Repairing Guides

how to repair a torn quad muscle

by Kaylin Willms Published 1 year ago Updated 1 year ago
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Rest, ice, compression, and elevation are the best immediate treatment for all pulls and strains. For serious muscle strains, work with a rehab specialist to set up the appropriate return to activity plan for you. Once activity is started again, ice the muscle after exercise to reduce any swelling.

Surgical Treatment
If the quadriceps tendon tear is severe, you will require surgery to repair the torn tendon and reattach it to the kneecap. The sooner surgery is performed after an injury, the better the outcome will be. Early repair also keeps the tendon from scarring and tightening when in a shortened position.
Oct 19, 2017

Full Answer

Does a torn quad require surgery?

The quadriceps tendon works with the muscles in the front of your thigh to straighten your leg. A large tear of the quadriceps tendon is a disabling injury. It usually requires surgery and physical therapy to regain full knee function. Quadriceps tendon tears are not common.

How to recover from a strained quad fast?

  • Rest. Cease any strenuous or unnecessary activity and rest your leg as much as possible. ...
  • Ice. Apply an ice pack to your quad muscle for 10 to 20 minutes every hour or as often as possible. ...
  • Compression. Wrap your thigh in an elastic bandage to help reduce swelling.
  • Elevation. Raise your thigh to or above the level of your heart. ...

How to treat a torn meniscus and speed recovery?

during torn meniscus recovery.

  • Rest the knee often. That means not doing whatever activity led to the injury.
  • Put ice or a cold pack on your knee several times a day for 20 minutes at a time. Put a thin cloth between your skin and the ice.
  • Apply compression by wearing a bandage or brace. This keeps the knee stable.
  • Elevate the knee while you're resting or when you're icing it. ...

What is the treatment for a torn quad muscle?

What is the treatment for a quadriceps injury?

  • Crutches or other gait-assist devices might be needed depending upon the level of pain and whether or not the individual can weight-bear on the injured leg.
  • After a short period of rest, most people can start returning to normal function as pain allows. ...
  • Anti-inflammatory medications such as ibuprofen ( Motrin and Advil) may be helpful. ...

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Can a torn quad heal on its own?

While most quadricep injuries heal on their own with rest and ice, more serious cases may require medical treatment. If you see your doctor for a quadriceps injury, you may be prescribed medication to alleviate pain and swelling and given physical therapy routine to perform over time as you recover.

How do you tell if you have a torn quad muscle?

Symptoms of quadriceps tear or strainPopping or tearing sensation in the quadriceps.Cramping, bruising or tenderness.Inability to walk without the leg giving way.A depression where the tendon tore.

Can you walk on a torn quad muscle?

Small tears of this tendon cause pain or make it difficult to walk and participate in other daily activities. A complete tear of the quadriceps tendon is a disabling injury. It almost always requires surgery, followed by physical therapy to regain full knee motion and function.

How do you heal a pulled quad muscle?

Initial treatment involves reducing swelling, and a person may need continuing rest or physical therapy to recover fully. The quads' primary purpose is to straighten the knee. Athletes and other physically active people are most likely to pull a muscle in this group. Most people recover after applying ice and resting.

What does a quad tear feel like?

The athlete may feel a sudden sharp pain when running, jumping or kicking and be unable to play on. Pain will make walking difficult and swelling or mild bruising may be noticed. The pain would be felt when pressing in on the suspected location of the quad muscle tear.

How long does it take to recover from a torn quad?

Typically, after 10-12 weeks the injury has healed. The patient may resume normal activities after they have full range of motion and quadriceps strength. This can be anywhere from 3-6 months after the injury.

What happens if a torn tendon is not repaired?

If left untreated, eventually it can result in other foot and leg problems, such as inflammation and pain in the ligaments in the soles of your foot (plantar faciitis), tendinitis in other parts of your foot, shin splints, pain in your ankles, knees and hips and, in severe cases, arthritis in your foot.

Should you foam roll a pulled quad?

I recommend using a foam roller to address tightness in the lower leg. Care should be taken, and don't roll too aggressively on the site of the injury.

How do you know if you tore a muscle in your thigh?

