Injuries to the muscle complex are the most common source of calf pain. Calf tears were recorded as 3.6% of all injuries in one study of football players over a five year period (Armfield DR et al, Clin Sports Med. 2006; 25: 803-842, 2006)
Sudden overstretch, change of direction or stop, are thought to be the common mechanisms of calf injury (Orchard J et al, Br J Sports Med 2002: 36: 222-223)
Usual symptoms include:
- Sudden onset of pain and/or a tearing sensation in the calf
- Swelling and tenderness in the calf
- Inability to point toes without pain or weakness
- Unable to raise onto toes in weight-bearing
- Walking, stairs and running are difficult
All calf strains need to have rest and a structured return to play program. If a player just waits for the soreness to ease and returns to play they will usually tear the calf again.
Physiotherapy for Calf Tears
- Initial treatment aims to reduce pain and promote quality healing with the use of ice, electrotherapeutic modalities and soft tissue mobilisation
- Crutches may be needed if the player cannot weight-bear
- Myofascial soft tissue release is applied on the muscle belly over areas of increased tone and tenderness
- Gentle stretching and strengthening should start after 24 hours
- Low impact exercise should start as soon as comfortable (stationary cycle, cross trainer or swimming)
- Correction of contributory factors like lower limb muscle tightness and poor biomechanics is essential for injury prevention
- Provide thorough rehabilitation with a specific graduated return to weight-bearing and a progressive rehabilitation to prevent recurrence of injury
- Our goal is to make a successful return to play without re-injury
Please note: this information should serve as a guide only. When in doubt always seek advice from Southside Physiotherapy & Sports Injury Centre or your GP.