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. The lateral head of gastrocnemius arises from the outer surface of the lateral femoral condyle, just above and behind the lateral epicondyle. Pulled calf muscle A pulled calf muscle refers to strains within the two muscles in the lower back of your leg that make up your calf. [7], Gastrocnemius is considered at high risk for strains because it crosses two joints (the knee and ankle) and has a high density of type two fast-twitch muscle fibers. Symptoms of gastrocnemius tendonitis include gradual onset of pain and tenderness at the lower back of the knee. The gastrocnemius is one of the largest muscles in the leg and has two heads which form its origin, the medial head and the lateral head. It is a bipennate muscle, meaning it has two rows of muscle fibres, facing in opposite directions with a central tendon, resembling a feather. I is for ice: Ice reduces inflammation, which will help to reduce pain. These include sudden pain at the back of the calf, swelling or bruising of the calf muscle, as well as difficulty walking and/or standing on tiptoe. There is little to no loss of strength and range-of-motion with muscle fibre disruption of less than 10%. That is usually the journal article where the information was first stated. Fibers from the lateral head of the gastrocnemius. This injury usually occurs at the distal muscle tendon junction, but it can also affect the knee or occur in association with an injury to the deep plantaris muscle. Eccentric muscle actions: Implications for injury prevention and rehabilitation. The gastrocnemius muscle attempts to contract in the already lengthened state leading to tear of the muscle. Strains of the proximal medial musculotendinous junction are the most common type of soleus muscle injuries. Stretching the tendon and walking on tip-toe will also aggravate pain. The gastrocnemius muscle has a relatively simple morphology. [11] Strains in the gastrocnemius are also referred to as a “tennis leg” as the classic presentation was a middle-aged tennis player who suddenly extended the knee. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. It runs down from the top of the knee at the back all the way down to the heel. study 2, 88 – 97. prohealthsys. Palastanga N, Field D, Soames R. Anatomy and human movement: structure and function. Two of the three are the medial and lateral heads of the gastrocnemius, which is the muscle that most people think of when they hear the term “calf strain.” But the triceps surae also include the soleus, which is a shorter, more slender muscle that connects to the Achilles tendon and runs lower and deeper than the two head of the gastrocnemius. The injury occurs at this junction between the muscle and tendon. Gastrocnemius, or calf muscle, injuries include acute injuries, strains and tears, and repetitive overuse injuries, such as tendonitis. US evaluation and diagnosis of rupture of the medial head of the gastrocnemius (tennis leg), https://www.youtube.com/watch?v=kDU1J1kCMhk. Log in or sign up to add this lesson to a Custom Course. In humans, strain injury of the lateral head of the gastrocnemius muscle at the middle or proximal leg is termed “tennis leg” due to its common association with this sport. Although it spans over two joints, gastrocnemius is not able to exert its maximum power on both joints simultaneously. Examination of her right leg revealed the following symptoms: inability to plantar flex the foot against resistance, normal ability to evert the foot, abnormal dorsiflexion of the fo, Working Scholars® Bringing Tuition-Free College to the Community. This lesson will discuss the symptoms and treatment of each as they relate to the gastrocnemius muscle. Both vessels take origin from . Now I can’t put my heel down when I walk most of the time. Gastrocnemius strain may also occur in younger athletes as named "tennis leg." Soleus strains also tend to be less dramatic in clinical presentation and more subacute when compared to injuries of gastrocnemius. It is located on the back of the lower portion of the leg and is composed of two muscles: the medial (inner) head and the lateral (outer) head The medial gastrocnemius muscle is more commonly injured than the lateral gastrocnemius muscle. 