Understanding Gastrocnemius Muscle Tear

Understanding Gastrocnemius Muscle Tear

By Semko, Laura 
June 19, 2017

Understanding Gastrocnemius Muscle Tear

Back view of lower leg showing gastrocnemius muscle and Achilles tendon.A gastrocnemius muscle tear is a severe, sudden injury to your calf muscle. This muscle helps flex the lower leg. It also helps you do quick movements, such as jumping and sprinting. An injury to this muscle is sometimes called “tennis leg.”


How to say it


What causes a gastrocnemius muscle tear?

This injury can happen if you make a sudden quick movement that overstretches the muscle. Such movements include jumping or quickly changing direction. People who play sports like tennis or basketball are more likely to suffer such a muscle tear. Exercising too much or not warming up properly can weaken the gastrocnemius muscle.

Symptoms of a gastrocnemius muscle tear

At the time of injury, you may hear a popping sound or feel a tearing sensation in your calf. Other symptoms include:

  • Pain

  • Swelling

  • Bruising

  • Problems walking or putting weight on the injured leg

Treatment for a gastrocnemius muscle tear

Treatment depends on how severe the muscle tear is. The severity will also affect how long it takes to heal. Treatments may include:

  • Rest. Avoid walking or other activities that cause pain.

  • Ice. Putting ice on the injured area may ease swelling.

  • Elevation. Propping up your calf slightly above the level of your heart may lessen swelling.

  • Prescription or over-the-counter medicines. These help reduce pain and swelling.

  • Walking boot or crutches. Your healthcare provider may fit you with one of these devices to help you move with less pain.

  • Heel lifts. These are placed inside your shoes. When wearing them, your calf won’t stretch as much, easing pain.

  • Compression sleeve. You may need to wear one of these to prevent blood clots in your injured leg.

  • Strengthening and stretching exercises. Certain exercises can help you regain strength and flexibility in your calf.

Complications of gastrocnemius muscle tear

  • Calf weakness

  • Acute compartment syndrome, when pressure builds up in the muscles of the foot and impedes blood flow

  • Deep vein thrombosis, when blood clots form in the veins of the legs


When to call your healthcare provider

Call your healthcare provider right away if you have any of these:

  • Fever of 100.4°F (38°C) or higher, or as directed

  • Pain that gets worse despite pain medicine and rest

  • Symptoms that don’t get better, or get worse

  • New symptoms


June 19, 2017


Buttaravoli G, Leffler SM. Plantaris Tendon Rupture, Gastrocnemius Muscle Tear : (Calf Muscle Tear). In: Buttaravoli G, Leffler SM, editors. Minor Emergencies. 3 ed. Philadelphia: Saunders; 2012. p. 489-92., Nsitem V. Diagnosis and rehabilitation of gastrocnemius muscle tear: a case report. Journal of Canadian Chiropractic Association. 2013;57(4):327-33., Rainbow CR, Fields KB. Calf injuries not involving the Achilles tendon. Up to Date. August 21 ed: Up To Date; 2015. p. 28.

Reviewed By:  

Bellendir, Trina, MSPT, CLT,Image reviewed by StayWell medical illustration team.,Joseph, Thomas N, MD