Trivial incident leading to tennis leg managed conservatively: A case report

Abstract

Since 1883, “tennis leg” has described various acute calf injuries linked to activities such as tennis serving or stair climbing. Current research suggests that tennis leg is caused by the injury of the medial head of the gastrocnemius muscle. This case report details the case of a 35-year-old male who suffered sudden and intense calf pain after a minor leg extension injury. The diagnosis of tennis leg, likely involving gastrocnemius muscle (partial tear), was made using clinical evaluation and ultrasonography (USG). The patient was managed conservatively and regained normal muscle function at the 4-month follow-up. Diagnosis, aided by clinical examination and imaging like USG, is crucial for accurate differentiation from conditions like deep vein thrombosis, as was done in our case. Treatment typically involves conservative measures like rest, ice, compression, elevation, analgesics, and physiotherapy, while surgery may be considered in severe cases. Regular follow-up is vital for monitoring recovery progress and adjusting treatment plans as needed. This case emphasizes the importance of promptly recognizing tennis leg injuries and differentiating it from other disorders with similar presentations.