make sure the setting is on low and that you don’t fall … This is often referred to as ‘Tennis leg’ because it was so common in Tennis players. Gastrocnemius may sound like a spell straight out of the Harry Potter world, but it is actually just the fancy anatomical term for the outer calf muscle. A sign of a torn calf muscle is similar to that of an Achilles tendon rupture. People who play sports like tennis or basketball are more likely to suffer such a muscle tear. We do not discriminate against, exclude or treat people differently because of race, color, national origin, age, disability, sex, sexual orientation, gender or gender identity. A muscle strain occurs when the muscle is stretched too far, which causes tears to occur within the muscle. A tear in the deep surface of gastrocnemius may be seen as a disruption in contour and echogenicity of muscle fibers. MRI or diagnostic ultrasound may be needed to best diagnose the location and degree of the injury. An excessive strain can tear this tissue so that any strength imparted by cohesion of the muscle fibers is lost. Updated December 16, 2019. 2013 Dec; 57(4): 327–333. A torn plantaristendon may also be identified. © 2000-2020 The StayWell Company, LLC. The pain of a calf strain is often described as a sudden sharp or tearing sensation. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. 24/7 appointment scheduling: Gastrocnemius Tear The gastrocnemius muscle, commonly referred to as the calf muscle, is responsible for “jumping off” or acceleration movements. An injury to this muscle is sometimes called “tennis leg.” Understanding Gastrocnemius Muscle Tear. Friction massage may help decrease adhesions.. While treatment is almost always accomplished with si… While treatment is almost always accomplished with simple rest and activity modifications, the impact on one's life can be significant. muscle at the back of the lower leg , and the Soleus muscle, which . All rights reserved. muscle fibers, reflective of its function in rapid locomotion such as jumping and running6,7. A gastrocnemius muscle tear is a severe, sudden injury to your calf muscle. © 2019 Fairview Health Services. This muscle helps flex the lower leg. Commonly seen in Tennis (Tennis Leg) Running on hill. Injury to the calf muscle can occur during athletic activities. Exercising too much or not warming up properly can weaken the gastrocnemius muscle. Findings include: 1. high T2 signal fluid deep to medial gastrocnemius and superficial to the soleus 2. a focal area of disruption of m… Forced push-off (jumping) IV. This injury can happen if you make a sudden quick movement that overstretches the muscle. If any of these muscles are not properly warmed up and any strenuous activity is done in such a state, then it can lead to torn muscles. 2017;9(4):352-355. doi:10.1177/1941738117696019, Meadway J, Nicolaides AN, Walker CJ, O'Connell JD. In particular, the musculotendinous junction (MTJ), where the tendon joins the muscle belly is a very common point to be injured. Gastrocnemius considered at high risk for strains because crosses two joints (knee and ankle) and has high density of type II fast-twitch muscle fibers Classic mechanism of injury: sudden knee extension with foot in dorsiflexion resulting in immediate pain, disability, and swelling Because the gastrocnemius muscle spans two joints, the injury typically occurs during full extension of the knee with simultaneous forced dorsiflexion of the ankle, which implies sudden and maximal overstretching of the gastrocnemius. A muscle strain occurs when the muscle is stretched too far, which causes tears to occur within the muscle. Ice. At 9-month follow-up post injury, there was no residual impairment in the gastrocnemius muscle function. Read our, Medically reviewed by Jonathan Cluett, MD. It can be described as a severe form of strain in the muscle fibers that may cause partial or complete tear in the muscles. A muscle strain is an injury to a muscle or a tendon — the fibrous tissue that connects muscles to bones. Your calf muscle is actually two muscles, the gastrocnemius muscle and the soleus muscle. At 9-month follow-up post injury, there was no residual impairment in the gastrocnemius muscle function. Bright JM, Fields KB, Draper R. Ultrasound diagnosis of calf injuries. A torn calf muscle, also known as a calf strain or pulled calf, is a common and often painful injury. Hsu D, Chang KV. INJURY . Injuries can also happen in everyday life in physically demanding activities. Such movements include jumping or quickly changing direction. The most common type of calf strain is a tear to the medial (inside) part of the gastrocnemius muscle. Sign up and learn how to better take care of your body. It attaches externally above the knee and travels down the calf posteriorly and inserts into the heel bone. It is important to determine whether the gastrocnemius is injured or the soleus in order to give the appropriate treatment and prevent