There are several stages of muscle damage (contracture, elongation, tear Where breakdown, breaking up Where disinsertion). These differences between lesions are related to their depth. “If a tear occurs, the fibers are damaged and broken, which causes brutal pain, a muscle bloating or on the contrary a strong contraction and a hematoma, specifies Dr Bacquaert. Muscle tear can go as far as rupture. The pain is then searing and can even cause discomfort. There is muscle retraction because the muscle is no longer attached. ”
Tennis Leg: which muscle does it affect?
” The Tennis Leg is here twin tear, a muscle located at the calf, specifies the sports doctor. It can be triggered shortly after starting a matchtennis : about half an hour. “
The tennis leg pain is brutal : a bit as if we had received a tennis ball in the leg or a hit with a racket.
Calf tear: who is affected?
the Tennis Leg often affects people from 40 years old. “From this age, several things can lead to a muscular weakness, alert the sports doctor. The poorer physical condition, a weight gain, a higher cholesterol… ”
Calf strain: how do you feel?
“While everything was fine a few seconds before, the player suddenly feels an intense pain localized in the middle of the calf, even up to the Achilles tendon, informs Dr. Bacquaert. A hematoma can appear quickly and the calf can swell and become hard. ”
What to do at the time of breakdown?
Immediate care is important. “It can be summed up in 4 steps, details sports doctor: ice pose on the affected muscle, the compression, the’elevation and the immobility, according to the ‘RICE’ protocol. ”
Good to know: whatever the muscle pain, you should not never massage in first intention. Nor apply heat. “These actions worsen the lesion and cause the muscle fibers to bleed,” warns the doctor.
The clinical examination is based on palpation of the affected muscle with a comparative examination to check if there is a retraction, the presence of a hematoma, a functional impotence. Depending on the case, a puncture of the hematoma may be necessary so that the muscle heals properly.
“The gold standard for muscle tear is theultrasound, specifies Dr Bacquaert. In the case of a tennis leg it can allow check the Achilles tendonin order to eliminate a complementary partial rupture. And if there is any doubt about a possible tendon or bone tearing, a MRI is then prescribed. “
How long to rest?
“A muscle tear is treated with the rest and the cold, never in the heat, specifies Dr Bacquaert. The put to rest is 15 to 30 days and can go up to three months. In addition to rest, the use of a heel, crutches Where a splint may be necessary. ”
Initially, recourse to massages is not advised. “They can be recommended after at least 15 days of healing, and after control ultrasound, when there are residual fibrous, swollen scars, explains the specialist. We therefore recommend deep transverse massages that stimulate fibers and help them recover. ”
Precautions to be taken
- Wear good comfortable shoes, maintaining the feet well to have good support and equipped with good cushioning in the heel and forefoot, essential during shocks.
- Do not play tennis if you are taking antibiotics from the family of fluoroquinolones, and be very careful if you are under statins, under corticosteroids…