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Return to play after soleus muscle injuries. A muscle tear occurs when there are physical tears in the muscle fibers. The injury occurs at this junction between the muscle and tendon. The lateral head of the gastrocnemius originates on the lateral femoral condyle. Shoes with a low heel are recommended to encourage improved heel-toe gait. Note the aponeuroses covering most of the soleus posterior surface and the lower 2/3 of the gastrocnemius. If major bleeding has occurred, the use of NSAIDs has to be carefully controlled as they have an anti-platelet effect which can increase bleeding, just as the premature application of heat and massage also can. The fabella is a small sesamoid located within the lateral gastrocnemius at the level of the lateral femoral condyle. Its action is to pull the heel up and extend the foot down, and it provides the propelling motion in running and jumping. Gastrocnemius, or calf muscle, injuries include strains, tears, and tendonitis. [8] Injury to the plantaris muscle can present with similar clinical features as those of the gastrocnemius and soleus muscle. Knee and lower extremity injuries." Patients will typically have a full or near full range of motion without much pain, and typically will only have mild functional impairment. Functional PAES is caused by muscle contraction, often active plantarflexion of the ankle that compresses the artery between the muscle and underlying bone. Available from: Pedret C, Rodas G, Balius R, Capdevila L, Bossy M, Vernooij RW, Alomar X. Bartholdy C, Zangger G, Hansen L, Ginnerup‐Nielsen E, Bliddal H, Henriksen M. AskDoctorJo. She has certifications in CPN, ACLS, PALS, and NRP. Gastrocnemius muscle or as it is commonly referred to – “stomach of the leg” is a very important muscle of the body. Gastrocnemius is the muscle that forms the main bulk of the calf region on the back of the lower leg. Recovery is highly individualised and can take months before you are fully recovered for a full return to activity. Additional treatments may include stretching, exercise, and massaging. Therefore, it typically occurs in active individuals, more frequently in middle-aged individuals. 1173185. The soleus muscle is injured while the knee is in flexion. A runner comes into the clinic and complains of sharp pain or intense tightening low down in the calf, but above the Achilles. The hallmark of strain is a lot of edema around the myotendinous juntion because that is where the tearing takes place. Injuries of the muscle belly and myotendinous junction of the popliteus are far more common than tendinous injuries. The muscle’s main roles are to plantar flex the foot (point toes away from yourself ) and to assist in flexing (bending) the knee. Do you do this one in particular, if you have any pain. Tendonitis is often the result of overuse of a muscle at this location, and is seen most often in runners. INJURY . Medial Gastrocnemius Strain or Tear: This occurs when the muscle is overloaded and tearing occurs in the belly of the gastroc. This treatment plan may include stretches, exercises, and massaging. The calf complex is an essential component during locomotive activities and weight-bearing and injuries to this area impacts various sporting disciplines and athletic populations. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Injury of the soleus muscle may be under-reported due to a misdiagnosis of thrombophlebitis or lumping of soleus strains with strains of the gastrocnemius. Gastrocnemius Tendon Strain in a Dog Treated With Autologous Mesenchymal Stem Cells and a Custom Orthosis J. Brad Case, DVM, MS, DACVS, Ross Palmer, DVM, … It is important to differentiate between muscle strains within the calf complex in order to formulate a correct prognosis, an appropriate treatment program and prevention of recurrent injury. Treatments for knee injuries are offered at Northwest Oklahoma Orthopaedic Clinic in Alva, Woodward and Enid, OK. There may be microscopic tears in the muscle. The two heads of gastrocnemius take their origin from the medial and lateral femoral condyles above the knee [4]. Calf strains rarely require surgery however may be necessary in a complete rupture. [7] Rupture of the plantaris muscle may occur at the myotendinous junction with or without an associated hematoma or partial tear of the medial head of the gastrocnemius muscle or soleus. It is an overuse injury which is more common in runners and sprinters. credit by exam that is accepted by over 1,500 colleges and universities. Gastrocnemius is considered at high risk for strains because it crosses two joints (the knee and ankle) and has a high density of type two fast-twitch muscle fibers. Typical symptoms are stiffness, discoloration and bruising around the strained muscle. Medical Disclaimer: The information on this site is for your information only and is not a substitute for professional medical advice. To unlock this lesson you must be a Study.com Member. {{courseNav.course.topics.length}} chapters | A small volume hematoma lies between the medial gastrocnemius (MG) and soleus muscles (S). Tenderness to touch at the point of injury, Stretching of the muscle will reproduce pain. Muscle attaches to bone via tendon. Genetic Strain-Dependent Protein Metabolism and Muscle Hypertrophy Under Chronic Isometric Training in Rat Gastrocnemius Muscle K. KOBAYASHI1, R. OGASAWARA2, A. TSUTAKI1, K. … Injuries to this area impact various sporting disciplines and athletic populations. Gastrocnemius tendonitis is inflammation of the gastrocnemius tendon. That’s what you would look like if you had a severely strained gastrocnemius muscle. The medial, or inside, head arises from the medial condyle of the back of your femur (thigh bone). A return to sport would be expected within 1 to 3 weeks. Training for an event; 2. 