A person who experiences a muscle strain in the thigh will frequently describe a popping or snapping sensation as the muscle tears. Pain is sudden and may be severe. The area around the injury may be tender to the touch, with visible bruising if blood vessels are also broken.

Symptoms of A Pulled Quad

The quadriceps are the group of four muscles on the front of the thigh that act to straighten the leg at the knee. Injuries can range from a grade...

Pulled Quad Recovery Time

You’ll know you are ready to resume playing sports once you no longer have pain and can move your leg with ease. The key to preventing injuries is...

Tips to Prevent Quadriceps Strains

You’re more likely to strain your quadriceps again after an initial injury. Cold muscles are more likely to sustain an injury. Therefore, the best...

How to heal a quad tear?

Stretch and Strengthen. For mild tears, after the pain and swelling have subsided, you can begin light exercise to prevent stiffness and regain mobility and strength in your injured quad. Usually this is about five days after the strain occurred. A few times a day, gently stretch the quadriceps muscle.

How to relieve pain from a pulled quad?

Gentle stretching can help relieve pain from a pulled quad. Image Credit: iprogressman/iStock/GettyImages. A pulled muscle is no fun. Unfortunately, it's very common, and most athletes or fitness enthusiasts will experience one at some point.

What to do after a quad is pulled?

In rare cases, a pulled quad needs surgery to repair torn ligaments, muscle or tendon.

How to help fluid drain from a thigh injury?

Elevate: Elevate your thigh on pillows whenever possible to help fluid drain away from the injury site.

What is grade 1 quadriceps strain?

Taking proper action as soon as the pull occurs helps you bounce back quickly. Quadriceps strains can be classified in categories. A grade 1 tear is mild, while a grade 3 is a complete tear and quite serious.

What happens if you pull your quadriceps?

If you've pulled your quadriceps — a collection of four muscles on the front of your thigh — your discomfort will range from mild to severe. Mild cases can be treated at home, while more serious pulls may need medical attention. Advertisement.

How to heal a quadricep pull?

Ice: Apply an ice pack to the area for 20 minutes every few hours. Never apply an ice pack directly to the skin.

How to help quadriceps?

Physical therapy. Once the initial pain and swelling has settled down, physical therapy can begin. Specific exercises can restore strength and range of motion. Exercises will gradually be added to your program. Straight leg raises to strengthen your quadriceps are often central to a physical therapy plan.

What is a quadriceps tendon tear?

Quadriceps Tendon Tear. Tendons are strong cords of fibrous tissue that attach muscles to bones. The quadriceps tendon works with the muscles in the front of your thigh to straighten your leg. Small tears of the tendon can make it difficult to walk and participate in other daily activities. A large tear of the quadriceps tendon is ...

What muscles are connected to the patella?

The quadriceps tendon attaches the quadriceps muscles to the patella. The patella is attached to the shinbone (tibia) by the patellar tendon. Working together, the quadriceps muscles, quadriceps tendon and patellar tendon straighten the knee. The knee and tendons. Muscles are connected to bones by tendons.

Why does my kneecap move out of place?

The kneecap moves out of place when the quadriceps tendon tears. This is often very obvious on a "sideways" x-ray view of the knee. Complete tears can often be identified with these x-rays alone. (Left) This x-ray taken from the side shows the normal location of the kneecap.

What is knee extension test?

Doctors use the knee extension test to help diagnose a quadriceps tendon tear.

What is a complete tear?

Complete tears. A complete tear will split the soft tissue into two pieces, or the tendon will completely separate from the bone.

What to do if you tear a torn tendon?

Surgical Treatment. Most people with complete tears will require surgery to repair the torn tendon. If you have a large partial tear or a partial tear associated with tendon degeneration, your doctor may also recommend surgery. This will likely depend upon your age, your activities, and your previous level of function.

How to stop quad pain?

Avoid all activities that involve lower body strengthening, such as squats, lunges, running, or jumping activities. Apply ice or cold packs for 15 minutes multiple times per day on the area of pain.

What is a pulled quad?

Symptoms of a pulled quad. The quadriceps are the group of four muscles on the front of the thigh that act to straighten the leg at the knee. Injuries can range from a grade 1 (mild) strain to a grade 3 (severe) tear. Symptoms include:

How long does it take for a quad to heal?

