Treatment of Hematoma from Tennis Leg Syndrome

Initial Management Approach

• Encouraging early ambulation rather than bed rest, as immobilization does not prevent complications and may worsen outcomes, is recommended by the American College of Chest Physicians 1, 2, 3

Important Caveats

• The American College of Chest Physicians advises against anticoagulation unless concurrent DVT is confirmed, as heparinization of a gastrocnemius hematoma can lead to compartment syndrome requiring aspiration and prolonged recovery 1, 2, 3, 4, 5