by EBSCO Medical Review Board
(Pulled Calf Muscle; Gastrocnemius Strain; Gastrocnemius Tear; Gastrocnemius Muscle Injury)

Definition

A calf muscle strain is a partial or full tear of the muscle in the back of the lower leg.

The Calf Muscles
Nucleus factsheet image
Copyright © Nucleus Medical Media, Inc.

Causes

Causes may be:

  • Stretching the calf muscle too far
  • Putting sudden stress on the calf muscle
  • A direct blow to the calf muscle

Risk Factors

This problem in more common in people who do activities with sudden bursts of speed, such as track sports, basketball, and football.

Other things that may raise your risk of this problem are:

  • A prior strain or injury to the muscle
  • Tight calf muscles
  • Not being ready for the exercise or stress

Symptoms

Problems may be:

  • Pain when pushing off the foot or standing on tiptoe
  • Stiffness in the calf muscle
  • Weakness of the calf muscle
  • Bruising on the calf
  • A popping sensation as the muscle tears

Diagnosis

The doctor will ask about your symptoms, health history, and how the injury happened. A physical exam will be done. It will focus on your calf muscle. This is enough to make the diagnosis.

Treatment

The goal is to ease pain and improve movement. This may be done with:

  • Ice and rest to ease pain and swelling
  • Medicine to ease pain and swelling
  • Exercises to stretch and strengthen the muscle

Prevention

The risk of a calf muscle strain may be lowered by:

  • Using the right techniques when playing sports
  • Stretching and strengthening the calf muscles

RESOURCES

Family Doctor—American Academy of Family Physicians  http://www.familydoctor.org 

OrthoInfo—American Academy of Orthopaedic Surgeons  http://orthoinfo.org 

CANADIAN RESOURCES

Canadian Orthopaedic Association  http://www.coa-aco.org 

Health Canada  https://www.canada.ca 

References

Calf strain advice. Oxford University Hospitals website. Available at: https://www.ouh.nhs.uk/patient-guide/leaflets/files/10921Pcalfstrain.pdf. Published November 2014. Accessed March 27, 2020.

Muscle strain (pulled muscle). Johns Hopkins Medicine website. Available at: https://www.hopkinsmedicine.org/orthopaedic-surgery/specialty-areas/sports-medicine/conditions-we-treat/muscle-strains.html. Accessed March 27, 2020.

Revision Information