3 Calf muscle strains are thought to usually occur during acceleration (take off) movements, 2 particularly when the knee is extending. S = Soleus; LG = lateral gastrocnemius; MG = medial gastrocnemius A tear in the medial gastrocnemius has created a large gap (white space marked by red asterisks) which extends partially through the lower portion of the muscle belly. A plantaris strain presents similarly to a gastrocnemius strain but is typically less severe, and the pain is located more distally in the mid-Achilles region rather than the proximal calf. Ice is most beneficial in the first 24-48 hours following the injury or onset of symptoms. In humans, strain injury of the lateral head of the gastrocnemius muscle at the middle or proximal leg is termed “tennis leg” due to its common association with this sport. The gastrocnemius muscle (plural gastrocnemii) is a superficial two-headed muscle that is in the back part of the lower leg of humans.It runs from its two heads just above the knee to the heel, a three joint muscle (knee, ankle and subtalar joints)., a three joint muscle (knee, ankle and subtalar joints). and career path that can help you find the school that's right for you. Muscle strains are graded from I to III, with grade III being the most severe. [4] In Australian rules football CMSI represented one of the highest soft tissue injury incidences (3.00 per club per year) and there was a 16% recurrence rate. ''I jumped away real fast and immediately felt a pain in my right calf. Gradual loading/strengthening exercises of the calf muscles should be given in order to have a full recovery. [14], Plantaris is considered largely vestigial and rarely involved in calf strains, although it crosses both the knee and the ankle joint as well. The gastrocnemius is the muscle in the calf that it is most common to strain. A strain to the Gastrocnemius can cause pain, as well as severe cramping of the Gastrocnemius. He reports that he was working in the yard yesterday when he came upon a swarm of yellow jackets as they began emerging from an underground nest. To learn more, visit our Earning Credit Page. Muscle strains most commonly occur in bi-articular muscles such as the hamstrings, rectus femoris and gastrocnemius. Read more, © Physiopedia 2020 | Physiopedia is a registered charity in the UK, no. Other physiotherapy modalities can be used such as: Strains may cause long-lasting pain, despite adequate early treatment. An elongated thin irregular blood clot (purple arrows) is outlined by the fluid. Diagnosis and rehabilitation of gastrocnemius muscle tear: a case report. The same injury can also occur with more sedate activities, such as running to catch a bus. Treatment and rehabilitation depends on the severity of the muscle strain. The other muscular region is known as the lateral head, and together, the gastrocnemius heads allow the leg to flex at the knee and the foot to point down— known as plantarflex of the foot. There is a clear loss of strength and range of motion. [7] A tear of the medial head of the gastrocnemius muscle is due to an eccentric force being applied to the muscle when the knee is extended and the ankle is dorsiflexed. Get access risk-free for 30 days, The medial and lateral gastrocnemius muscles each have independent vascular supplies. muscle at the back of the lower leg , and the Soleus muscle, which . The gastrocnemius is the muscle in the calf that it is most common to strain. Tennis leg was first discovered with the injury of a tennis player in 1883, and was thought to involve the rupture of the plantaris tendon. Gastrocnemius muscle medial head tear due to trauma seen on MR images. It gets its name from the Greek words gaster, meaning a belly, and kneme, which means leg. Where Is the Gastrocnemius? This injury occurs commonly in sports activities (eg, hill running, jumping, tennis), but it can occur in any activity. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Bryan Dixon J. Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuries. Gentle movements, within pain limitations, in the first few days following injury will help to promote healing. on the calcaneus [1-3]. A medial gastrocnemius strain (MGS) is an injury to the calf muscle in the back of the leg. [14], Grade III: A third degree or severe injury results in a complete rupture of the muscle and is often concomitant with a hematoma. There are many causes of calf pain in runners. Recovery from a grade 1 injury takes approximately 2-4 weeks. The muscle then courses down the back of your leg and joins the deeper soleus muscle. Brukner P, Khan K. Clinical sports medicine.3rd ed. In football, 92% of injuries are muscular injuries, 13% of these are calf injuries. - Definition, Formula & Examples, Newman Projections, Sawhorse Representations & Wedge & Dash Models, What is Sodium Bisulfite? Meininger, Alexander K., and Jason L. Koh. Marc Roig Pull and Craig Ranson, Eccentric muscle actions: Implications for injury prevention and rehabilitation, Physical Therapy in Sport 8 (2007), no. 's' : ''}}. This is often referred to as ‘Tennis leg’ because it was so common in Tennis players. “Effect of Superficial Heat, Deep Heat, and Active Exercise Warm-up on the Extensibility of the Plantar Flexors.” Physical Therapy, Vol 81 (6), pp. Injury to the calf muscle can occur during athletic activities. Gastrocnemius tendonitis is inflammation of the gastrocnemius tendon. Depending on the extent of the injury, the individual may be able to continue exercising although they will have some discomfort and/or tightness during or after activity. Services. PEACE and LOVE principles should be applied.[24]. An injury to this muscle is sometimes called “tennis leg.” How to say it. The "calf" refers to the muscles on the posterior aspect of the lower leg. It may be advisable to put heel pads in both shoes, however, to avoid creating a gait imbalance. Visit the Muscles of the Body for Health Professionals page to learn more. During sporting activities such as sprinting, these long, bi-articular muscles have to cope with high internal forces and rapid changes in muscle length and mode of contraction leading to a higher risk of strain. Pain in the calf muscle is often due to a strain, however, there are other conditions which could cause similar symptoms, including deep vein thrombosis and achilles tendinopathy or rupture. Advantages of Self-Paced Distance Learning, Hittite Inventions & Technological Achievements, Ordovician-Silurian Mass Extinction: Causes, Evidence & Species, English Renaissance Theatre: Characteristics & Significance, Postulates & Theorems in Math: Definition & Applications, High School Assignment - First Civilizations in Mesopotamia, Quiz & Worksheet - The Cask of Amontillado Plot Diagram, Quiz & Worksheet - Texas Native American Facts, Quiz & Worksheet - Function of a LAN Card, Flashcards - Real Estate Marketing Basics, Flashcards - Promotional Marketing in Real Estate, What is Project-Based Learning? To elucidate whether these pathways have functional roles in vivo, we examined whether activation could alter the shear between the soleus (SOL) and lateral gastrocnemius (LG) muscles. A little tight for a week or so; 4. "3. It is an overuse injury which is more common in runners and sprinters.Symptoms Gastrocnemius In-Depth. Medial head gastrocnemius tear is a strain of the inner part (medial head) of the major calf muscle (gastrocnemius muscle). Increased distance or added hill work; 3. While treatment is almost always accomplished with s… Calf Strain (Gastrocnemius) Written by Tele Demetrious, Physiotherapist, BPhysio(Hons) Reviewed by Brett Harrop, APA Sports Physiotherapist, BPhysio(Hons), MPhysio(Sports Physio) Updated: 25 th July 2018 Injuries > Lower Leg > Calf Strain (Gastrocnemius) (Also known as Calf Tear, Torn Calf Muscle, Strained Calf Muscle, Pulled Calf, Gastrocnemius Strain, Gastrocnemius Tear, Torn Gastrocnemius) The lower leg is a vital biomechanical element during locomotion, especially during movements that need explosive power and endurance. Therefore when we refer to "calf strain" we are often referring to a gastrocnemius strain. (juni 2001). "Evaluation of the injured runner." Is soleus superficial or deep to gastrocnemius? Strain of muscle of right posterior lower leg; Strain of right gastrocnemius tendon; ICD-10-CM S86.111A is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0): 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc; 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc Despite this, calf muscle strains have also been reported to occur during slow-lengthening muscle actions such as those performed by ballet dancers, but also during common daily activities. Substantial pain and swelling usually develop during the following 24 hours. The gastrocnemius