Calf strains and tears are pretty common, particularly among athletes and active people. The calf muscles – mainly the gastrocnemius and soleus in your lower leg that are behind your shin bone and extend from the base of your thigh down to your heel – help you flex and bend your foot, ankle and knee, and play a crucial role in walking, running, and jumping. When these muscles are overstretched or overloaded, they can end up strained or even torn. Knowing the signs and treatment options can make a big difference in healing faster and avoiding future injuries.
Symptoms of Calf Strains and Tears
Calf injuries are classified into three grades based on severity:
Grade 1 (Mild Strain)
This involves minor overstretching of the muscle fibres. Symptoms include mild pain, tightness, and discomfort, especially when walking or stretching the muscle. Swelling is usually minimal.
Grade 2 (Moderate Strain)
This level includes a partial tear of the muscle fibres, leading to more noticeable pain, swelling, and bruising. Walking may be difficult, and pressing on the affected area often causes discomfort.
Grade 3 (Severe Tear)
A complete rupture of the muscle results in significant pain, swelling, bruising, and sometimes a visible indentation where the tear occurred. Walking becomes extremely difficult, and immediate medical attention is required.
Effective Solutions for Recovery
Recovering from a calf strain or tear requires proper management to promote healing and prevent further damage. Below are some effective treatment solutions:
Immediate Care: R.I.C.E Method
Rest: Avoid activities that strain the calf muscle.
Ice: Apply ice packs for 15-20 minutes every few hours to reduce swelling and pain.
Compression: Use a compression bandage to minimise swelling.
Elevation: Keep the leg elevated to help fluid drainage and reduce inflammation.
Physical Therapy, Stretching, Massage and Soft Tissue Therapy
Once the acute pain subsides, gentle stretching and strengthening exercises help restore flexibility and function. A physical therapist can guide proper rehabilitation techniques to prevent re-injury, and massage therapy can improve circulation, reduce muscle tightness, and promote healing.
Chiropractic Care
Chiropractic care can aid recovery from calf strains and tears by reducing pain, improving mobility, and preventing future injuries. Adjustments help correct misalignments in the spine, hips, or ankles, reducing strain on the calf muscles. Techniques like myofascial release, Graston, and Active Release Therapy (ART) break up scar tissue and improve circulation, and therapies such as electrical stimulation decrease inflammation and speed healing. Chiropractors also provide stretching and strengthening exercises to restore flexibility and strength.
Supportive Devices and Bracing
Compression sleeves or calf braces can provide support and reduce stress on the healing muscle, and Orthotic inserts may be beneficial for individuals with improper foot mechanics contributing to calf strain.
Gradual Return to Activity
Avoid rushing back into intense activities – gradually increase movement intensity with stretching, strength training, and low-impact exercises like swimming or cycling.
Medical Interventions
Corticosteroid or regenerative injections can be considered for persistent pain or slow-healing injuries.
Corticosteroid Injections
When combined with physical therapy, stretching, and strengthening exercises to support proper healing and long-term recovery, corticosteroid injections can help with calf strains and tears by reducing pain, swelling, and inflammation, allowing for quicker recovery. These injections target the injured area, helping to minimise discomfort and improve mobility. By decreasing inflammation, they can also prevent excessive scar tissue formation, which may lead to stiffness or re-injury.
Prolozone Injections
Prolozone injections can help heal calf strains and tears by reducing pain, decreasing inflammation, and stimulating tissue repair. This treatment combines ozone (O3) and oxygen with vitamins and minerals, enhancing circulation and oxygenation in the injured area. Increased oxygen levels promote cell regeneration and collagen production, which are essential for muscle repair. Unlike corticosteroids, which only reduce inflammation, Prolozone therapy supports actual healing by improving cellular function and strengthening damaged tissues. It also helps prevent scar tissue build up, reducing the risk of future injuries. With minimal side effects, Prolozone offers a natural and effective way to speed up recovery.
Treatment for Severe Cases
Severe strains or complete ruptures can result in a total loss of muscle function and surgery may be necessary to repair the damage.
Prevention Tips
To reduce the risk of calf strains and tears, consider these preventive measures:
- Always warm up properly before exercise.
- Maintain good hydration and nutrition to keep muscles healthy.
- Incorporate strength training and flexibility exercises into your routine.
- Listen to your body and rest when needed.
By recognising the symptoms early and following the right recovery strategies, you can return to activity safely and effectively. If pain persists or worsens, seeking professional medical advice is essential for proper diagnosis and treatment.
Private Injection Clinics offer both steroid injections and prolozone injections to treat many different MSK related pains – including calf strains and tears. The Optimum Spine Centre offers chiropractic care. For more information please take a look at the websites.
The Optimum Spine Centre and Private Injection Clinics are based on the coast in Leigh on Sea, and in Colchester Essex – perfect for patients in Essex, Kent, London, and surrounding areas.
Resources
- https://www.privateinjectionclinics.co.uk/about/
- https://www.privateinjectionclinics.co.uk/treatments/steroid-injections/
- https://www.privateinjectionclinics.co.uk/treatments/prolotherapy-and-prolozone-injections/
- https://my.clevelandclinic.org/health/diseases/21558-pulled-calf-muscle#:~:text=A%20pulled%20calf%20muscle%20occurs,calf%20muscle%20may%20require%20surgery.
- https://www.plymouthhospitals.nhs.uk/display-pil/pil-calf-muscle-tears-and-strains-6064
- https://www.nhs.uk/conditions/steroid-injections