What is the severity of calf muscle injury?
Doctor, I have a question: While playing basketball, I made a cutting move and suddenly felt a sensation in my right calf as if a rubber band snapped, accompanied by a popping sound (there was no pain at that moment).
I sensed something was wrong and sat down.
After that, I started limping.
I performed a strength test on my ankle (there was no pain near the Achilles tendon).
Currently, the pain is located in the inner muscle group of my calf, around the mid-calf area.
When going down stairs, if I put my toes down first (applying more pressure causes pain).
I am generally hesitant to put weight on my right calf.
Over the past few days, I have been applying ice and wrapping it.
I would like to ask the doctor: 1.
Is this a calf strain, or is there an injury to another area? 2.
Given the sensation of a rubber band snapping, can I still walk if the muscle is torn? 3.
Is it normal that my right leg feels like it has less overall muscle mass compared to my left leg? Or could this be due to muscle atrophy from a tear? (However, when I compare both calves, I do not feel any indentation in the right calf.) 4.
What symptoms are associated with a muscle tear (or rupture)? I have not noticed any swelling or bruising, which confuses me because I can walk normally without pain, but if I step incorrectly at a certain point, I feel a sharp pain.
Thank you for your assistance, doctor!
Shiying, 30~39 year old female. Ask Date: 2021/02/05
Dr. Yin Xinbei reply Rehabilitation
It appears to be a tear in the calf muscle.
If the tear is deeper, there may not be any swelling or bruising on the surface initially, and since it is only a partial muscle tear, walking may still be normal.
It is recommended to seek medical attention as soon as possible.
An ultrasound examination can confirm the diagnosis, and physical therapy can promote the absorption of deep bruising and accelerate muscle repair.
Reply Date: 2021/02/05
More Info
It sounds like you are experiencing a calf muscle injury, which can be quite common in sports activities, especially during sudden movements like cutting or sprinting. Let’s break down your concerns and provide some clarity on your situation.
1. Nature of the Injury: Based on your description of feeling a "pop" and the sensation of a rubber band snapping, it is possible that you have sustained a calf muscle strain or tear. The fact that you initially did not feel pain but later experienced difficulty and pain when applying pressure suggests that the injury may not be severe, but it is still significant enough to warrant attention. A calf strain typically involves the gastrocnemius or soleus muscles, which can be strained during explosive movements.
2. Walking with a Muscle Tear: It is indeed possible to walk with a muscle tear, especially if the tear is partial. Complete ruptures of the muscle or tendon (like the Achilles tendon) usually result in immediate and severe pain, swelling, and an inability to bear weight. Since you mentioned that you can walk but have pain when applying pressure in certain positions, it suggests that you may have a partial tear or strain rather than a complete rupture.
3. Muscle Atrophy: It is normal to notice some muscle atrophy or a difference in muscle size between your injured and uninjured leg, especially if you are favoring the injured leg and not using it as much. Muscle atrophy can occur quickly when a muscle is not used due to pain or injury. However, if you do not feel any significant indentation or deformity in the calf muscle, it is likely that the muscle is intact but may be weakened due to disuse.
4. Symptoms of Muscle Tears: Common symptoms of a muscle tear include sudden pain, swelling, bruising, and difficulty using the affected muscle. In some cases, there may be a palpable gap in the muscle if it is a complete tear, but this is not always the case with partial tears. The absence of swelling and bruising does not rule out a muscle tear, especially if the injury is mild.
Recommendations for Recovery
- Rest and Ice: Continue to rest the affected leg and apply ice to reduce any potential swelling. Ice should be applied for 15-20 minutes every few hours, especially after activities that aggravate the pain.
- Compression and Elevation: Use a compression bandage to help manage swelling and elevate your leg when resting.
- Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore function. It’s essential to start slowly and avoid any movements that cause pain.
- Physical Therapy: If the pain persists or if you have concerns about your recovery, consider consulting a physical therapist. They can provide a tailored rehabilitation program to help you regain strength and flexibility in your calf muscle.
- Gradual Return to Activity: As you start to feel better, gradually reintroduce activities. Pay attention to your body’s signals and avoid pushing through pain.
When to Seek Further Medical Attention
If you experience increased pain, swelling, or difficulty walking, or if you notice any unusual changes in your calf muscle (such as a significant indentation), it would be wise to consult a healthcare professional for a thorough evaluation. An MRI or ultrasound may be necessary to assess the extent of the injury accurately.
In summary, while it sounds like you may have a calf strain, the absence of severe symptoms is a positive sign. Focus on rest, ice, and gentle rehabilitation, and consider professional guidance if your symptoms do not improve. Remember, patience is key in recovery, and allowing your body time to heal will lead to better long-term outcomes.
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