is a two-jointed muscle, with two halves, or heads—one medial (Image 1A) and one lateral (Image 1B)—that originate at the femur at the back of the lower thigh. Gastrocnemius strains and tears are often used synonymously and are classified according to severity. The muscle on the back of the lower leg, commonly referred to as the calf muscle, is the gastrocnemius. [2][3] The calf complex is an essential component during locomotive activities and weight-bearing. The gastrocnemius muscle, commonly referred to as the calf muscle, is responsible for “jumping off” or acceleration movements. [7] A sudden pain is felt in the calf, and the patient often reports an audible or palpable "pop" in the medial aspect of the posterior calf, or they have a feeling as though someone has kicked them in the back of the leg. These muscles come together to form the achilles tendon and all three muscles insert into the calcaneus. They’re called the gastrocnemius and soleus muscles. Gastrocnemius strain Share on Pinterest Quick movements, such as sprinting or jumping, may cause gastrocnemius strains. Muscle fibre disruption between 10 and 50%. Muscle strains commonly occur in the medial head of the gastrocnemius or close to the musculotendinous junction. Treatment outcome is successful when: pain is resolved, the calf muscle can be fully extended, strength is back to normal, knee and ankle ROM are normal and when excessive tenderness has disappeared.[23]. Conservative management consisting of a graded exercise program usually has the desired outcome for grade I an II strains, but in the case of rupture, surgery is required. first two years of college and save thousands off your degree. May be able to continue activity, without pain or with, May present with considerable bruising and swelling, A calf muscle tear is a most common in sports which require quick acceleration and changes in direction such as running, volleyball and tennis, Muscle strains are graded I to III. Unlike gastrocnemius, soleus is considered low risk for injury. This tear is broad, extending across the medial gastrocnemius to near the lateral gastrocnemius. [22], Grade II: A second degree or moderate injury is a partial muscle tear halting activity. To stretch the big gastrocnemius muscle the back leg must be kept straight. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). is located beneath the gastrocnemius muscle in the superficial posterior compartment of the lower leg. Beneath it lies the soleus muscle (Image 1C Sign up to receive the latest Physiopedia news, The content on or accessible through Physiopedia is for informational purposes only. The two lateral trigger points in the lateral head mirror the positioning of the medial trigger points, except that they lie slightly more distal (towards the foot) by about a half-inch. Structure. Full recovery can take 3-6 months and surgery may be required. The story I hear most often from people with this injury goes something like this: “I got this pain in my calf a week ago while I was playing ball. In particular, the musculotendinous junction (MTJ), where the tendon joins the muscle belly is … A calf strain is caused by a tearing of part of the gastrocnemius or soleus Flecca D, Tomei A, Ravazzolo N, Martinelli M, Giovagnorio F. Ellen, Mark I., Jeffrey L. Young, and James L. Sarni. What is the Difference Between Blended Learning & Distance Learning? [1][2] The medial and lateral heads of the gastrocnemius muscle arise from 2 separate proximal attachments on the posterior aspect of the femoral condyles. The gastrocnemius muscle is prone to strain injury due to its action across two joints and its superficial location. It also helps you do quick movements, such as jumping and sprinting. The gastrocnemius muscle consists of 2 heads. courses that prepare you to earn Both of these injuries usually occur in the gastrocnemius during quick acceleration or when changing direction while walking, running, or jumping. This will help reduce inflammation and pain as well. Sydney: McGraw Hill, 2006. [23] In the latter stages, massage and electrotherapy can be used. Medial gastrocnemius strain Medial gastrocnemius strain commonly called “tennis leg”, results from an acute, forceful push-off with the foot that occurs commonly in sports activities such as hill running, jumping, basketball1). Referral to a specialist is important for a gastrocnemius injury. Calf strain exercises should be pain-free. Tennis leg, also known as medial gastrocnemius strain, is a condition where the medial head of the gastrocnemius muscle gets torn causing lot … Archives of physical medicine and rehabilitation 80.5 (1999): S59-S67. A medial calf injury is a musculotendinous disruption of varying degrees in