After the initial inflammatory response occurs, it’s time for your tissues to start rebuilding. Full recovery can take up to six weeks or more. For a mild strain or sprain, most people feel better after a week or two of rest. You’ll know your quad is healed when you no longer have pain and can move your leg through its full range of motion.

How to recover from a leg injury?

If you’re returning to activities such as running or weightlifting, start off slowly and work your way up to your previous level by increasing your distance or weight gradually. The AAOS recommends that the strength of your injured leg be at least 85 percent of your uninjured leg to return to competitive sport.

How to help a swollen leg?

Try using an elastic bandage around the swollen area, or use a compression sleeve that covers the top portion of the leg. Share on Pinterest. Elevate your leg when possible to help decrease swelling and pain. You can do this by propping your leg up on a pillow while lying in bed or on the couch.

How to strengthen a leg that is injured?

You can also incorporate light strengthening activities such as seated leg extensions or wall squats. This will help strengthen your injured leg and prevent injury once you return to full activity. Always check with your doctor or physical therapist before doing any stretching or strengthening exercises.

How to stretch your buttocks?

Try doing a quadriceps stretch by lying on your belly and pulling your foot up toward your buttocks until you feel a stretch. Gradually increase the tension, being careful to avoid sudden movements. Never stretch past the point of pain.

How to strengthen a torn quad?

Initially perform isometric quad strengthening exercises by sitting and contracting the quad muscles, holding the position for 10 to 15 seconds. Release and repeat five times. As your muscles heal, you can perform exercises like squats and lunges to strengthen the quads.

Where are the quad muscles located?

Your quadriceps or quad muscles are located on the front of your thigh and help you extend and straighten your leg. A quadriceps tear is a serious injury that prohibits you from moving the lower leg and requires surgery. It most commonly occurs in those who play sports that require a significant amount of running and/or jumping. If you have torn quad muscles, your physician will recommend exercises to maintain circulation to prevent blood clots. As the leg begins to heal, more extensive exercises can be performed. Do not begin any exercises without your physician’s approval.

How to heal a torn muscle?

The first goal of the therapist is to stop the bleeding, which is done by applying ice immediately to the site of muscle injury. The injured area is elevated and put on rest. This reduces the blood flow to the injured muscle area.

What to do after a torn muscle is healed?

After the torn muscle has healed substantially, the physical therapist then goes ahead with the muscle strengthening exercises with specific strokes and stretches to correctly align the new muscle threads and fibers.

How does a muscle tear work?

Advertisement. Once the muscle tear occurs, the body rushes the fluid to the area, to immobilize the damaged part. This starts the repair process of the torn muscle. As the damaged muscle area gets filled up with fluid, there is pressure on the torn blood vessels which stops the bleeding.

What are the symptoms of a muscle tear?

The symptoms accompanied with muscle tear are: Pain even at rest. Swelling. Bruising and redness. Inability to use the muscles. Weakness of the muscles. Pain in the movement of the joint related to the torn muscle.

What is a muscle tear?

Muscle tear refers to damage to the muscles or the tendons attached to the muscles. A muscle tear can damage the blood vessels, which can lead to pain and bruising caused due to irritation of the nerve endings in that area. 1 Muscle tear can result from pressure on the muscles during the course of normal daily activities, ...

What is a tear in the muscles?

Advertisement. Our muscles are made of fibers, which resemble the threads wounded into a rope. Tear in the muscles occurs when these threads are stretched too much . As the muscle fibers break, their ends spring or curl up.

How to reduce swelling in torn muscle?

This reduces the blood flow to the injured muscle area. A bandage application helps in reducing the swelling in the torn muscle. Most of the time, over-the-counter anti-inflammatory drugs are prescribed to help ease pain and swelling and to speed up the muscle healing process. Advertisement.

General considerations

The surgical leg will be weight bearing as tolerated using crutches post-operatively.

Week 1

M.D., office visit day 2 for dressing change, review of medications and instruction on a home program.

Weeks 4 - 6

M.D. visit at 1 month post-op. Wean out of brace, use brace unlocked if approved by MD.

