What are the treatment options for a patient with a calf strain with a mild muscle tear (muscle strain)?

From the Guidelines

A calf strain with a mild tear should not be treated with the RICE protocol, as it is not advised for lateral ankle sprains, and instead, functional support and exercise therapy should be prioritized to recover joint functionality. The treatment of a calf strain with a mild tear should focus on reducing pain and inflammation, while also promoting healing and preventing further injury. According to the most recent evidence 1, functional support is preferred over immobilisation, and exercise therapy should be started as soon as possible to recover joint functionality.

Some key considerations for treatment include:

• Using non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling, as recommended by the evidence 1
• Avoiding activities that cause pain for at least 7-10 days
• Beginning gentle stretching and strengthening exercises, such as calf raises and ankle circles, gradually increasing intensity as pain allows
• Applying heat before exercise to increase blood flow
• Prioritizing functional support, such as the use of a brace, to enhance the treatment effect

It is essential to note that the healing process involves inflammation, tissue repair, and remodeling phases, and proper rehabilitation is crucial to restore muscle strength and flexibility while preventing future injuries. If pain persists beyond two weeks, worsens significantly, or if you cannot bear weight on the leg, seek medical attention. The evidence 1 also suggests that rest, ice, compression, and elevation (RICE) may not be the most effective treatment approach, and instead, a more functional and exercise-based approach should be taken.

In terms of specific treatment modalities, the evidence 1 recommends against the use of immobilisation and RICE, and instead suggests the use of functional support, exercise therapy, and NSAIDs to manage pain and reduce inflammation. Overall, the treatment of a calf strain with a mild tear should prioritize functional support, exercise therapy, and pain management to promote healing and prevent further injury.