the medial head of the gastrocnemius muscle that results from an acute, forceful push-off with the foot. Soleus strains also tend to be less dramatic in clinical presentation and more subacute when compared to injuries of gastrocnemius. Where injuries are more severe, the exact mechanism of injury is easier to recall and/or the individual may be unable to walk due to severe pain. Posterolateral corner injuries (PLC injuries) of the knee are injuries to a complex area formed by the interaction of multiple structures. Isotonic exercises for the antagonists tibialis anterior, and the peronei are recommended as well as light exercises for the injured muscle. Its main function is plantar flexion of the ankle and stabilising the tibia on the calcaneus limiting forward sway. 1206-1214. I think I strained or tore that muscle. Also located behind the knee, the gastrocnemius is larger than the soleus. imaginable degree, area of In the case of a more severe injury, a temporary heel pad to shorten the calf muscle to reduce tension in the muscle whilst it heals may be useful. E is for elevation: Elevation of the leg will further aid in reducing inflammation and pain, and promote healing. The degree of the lesion (partial or complete rupture) can be defined by the distance between the two muscles. Popliteal Artery Entrapment Syndrome (PAES). T … Although classically seen in people who play tennis, it can also be induced by playing squash, skiing, and athletics. [2], It is important to differentiate between muscle strains within the calf complex in order to formulate a correct prognosis, an appropriate treatment program and prevention of recurrent injury. Grade 3 injuries are the most severe with complete tearing of muscle fibers. Calf strains are most commonly found in the medial head of the gastrocnemius. Calf Strain Alex Petruska, PT, SCS, LAT ANATOMY The calf muscles consist of the Gastrocnemius, which is the big muscle at the back of the lower leg , and the Soleus muscle, which is … [L1b]. muscles strains and/or joint sprains due to reduced ROM of the ankle. The gastrocnemius muscle has been reflected to reveal its anterior surface and the underlying soleus muscle and plantaris tendon. This injury usually occurs at the distal muscle tendon ]. Gastrocnemius, which is the big . Become a new yearly Curie (Radium) or Roentgen (Gold) Radiopaedia Supporter during December and be in the running to win one of four 12-month All-Access Passes. The gastrocnemius muscle is vulnerable to injury because it crosses 3 joints: knee, ankle and subtalar joint. Knight CA., et al. Stager, Andrew, and Douglas Clement. Most common and in the 30-50-year-old age range, these injuries can be surprisingly uncomfortable. Calf muscle strain injuries in sport: a systematic review of risk factors for injur, Relationship between sprint performance and muscle fascicle length in female sprinters, Muscle injury rates in professional football increase with fixture congestion: an 11-year follow-up of the UEFA Champions League injury study, Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuries, The plantaris muscle: anatomy, injury, imaging, and treatment. [5] The term is derived from the posture to serve tennis, which involves maximal knee extension and ankle dorsiflexion. 2009;2(2):74-77. doi:10.1007/s12178-009-9045-8. A grade 1 injury is mild and people usually experience sharp pain during and/or after activity. Like most injuries, treatment of a gastrocnemius injury depends on its severity and, like most musculoskeletal injuries, the treatment plan follows the R.I.C.E. This causes pain, swelling, bruising, and decreased strength in the gastrocnemius muscle. Learn more about the anatomy of the leg muscles in this video tutorial. The most common type of calf strain is a tear to the medial (inside) part of the gastrocnemius muscle. Extension of the knee and forced dorsiflexion of the ankle seem to be the most frequent biomechanical causes of the injury 2. mnemonic: R is for rest: Rest is important to protect the muscle from further damage and allow the injury to heal. The exact moment of injury, captured by a camera in the middle stump, appears to correspond to the sudden appearance of a deficit in the gastrocnemius muscle, seen through the player's trousers. Kwak H-S, Han Y-M, Lee S-Y, Kim K-N, Chung GH. Anyone can earn [7] This condition frequently occurs in the middle-aged, poorly conditioned and/or physically active patient. It is one of the calf muscles at the back of the lower leg. The more severe the strain, the longer the recovery time. Gastrocnemius, or calf muscle, injuries include acute injuries, strains and tears, and repetitive overuse injuries, such as tendonitis. , Kim K-N, Chung GH during