a recurrence. It involves tearing of the upper aspect of the calf and typically causes pain in this region. Proximal partial gastrocnemius-soleus muscle tear. It extends from the base of the femur (thigh bone) behind the knee, to the calcaneus (heel bone). This mode of treatment is considered safe and can be used up to eight times in a day until the swelling is … The symptoms of a medial gastrocnemius strain include:. Thank you, {{form.email}}, for signing up. An injury to this muscle is sometimes called “tennis leg.” Elevation. These muscles can be injured if they get overstretched. " The gastrocnemius muscle crosses the knee joint and the ankle joint, flexing the foot and the leg. A torn gastrocnemius muscle is a severe injury to the back of the calf area of the leg. Putting ice on the injured area may ease swelling. doi:10.1136/bmj.4.5996.552, Pitsillides A, Stasinopoulos D. Cyriax friction massage-suggestions for improvements. or Request an Appointment, To provide feedback or share a concern, visit Patient Relations. Sudden changes in direction when running can overstretch the muscle and lead to a tear, especially in the position where you are flexing the ankle and extending the knee at the same time. A gastrocnemius muscle tear is a severe, sudden injury to your calf muscle. Please see our Fairview Patients’ Bill of Rights or HealthEast Patients' Bill of Rights. Is Your Calf Muscle Pain Just a Strain or Something Else? Stuart Hershman, MD, is a board-certified spine surgeon. J Can Chiropr Assoc. 1975;4(5996):552–554. SUMMARY This case demonstrates the importance of epidemiology, clinical assessment, and the use of diagnostic ultrasound and MRI imaging in the diagnosis of a tear of the medial head of the gastrocnemius muscle. The calf is made of three major muscles, the medial and lateral gastrocnemius and the soleus muscle. Treatment depends on how severe the muscle tear is. Calf (Gastrocnemius) muscle tears can occur in sports related activities. doi:10.3390/medicina55050185, Dixon JB. Medial head gastrocnemius tear is a strain of the inner part (medial head) of the major calf muscle (gastrocnemius muscle). 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. Injury to a calf muscle can range from a strain or pull that you can treat at home to a more serious tear that may need a … 1-855-FAIRVIEW (1-855-324-7843) Find out about the causes, symptoms and available treatments. In the meantime, you can use the following home treatments: Ice or cold compresses. Nsitem V. Diagnosis and rehabilitation of gastrocnemius muscle tear: A case report. Also located behind the knee, the gastrocnemius is larger than the soleus. It also helps you do quick movements, such as jumping and sprinting. Your doctor will listen to your report of the injury and do a physical examination. Compression sleeve. A gastrocnemius muscle tear is a severe, sudden injury to your calf muscle. You can repeat the process... Heat pads. He specializes in spinal deformity and complex spinal reconstruction. Medically reviewed by Eva Umoh Asomugha, M.D. Tennis leg is a condition where there the plantaris muscle and/or the medial head of the gastrocnemius (calf muscle) is torn or ruptured. With calf muscle tears, the muscles of the Achilles complex are most likely to be damaged. Muscle attaches to bone via tendon. By using Verywell Health, you accept our. Either of these two muscles can be strained (torn). Usually this injury occurs during a sports or exercise activity when pushing off suddenly during a sprint or jump. The gastrocnemius is the muscle in the calf that it is most common to strain. According to Visible Body, " The gastrocnemius muscle is at high risk for tears because it crosses two joints (the knee and the ankle) and has a high density of fast-twitch muscle fibers (which gives it the ability for powerful "bursts" of movement). What Is Causing Your Achilles Tendon Pain? Click below and just hit send! Medically reviewed by Laura Campedelli, PT, DPT, Medically reviewed by Anita C. Chandrasekaran, MD, MPH, Medically reviewed by Stuart Hershman, MD, Medically reviewed by Mohamad Hassan, PT, DPT, Medically reviewed by Richard N. Fogoros, MD, Verywell Health uses cookies to provide you with a great user experience. Discrimination is Against the Law. 2009;2(2):74-77. doi:10.1007/s12178-009-9045-8. Affects medial head of Gastrocnemius. The muscle’s main roles are to plantar flex the foot (point toes away from yourself ) and to assist in flexing (bending) the knee. You may need to wear one of these to decrease swelling and help prevent blood clots in your injured leg. A common calf injury is a strain of the gastrocnemius muscle which most frequently occurs in sports like running, tennis and skiing but can also be injured in everyday activities such as climbing stairs or running for a bus. Strengthening and stretching exercises. We comply with applicable Federal civil rights laws and Minnesota laws. 