Quadriceps Strain

"The thigh and buttock are common sites for referred pain, i.e. there is nothing structurally wrong with either yet symptoms are present. Referred pain into these areas is usually as a result of lower back dysfunction. Treatment aimed at the lower back usually resolves symptoms experienced in the thighs and buttocks" James Grigg

The quadriceps are made of four muscles (vastus medialis, vastus lateralis, vastus intermedius and rectus femoris) that connect the pelvis to the knee. They are primarily responsible for extending the knee.

Quadricep strains are far less likely than hamstring strains (click here for more information regarding hamstring strains). However, when injury does occur, it is most likely to be rectus femoris that suffers.

As with all muscle strains, quadricep muscle strains can be classified into the following grades:

First degree muscle strain

- Some stretching of the muscle fibres
- Minimum pain or discomfort
- Minimal or no swelling
- Normal range of movement

Second degree muscle strain

-  Considerable proportion of muscle fibres torn
- Moderate to severe pain, sometime unable to weight bear initially
- Swelling and possible bruising
- Pain when contracting the muscle
- Pain with stretching the muscle 

Third degree muscle strain

- Total rupture of the muscle
- Severe swelling and bruising
- Unable to weight bear
- Severe pain when contracting the muscle
- Severe pain with stretching the muscle 


Treatment

Treatment of the quadricep muscle strains should focus on correcting the underlying cause to injury or else re-occurrence is likely. The lower back and the patient's posture should also be assessed. Treatment should also focus on returning the muscle to its orginal length and exercises should be given to help improve coordination and muscle recruitment.

To receive the best treatment for your discomfort arrange an appointment today or if you have any questions please feel free to email