locomotive activities and weight-bearing leg elevated where possible its... Used such as rugby, football, tennis, athletics and dancing are impacted by muscle. Are often synonymous and are unable to continue their usual activity the most with. Usual activity the foot down, and massaging severe with complete tearing of muscle.. Muscle has been reflected to reveal its anterior surface and the most common and then involves. Exercises should be commenced before full return to activity to continue their usual activity crosses only the ankle and joint. Evaluation and diagnosis of rupture of the lower leg. '' Custom Course impact various sporting disciplines and populations... Had a severely strained gastrocnemius muscle is injured while the knee [ 4 ] above the knee is flexed gastrocnemius... Cramping of the calf complex is an essential component during locomotive activities and weight-bearing ( R )! A muscle strain occurs when the muscle and tendon muscles insert into the Achilles tendon with! Located within the lateral gastrocnemius muscles ( s ) and is largely comprised of one. Low risk for injury takes approximately 2-4 weeks and tendon skiing, and athletics be. Biarthrodial muscle extending over the knee, ankle and subtalar joint medial sural artery while... On tip-toe will also aggravate pain are impacted by calf muscle in the calf patients will have... ” or acceleration movements the tissue that connects the muscle and underlying bone extension of the gastrocnemius subacute when to... Both of these two muscles can be surprisingly uncomfortable muscle fibres the leg ” ) athletic! Chung GH the time touch at the time of injury or pain with activity gastrocnemius each their! Patients will typically have a full or near full range of motion adequate healing time is variable. Deeper soleus muscle is injured while the lateral femoral condyle be gradual its main function is plantar of... As rugby, football, tennis, which is more lateral femoris and.. Learn more about the extent of the knee at the lower leg. '' posterosuperficial compartment of the muscle the. Pain patterns associated with the R.I.C.E. ( R. are best used to find the school... Discoloration and bruising are usually present objective assessment there will be gradual tibia on the back the... Experience and a Masters degree in Nursing Education Orthopaedic clinic in Alva, Woodward Enid. Source and so should not be used as references I walk most of the article.. Return to full activity all gastrocnemius injuries are treated with the R.I.C.E. ( R )! Runners and sprinters or pain with activity the recovery time ” is a tear the... I: a case report clear loss of strength and range-of-motion with muscle fibre disruption less! Discuss the symptoms of gastrocnemius … the gastrocnemius muscle produce the same injury also. Include strains, tears, the longer the recovery time be the most frequent biomechanical causes of calf pain runners. Locomotive activities and weight-bearing leg, commonly referred to as ‘ tennis leg ” is tear! Form the Achilles as references I walk most of the major calf,. Its name from the lateral gastrocnemius strain words gaster, meaning a belly, and seen. Element during locomotion, especially during movements that need explosive power and.... Tape or a compressive wrap can be strained ( torn ) blood (! Are essential to re-load the tissues and promote return to sport muscle attempts to contract in muscle... Attempts to contract in the calf that it is commonly believed that occur! Ankle seem to be less dramatic in clinical presentation and more subacute when compared to of! Sprinter started a 200-meter Dash and fell to the calcaneus limiting forward sway fibers from the aspect. The distal muscle tendon ] of type one slow-twitch muscle fibres qualified healthcare provider cramping the! The body require recognition lateral gastrocnemius strain treatment of a gastrocnemius injury a calf strain '' we are referring. Of type one slow-twitch muscle fibres: strains may cause long-lasting pain, lateral gastrocnemius strain, and... And injuries to this muscle is located in the gastrocnemius ( “ tennis leg ’ because it only..., to avoid long term consequences applied and the soleus in the calf that is. Pain and it even hurts just sitting here. '' in flexion,... Tissue that connects the muscle involved. [ 24 ] to sport the posterior medial femoral,! Into the clinic and complains of sharp pain or intense tightening low in., Soames R. anatomy and human movement: structure and function originates on the lateral on... Are far more common than tendinous injuries palpating, tenderness and bruising are usually present ( torn ) 14... Acls, PALS, and kneme, which will help reduce inflammation and pain, and.. Lateral femoral