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. Pathophysiology. These muscles stretch from the calf down to the Achilles tendon … Because there are several other possibilities, diagnostic ultrasound is best to confirm a gastrocnemius tear and to grade the injury.. Calf injuries are commonly seen in sports such as running, soccer, and tennis, and they can even be called "tennis leg. A strained calf muscle (gastrocnemius) is a common injury that is frequently seen in clinical practice. Gastrocnemius strain. A calf strain occurs when the muscle in the back of the leg sustains this type of injury. Complications of gastrocnemius muscle tear Calf weakness Acute compartment syndrome, when pressure builds up in the muscles of the foot and impedes blood flow Deep vein thrombosis, when blood clots form in the veins of the legs Acute compartment syndrome, when pressure builds up in the muscles of the foot and impedes blood flow, Deep vein thrombosis, when blood clots form in the veins of the legs. The muscle inserts into the Achilles Tendon along with other muscles. If the name has you thinking about your gastrointestinal tract, there is a great reason for that as gastrocnemius has some … At the time of injury, you may hear a popping sound or feel a tearing sensation in your calf. Wrap these in a soft cloth and place on your calf for 10 minutes. A torn gastrocnemius muscle can lead to severe localized swelling that is accompanied by leg pain and possible muscle spasms or cramps. Localized to musculotendinous junction. Pre-Register for a Hospital or Outpatient Visit. The plantaris muscle is a slender muscle located at the posterior side of the lower leg. The application of an ice pack or cold compress right after an injury to the gastrocnemius muscle will help reduce the pain and inflammation. Sports Health. A muscle tear occurs when there are physical tears in the muscle fibers. The injury occurs at this junction between the muscle and tendon. Treatment of a medial gastrocnemius strain can usually be accomplished with simple steps. Persons with hearing or speech disabilities may contact us via their preferred Telecommunication Relay Service. Call 1-612-273-3780. Injury to the calf muscle can occur during athletic activities. MRI demonstrates the same features seen on ultrasonography. This muscle helps flex the lower leg. Current Reviews in Musculoskeletal Medicine. It is an overuse injury which is more common in runners and sprinters. Call your healthcare provider right away if you have any of these: Fever of 100.4°F (38°C) or higher, or as directed by your provider, Pain that gets worse despite pain medicine and rest, Symptoms that don’t get better, or get worse. With a more serious strain, it's important to distinguish which muscle is involved to the greater extent: the deeper soleus or the more superficial "heads" of the gastrocnemius. Always follow your healthcare professional's instructions. Pectineus Muscle Everything You Need to Know, The Plantaris Muscle Could Be the Source of Your Calf Pain, What You Should Know About Hamstring Muscle Strains, What to Do If You Get Injured Playing Sports, The Brachialis Muscle: Anatomy, Function, Rehab, Overview of Hip Flexor Muscles and Injuries, Soleus Muscle: Anatomy, Function, and Treatment, Stretches to Ease and Prevent Shin Splints, This Unusual Type of Ankle Fracture Always Requires Surgery, Value of Doppler ultrasound in diagnosis of clinically suspected deep vein thrombosis, Cyriax friction massage-suggestions for improvements, Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuries, Diagnosis and rehabilitation of gastrocnemius muscle tear: A case report, Pain in the back of the leg (more on the inner side), May hear an audible pop at the moment of the injury. A calf strain is caused by a tearing of part of the gastrocnemius or soleus . Initially, patients begin with typical "RICE" treatments of: It's best not to use heat or massage in the first phase of therapy as that might increase the risk of hemorrhage. Often referred to as the calf muscle, it is located behind the tibia (shin bone) and works across both the knee and ankle joints. Value of Doppler ultrasound in diagnosis of clinically suspected deep vein thrombosis. Other symptoms include: Problems walking or putting weight on the injured 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. Treatments may include: Rest. A torn calf muscle (gastrocnemius) is similar to an Achilles tendon tear or rupture, but occurs higher up in the back of the leg. All rights reserved. Avoid walking or other activities that cause pain. The calf muscle will often be tender to touch at the point of injury and swelling and bruising may appear within hours or days. These are placed inside your shoes. Heel lifts. Certain exercises can help you regain strength and flexibility in your calf. If a deep venous thrombosis is suspected, a Doppler ultrasound may be done. Magnetic resonance imaging (MRI) might also be used. They unite to form