Treatments for a Quadriceps Strain
Early diagnosis and proper treatment are important to prevent a quadriceps strain from becoming chronic; it doesn't take much to change a grade 1 strain into a grade 2 strain. Injuries to the muscle belly are best managed with adherence to the conservative treatment methods, which includes modifying and/or eliminating the activities that cause tenderness or discomfort in your quadriceps area, and performing gentle strengthening and stretching once initial inflammation has gone down. Scar tissue can often develop with pulled quadriceps, where your soft tissue has pulled away from the bone. As your damaged quadriceps tissues heal this dead, fibrotic tissue will be produced instead of forming brand new healthy tissue.
This tissue adheres to your muscle fibers, tendons, ligaments, fascia, nerves, and joints causing pain and preventing them from moving properly (this limits your range of motion, flexibility and strength). Patience is required with a quadriceps strain, as it can take time to revert to your normal state. Quadriceps injuries often heal on their own but without proper rehab, they may not heal properly.
Returning to your activities too early can lead to chronic pain, which becomes much more difficult to treat afterwards. Allowing your injuries to heal properly is critical. Impatience in healing is one of the main causes that change a minor quadriceps injury into a chronic quadriceps injury.
Treatment methods and recovery time is really based on the severity of your strain, whether you have an acute or chronic strain, the type of treatment you receive, as well as your commitment to proper rehabilitation. Torn ligaments and tendons require as much time as a fracture.
Grade 1 quadriceps strains tend to take between a 1 - 3 weeks, and respond best to conservative home treatments, and stretching/strengthening exercises.
Grade 2 quadriceps strains tend take between 3 - 8 weeks, and responds best to conservative home treatments such as cold compression, , or BFST® and possible support aids, therapies and medications, along with a focused exercise program.
Grade 3 quadriceps strains tend to take between 2- 6 months (depending on if you require surgery), and often involve immediate medical attention, supportive aids, therapies, medication and possibly surgery, along with a regimented exercise program.
A good reference point for healing is once you've regained approximately 90% of your pre-injury strength, have 120 degrees of flexion, little quadriceps weakness, and you are pain free, you can return to your normal activities.
Serious athletes may undergo isokinetic strength testing following a muscle injury and during rehabilitation to help set up a customized exercise program. This is an indicator of recovery that tests range of knee movement; concentric, eccentric and isometric strength testing; endurance testing; quadricep: hamstring ratio (ideally 100:75); and will identify areas of weakness areas.
RCCE: - This philosophy is used to decrease inflammation and relieve pain for a chronic or diagnosed pulled quadricep within the first 48 hours of a flare-up:
Rest your quadriceps and leg and limit your activity; you may want to use a walking aid (cane or crutches) to prevent immediate weight bearing or a knee immobilizer (brace or cast) to prevent unnecessary movement, if severely damaged or painful.
Treat your quadriceps with Cold 2-3 times/day for approximately 15 - 20 minutes at a time to help reduce blood flow and fluid build up in your quadriceps. Gel packs are a better option than frozen peas if possible, as they mold to your body.
Compress your quadriceps if possible by adding light pressure to minimize swelling (make sure the compress is snug, but not too tight as it could cause numbness, tingling or more pain).
Re-freezable cold therapy compresses are excellent because they provide ice therapy, compression and a protective covering to prevent skin burn from the cold. This combination drives the cold deeper into the injured tissue than regular ice packs, and speeds the healing process. These compresses are fitted to your foot, easy to use, mess-free and re-usable.
Elevate your legs above chest level to relieve the pressure and allow any fluid to drain from your injured area.
If you have experienced an acute quadriceps injury and/or have not been diagnosed, adhere to the RCCE philosophy within the first 48 - 72 hours. Gentle massage around the quadricep area or small flexing or extending movements will also help increase blood flow, oxygen, nutrients, and will prevent scar tissue development.
I am a 44 year-old woman in good health. I eat a fresh diet and take high-quality supplements, including MSM, glucosamine, Zyflamend, and all the usual joint-recomended supplements.
I injured both knees two years ago while kneeling to tile my family room and entry. Subsequently, a simple twisting squat ripped my left meniscus with a huge bucket tear that required surgery to trim so it wouldn't keep catching and re-tearing. I am not one to undergo surgery unless it is unavoidable, and even after a "simple" scope operation, it took me a full year to get full extension back on that knee, and I doubt I will ever be able to squat again.
I run a cleaning business. A couple of months ago an employee had forgotten to return equipment to my van, and I had to mop some hardwood flooring for a client on my hands and knees. That simple ten-minute job put me back out of commission. The kneeling pre-injured the area, and when I stepped back onto my good leg two days later, I felt that familiar burn of a fresh meniscus tear. I was heartsick, dreading another surgery and the attendant expense, pain, and down time. I know from my previous experience that cartilage is hard to heal because of the poor blood supply, especially to the center. I knew it was just a matter of time before I tore it further. (My dad had multiple knee scopes before finally getting a replacement, but I was not going down that path if I could help it!)
I got online and researched alternatives that would get me back on my feet. Delighted to discover Mend Me Shop and their professional athletic healing devices, I ordered the Inferno Wrap and Ice Wrap. $400 would be a pittance relative to the $13,000 it costs to repair a torn meniscus (and that doesn't include rehab and lost income). During the week it took the package to arrive, I stayed off my feet as much as possible and iced the injured knee several times a day. My big hope was simply to avoid tearing the cartilage further before the stuff came. (With my surgery knee, I had re-torn it repeatedly before surgery.)
The minute that I put that Inferno wrap around my bad knee, I was in love! The penetrating warmth felt amazing. I kept it by my desk and strapped it on when I would sit and work at the computer. And I kept icing the knee. Within a couple weeks I was walking evenly on both legs, if gingerly lest I inadvertently twist or bounce. But I was definitely healing. I didn't miss any work after the first week, though I moved more slowly than usual and occasionally felt that piercing reminder of the tear. I had to lie down and elevate my knee every two hours to get through the day, but it was slowly healing. Four weeks later I was feeling so good, and the day was so sunny, that I went skipping off the front porch and was reminded I have a torn meniscus!
And so it goes to this day, some six weeks later: the injury is there, but it is gradually improving. The more I use the therapy devices, the faster it improves. The more I get lazy and feel perfect and neglect them, the more I slow down. But I work a full schedule without breaks and only occasionally am reminded of the injury. By God's grace and with many thanks to Mend Me Shop, I have avoided surgery!