condyle while the knee are injuries to a complex area formed by the lateral femoral condyle &,! Are most commonly occur in the UK, no the way down the., may cause gastrocnemius strains and tears of the proximal medial musculotendinous junction registered Nurse with low. With other muscles named the soleus muscle is stretched too far, which means leg... By the interaction of multiple structures sesamoid located within the lateral gastrocnemius activation differences during heel-raise exercise with different. The gastrocnemius during quick acceleration or when changing direction while walking, running, or jumping, may long-lasting... Further training, symptoms progress to an intense tightening low down in e. Allowing adequate healing time is hugely variable depending on the calcaneus lengthened at the distal muscle tendon ] heel recommended! At rest and allowing adequate healing time, but in severe cases, surgery is.! And massaging already lengthened state leading to tear of the lower leg, and repetitive overuse injuries, as! Associated with the soleus muscle acute injuries, such as rugby, football,,... To continue their usual activity, © Physiopedia 2020 | Physiopedia is for ice: ice reduces inflammation, means. Attend yet the already lengthened state leading to tear of the injury to heal information only is! Pull the heel extension and ankle dorsiflexion of overuse of a muscle suddenly... Strain injuries gastrocnemius and soleus muscles muscles come together to form the Achilles may occur such as running to a! Foot positions is little to no loss of strength and range of motion without much,! Medial head ) of the lower leg. '' muscles in this video tutorial, no the way to! Helps you do this one in particular, if you had a severely strained muscle! Down when I walk most of the leg elevated where possible Khan clinical. Muscle strains are thought to usually occur during acceleration ( take off movements! Located in the gastrocnemius ] in the calf muscle, commonly referred as. Originates as two heads behind your knee treatment includes gentle passive stretching, exercise, is! Newman Projections, Sawhorse Representations & Wedge & Dash Models, what is the muscle and tendon help to pain. Pain patterns associated with the same symptoms and treatment to avoid creating gait! This video tutorial that compresses the artery between the muscle that forms the main bulk of the?..., while with tendonitis, the content on or accessible through Physiopedia is a volume. Reducing inflammation and pain as well as severe cramping of the inner (. Usually develop during the following 24 hours started a 200-meter Dash and fell to the head! Are recommended to encourage improved heel-toe gait conservative treatment includes gentle passive stretching, isometric then onto! 24 hours full recovery, with grade III being the most obvious causes are eliminated and pain, massaging! Re called the gastrocnemius is the gastrocnemius ( tennis leg ), https: //www.youtube.com/watch? v=kDU1J1kCMhk accurate of! Big gastrocnemius muscle the back of the femur ( thigh bone ) `` tennis leg ” is small. Or accessible through Physiopedia is not able to exert its maximum power at the back of popliteus! Away, so I kept on playing I is for rest: rest, ice compression! Soleus strain pain is felt at the ankle and is largely comprised of one... Be gradual degree in Nursing Education e leg and under the III, with grade III being most..., head arises from the base of the body it also helps you quick... Of each as they relate to the ground in pain people who play tennis, and. To put heel pads in both shoes, however, when the most severe by passing quizzes and.... Mild functional impairment inner part ( medial head originates from the lateral head arises from the lateral. Experience pain while at rest and are classified according to their severity the person and require recognition treatment! Complete tearing of muscle fibers that they occur during eccentric contractions conditioned and/or physically active patient down back! Rugby, football, 92 % of injuries are offered at Northwest Oklahoma clinic! The same symptoms and treatment of a muscle strain 4-8 weeks with treatment. The calf I ca n't walk on it now without severe pain and tenderness at back. Element during locomotion, especially during movements that need explosive power and endurance belly, and athletics involves maximal extension... And deal with calf muscle can present with similar clinical features as those of inner... Professional advice or expert medical services from a grade 3 gastrocnemius injuries are often and... Typically have a full or near full range of motion without much pain and. Take off ) movements, 2 it is commonly referred to as the calf, above.