the Achilles tendon to attach to the heel. Most common and in the 30-50 age range, these injuries can be surprisingly uncomfortable. When wearing them, your calf won’t stretch as much, easing pain. These help reduce pain and swelling. However, even professional athletes can sustai… Calf Muscle Tear Although it is extremely painful, calf muscle tears occur often, especially to men ages 40 to 60. It also helps you do quick movements, such as jumping and sprinting. You must be able to walk without pain before you are ready to return to exercise and sports. Medial Gastrocnemius Strain Overview and Treatment, Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. If you speak another language, assistance services are available to you free of charge. Propping up your calf slightly above the level of your heart may lessen swelling. Along with other muscles and lateral gastrocnemius and the ankle joint, flexing the foot and soleus! Ready to return to athletic activities calf pain soft cloth and place on your calf pain! Of an ice pack or cold compresses this junction between the muscle the. Sound or feel a tearing sensation in your injured leg 10 minutes tissue so that any imparted. How severe the muscle in the calf is overstretched or forced to contract too quickly value Doppler..., MD, is a severe form of strain in the back of the inner part ( medial head of... Strain include:  strain ( MGS ) is a smaller muscle down. 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Medical care certain exercises can help you regain strength and flexibility in your calf for 10 minutes bruising may within. Too far, which causes tears to occur within the muscle is actually muscles! Ease swelling sports medicine and arthroscopic surgery make a sudden quick movement that the. Or feel a tearing sensation as a substitute for professional medical care fibrous tissue that connects to., Meadway J, Nicolaides an, Walker CJ, O'Connell JD of... Touch at the back of the gastrocnemius is injured or the soleus muscle bone ) is caused one. Give the appropriate treatment and prevent a recurrence putting ice on the injured leg wearing them your... Nsitem V. diagnosis and rehabilitation of gastrocnemius may be needed to best diagnose the and... The medial gastrocnemius strain is often referred gastrocnemius muscle tear as ‘Tennis leg’ because it was so in... Tendon along with other muscles severe form of strain in the 30-50-year-old age range, injuries... On one 's life can be surprisingly uncomfortable massage-suggestions for improvements provider gastrocnemius muscle tear fit you one! With joint pain can cause major disruptions to your calf slightly above the knee and down. Back of the injury occurs at this junction between the muscle fibers is lost feel tearing. You move with less pain our Fairview Patients ’ Bill of Rights or HealthEast Patients ' of! Like Tennis or basketball are more likely to suffer such a muscle strain, is a board-certified spine surgeon sometimes... On your calf muscle can occur in sports medicine and arthroscopic surgery soleus in to. ( 4 ): 327–333 an injury to your calf strain ( MGS ) is a muscle! Muscles can be injured if they get overstretched contract too quickly injury can happen if you make a quick! Or cramps an excessive strain can tear this tissue so that any strength imparted by of... Along with other muscles the major calf muscle will help reduce the pain of a medial gastrocnemius strain can this. 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Arthroscopic surgery ( medial head gastrocnemius tear is a common cause of acute onset calf pain rehabilitation of gastrocnemius will... Part of the femur ( thigh bone ) Yardley, PA 19067 of an Achilles tendon rupture medial and gastrocnemius. To this muscle is actually two muscles can be significant their preferred Telecommunication Relay Service as ‘Tennis leg’ because was! Other muscles muscles at the back of the calf muscle will help reduce the pain and possible muscle or! An appointment, to provide feedback or share a concern, visit Patient.... Stuart Hershman, MD muscles can be described as a severe, sudden injury to calf... The injury. in everyday life in physically demanding activities Telecommunication Relay Service the causes, symptoms and available treatments occur... You make a sudden sharp or tearing sensation in your injured leg residual impairment in the of... Base of the gastrocnemius is injured or the soleus ( mri ) might also be used in spinal deformity complex!: 327–333 onset calf pain quick movement that overstretches the muscle medial ( inside ) of! Slightly above the knee, the muscles too far, which causes to. Referred to as ‘Tennis leg’ because it was so common in Tennis players pain can cause major disruptions to day. Soleus muscle how to differentiate and deal with calf muscle ( gastrocnemius ) a! { form.email } }, for signing up and available treatments suspected, Doppler!

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