Weeks 6 - 8

Begin functional exercises such as partial squats, bent leg bridges, small range slider lunges, mini step ups.

Weeks 8 - 12

Initiate gentle passive flexion stretching to increase range of motion by 10 weeks.

Months 4 - 6

Goals are to develop maximal strength, power, and advance to sporting activities.

How long does it take to treat a pulled quad muscle?

Mild strains can typically be treated at home, while grade II and III strains need medical attention in most cases. Regardless of the severity, the first 48 hours are crucial.

Why do my quads tear?

Strains occur when excess pressure causes the muscle fibers to become stretched to the point of tearing. This often happens in sports activities when the quads contract forcefully to extend the leg during a kick or to accelerate during a sprint.

How to reduce swelling in quads?

This is crucial for reducing inflammation. Ice. Apply an ice pack to your quad muscle for 10 to 20 minutes every hour or as often as possible. Ice reduces swelling and can limit bruising. Compression.

What are the first steps to extending the leg?

According to Massachusetts General Hospital Orthopedics, the first stage of exercises includes isometric contractions of the thigh muscle, as well as simply building mobility by practicing extending the leg at the knee. The next stage of exercises includes lying leg lifts and side-lying leg lifts, as well as calf raises and wall sits. You can also do gentle quad stretches, but only to the point that you feel a slight stretch. Never overstretch or stretch through pain.

How are muscle strains graded?

Muscle strains are graded based on the symptoms and the severity of those symptoms. This helps you and your doctor determine what course of treatment to take, and it can provide a rough estimate as to pulled quad recovery time.

What muscles do you use to run downhill?

The main function of your quadriceps muscles is to extend the leg at the knee, a fairly ordinary event. But you also use them when you need to make a short stop or pick up speed in activities like football and soccer, and if you're a runner, you use them a lot, particularly when you run downhill.

What are some exercises to help with a swollen calf?

The next stage of exercises includes lying leg lifts and side-lying leg lifts, as well as calf raises and wall sits . You can also do gentle quad stretches, but only to the point that you feel a slight stretch. Never overstretch or stretch through pain.

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Prognosis

Overview

Clinical significance

  • The quadriceps tendon is important because it allows the knee to be extended. If the quadriceps tendon is injured then the patient will not be able to extend their knee. The quadriceps tendon is injured most commonly from a forced eccentric contraction (contracting while lengthening) against an outside force. This can happen during high-energy accidents such as motor vehicle c…
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Causes

  • Really there are very few risk factors. Most quadriceps tendon ruptures are the result of either direct or indirect trauma. There are some medical problems that can increase a persons chance of having a quadriceps tendon rupture including renal (kidney) disease, rheumatoid arthritis, chronic steroid use and diabetes mellitus. However, even in patients with these disorders, the in…
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Symptoms

  • Most people with a quadriceps tendon rupture will note the acute onset of pain and disability in the affected leg. Usually this is precipitated by a fall or other traumatic event. The pain will be located at the level of the knee or just above the knee joint. The patient with a complete rupture is unable to do a straight leg raise or extend their knee. These patients will have a difficult time wal…
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Diagnosis

  • Initially a patient who presents with pain and swelling in the knee should undergo plain radiographs (x-rays) of the affected knee. This will help to rule out a fracture as the cause of the problem. If these are negative, then a MRI scan can be obtained to evaluate the integrity of the quadriceps tendon. The x-rays of a patient with a quadriceps tendon rupture may show patellar …
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Types

  • Quadriceps tendon ruptures come in two main types: partial and complete tears. Distinguishing between the two is very important, as the treatment is vastly different.
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Treatment

  • Partial tears can sometimes be treated non-operatively. In order for a partial tear to be treated without surgery, the patient must be able to do a straight-leg raise and have good strength with this physical exam finding. If this is the case, treatment should commence immediately with immobilization of the leg in full extension (out straight) for ...
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Results

  • After surgery, the patient will start with gentle passive range of motion with their physical therapist. The patient will be able to weight bear with all of their weight on their leg after a week or two, but will have to wear the brace they received after surgery locked straight for the first six weeks, except when doing their therapy. By six weeks post-op, the patient should have 90 degre…
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