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Calf pain is usually not serious except if swelling or severe pain is present.

Common causes Cramp, muscle stiffness, muscle injury, e.g. gastrocnemius tear, claudication (PVD)

Not to be missed Deep venous thrombosis, thrombophlebitis

Others Ruptured Baker cyst, referred pain (back, knee), Achilles tendon rupture. ‘Monkey muscle’ injury or ‘tennis leg’ is a rupture or severe strain of the medial head of gastrocnemius muscle. Treat initially with RICE every 2 waking hrs for 48 hrs. Follow up with heel raise and stretching exercises.

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