By Shaun Rodgers, Physiotherapist
What Should You Do for a Quad Muscle Strain?
A quad strain is an injury to the muscles in the front of the thigh, occurring typically during sprinting, decelerating, suddenly changing direction, or kicking.
QuadRICEP Muscle Anatomy
The quadriceps comprises of 4 major muscles.
- Vastus lateralis
- Vastus intermedius
- Vastus medialis oblique
- Rectus Femoris
The quadriceps muscles function to straighten your knee, and in the case of rectus femoris, also flex the hip.
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HOW ARE QUAD MUSCLE TEARS GRADED?
Quadriceps tears range from grade 0-4 and can occur in different parts of the muscle/tendon unit which is denoted by a, b or c.
● Grade 0 – muscle soreness with normal MRI and function
● Grade 1 – mild injury with small amount of fibres involved
● Grade 2 - moderate injury with between 10-50% of fibres involved
● Grade 3 - significant injury with over 50% of fibres involved
● Grade 4 - complete tear of fibres
● ‘a’ refers to myofascial injury
● ‘b’ refers to an injury within the muscle usually where the muscle
meets its tendon
● ‘c’ refers to an injury within the tendon
Putting it all together - a 2b quadriceps injury would mean a moderate injury between 10-50% of fibre involved at the junction where the muscle and tendon meet.
Risk of Quad Muscle Strains
Quad strains commonly occur during decelerating, kicking or sprinting, when the muscles are contracting most forcefully.
They are often referred to as a preseason injury, as this is when they most frequently tend to occur.
Whilst a strain of any part of this muscle group is possible, injury to the rectus femoris is by far the most common, and this is thought to be because of it’s powerful duel function of both straightening the knee and flexing the hip - just like the kicking action.
This is why quad strains are commonly seen in sports such as athletics, tennis, soccer and football.
What do you feel when you strain your quad muscle?
If you feel a sudden sharp pain, a cramping or pulling sensation in the quad muscle, this is most likely the sensation of a muscle strain occurring.
Interestingly, a grade 1 rectus femoris injury may present as soreness and tightness the day after an activity and feel similar to delayed onset muscle soreness.
Your physiotherapist can help you differentiate between DOMS and a muscle strain.
This is important, because if a minor injury is not managed well and allowed to fully recover, this can predispose you to a more significant quad injury which may take 4-6 weeks to fully heal.
As a general rule it is recommended to get checked by your sports physio if you feel soreness or tightness in the upper third of your quad following a big day of training or kicking, even if you didn’t feel an injury occur at the time.
A severe quad strain may result in the inability to walk without a limp or weight bear correctly on the affected leg. Swelling, tenderness and bruising may also be present. In cases of a grade 4 tear a visible deformity in the muscle may be evident.
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How do I prevent quad muscle strains?
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Gradually increasing the intensity and duration of training – doing too much too soon after a period of rest is why these injuries are most often seen in preseason
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Allowing adequate recovery time between workouts and or training sessions.
- Maintaining a solid level of conditioning, including kicking, accelerating and decelerating throughout the offseason, to prevent excessive deconditioning to these activities
- Keeping quad muscles strong, including use of eccentric strength exercises so they can absorb the energy of sudden physical stress
- Warming up adequately before training sessions
- Ensuring optimal nutrition and water intake before, during and after physical activity.
How to best manage a quad muscle strain?
The immediate treatment of any soft tissue injury is the PEACE & LOVE protocol – protection, elevation, avoid non steroidal anti inflammatory medications, compression, education, load, optimism, vascularisation, exercise.
Your physio can help guide you through these sections. The main things to focus on initially at home are ice, compression and elevation in the first 48 hours.
The aim is to minimise the inflammation, bleeding and damage to the muscle tissue, whilst the body does what it needs to do to put the initial healing scaffolding in place for optimal recovery.
Whilst there has been some recent debate regarding the use of ice following an injury, there is no doubt that using ice helps manage pain and reduces the inflammation and bleeding associated with a tear, without entirely stopping the inflammatory process altogether.
This is important because whilst it is vital for some inflammation to occur, to bring with it all the associated healthy healing factors, excessive inflammation and bleeding can actually hinder recovery and make the injury worse than it needs to be.
An ice pack applied for about 10 minutes every two hours (never apply ice directly to the skin to avoid ice burn) during the day whilst the injury is painful, is a good guide.
A correctly sized compression bandage can also be applied to help limit bleeding and swelling in the injured area.
The No HARM protocol should also be applied which includes no heat, alcohol, running, and no massage.
Avoid stretching the area even if it feels tight – your body is intelligent and is providing itself temporary a splint to best allow the injured tissue to heal.
WHAT EXERCISES SHOULD I DO FOR A QUAD STRAIN?
If you want to find out more about types of exercises for a quad stain, check out Physiotherapy Exercises For A Quad Strain.
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If you have strained your quad muscle, or have soreness that you need checked, make an appointment with our excellent sports physios for advice. Please call your nearest clinic, or book online. We look forward to helping you soon!
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How can we help you FIX YOUR BODY?
At Melbourne Sports Physiotherapy our goal is to get you moving pain free as soon as possible.
But, we also want you to actually move better and live a healthier, more active and fulfilling life!
If your sports, fitness training or work has been wearing your body down, book in with one of our expert massage therapists so we can help you reduce your pain or stiffness.
If you are showing some signs of this condition or simply want help prevent this from happening in the future then book in with one of our highly experienced Remedial Massage Therapists today!
You can make an appointment by calling or booking online.
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