Repairing Guides

how to repair torn quad muscle

by Dr. Lance Spinka V Published 3 years ago Updated 2 years 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 quadricep heal on its own?

Quadriceps injuries can range from mild to severe, but they usually heal on their own.

How do you heal a torn quad muscle?

Put ice or a cold pack on the front of your thigh for 10 to 20 minutes at a time to stop swelling. Put a thin cloth between the ice and your skin. Wrapping your thigh with an elastic bandage will help decrease swelling. Don't wrap it too tightly, since this can cause more swelling below the affected area.

Can you walk on a torn quad muscle?

A quadriceps tendon tear or strain is an injury to the quadriceps tendon (the tendon that works with the muscles in the front of the leg to straighten the leg). Although quadriceps tears or strains are not common, this injury can make it difficult to walk or participate in day-to-day activities.

Is a torn quad serious?

Most quadricep injuries resolve on their own with rest, ice, and physical therapy exercises. Severe quadricep tears may require surgery. Call your doctor if your pain and swelling worsens over time or is so severe that you are unable to walk.

What does a quad tear feel like?

When a quadriceps tendon tears, there is often a tearing or popping sensation. Pain and swelling typically follow, and you may not be able to straighten your knee. Additional symptoms include: An indentation at the top of your kneecap where the tendon tore.

How long does a torn quad take to heal?

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.

How is a quad tear diagnosed?

SymptomsAn indentation at the top of the kneecap where the tendon tore.Bruising.Tenderness.Cramping.A sagging or drooping kneecap where the tendon is torn.Difficulty walking due to the knee buckling or giving way.

How do I know if I tore my quad tendon?

Symptoms Of A Quadriceps Tendon TearPain just above the knee cap.Swelling.Tenderness around the knee cap.Bruising.Indentation just above the knee cap.

What causes a quad tear?

Causes and risk factors A quadriceps tear often occurs when there is a heavy load on the leg with the foot planted and the knee partially bent. Think of an awkward landing from a jump while playing basketball. The force of the landing is too much for the tendon and it tears.

How do you rehab a torn quad tendon?

To rehabilitate a complete tendon rupture you can choose between the conservative or a more aggressive treatment after surgery. The conservative treatment consisted of 4 to 6 weeks of immobilization in 10° of flexion. Two days after surgery intensive isometric quadriceps exercises can start.

How painful is quad tendon repair surgery?

You will likely feel pain or discomfort for the first few days, and you will be given a combination of pain medications as needed. There may be some minor drainage on the bandage since fluid may have accumulated during the surgery. Expect some blood to show through the bandage during the first 24 to 48 hours.

How do you tell if you pulled a quad muscle?

SYMPTOMS OF A QUAD STRAINPain and swelling in the thigh.Visible inflammation or bruising.Difficulty bending and straightening the knee.Leg weakness and reduced range of motion.Sharp pain when running, jumping, or kicking.

How do I know if I tore a muscle in my 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.

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.

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.

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 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 prevent muscle tears?

In most cases, muscles tears are preventable by observing proper warm-up techniques and never forcing a cold muscle to perform full tilt. Using the proper form in any activity is also critical to maintaining healthy muscles. Know your body’s limits. When it comes to pushing your body to the extreme, there’s no such thing as “no pain no gain.” In fact, pain often is the first sign that a muscle has been injured. Get to know your body and understand its signals. This is the best way to not only avoid injury, but to ensure continued peak performance.

How do you know if you have a torn muscle?

Symptoms of Torn Muscles. When you tear a muscle, even when it is mild, you will know immediately. Expect pain and soreness, as well as spasms and swelling in the affected area. Depending on the severity of the strain, you may find it difficult to move the area, if at all.

What is a muscle tear?

Torn muscles can occur any time your muscle becomes strained or overstretched. This can happen as a result of exhaustion and fatigue, improper use, or overuse. While any muscle can be affected, torn muscles most often occur in the lower back, neck, shoulder and hamstring.

How long does it take for a muscle tear to heal?

Moderate tears may require physical therapy. A severe tear that requires surgical repair can take months or longer to heal.

What percentage of muscle fibers are torn?

Torn muscles are categorized by the severity of the injury: mild which is a simple strain affecting 5% of a muscle’s fibers; moderate which is up to 25%-30% and accompanied by swelling, decreased range of motion and pain; and severe which is an actual tear in a muscle that is accompanied by extensive swelling.

What is the treatment for a minor strain?

– that’s Rest, Ice, Compression, Elevation – treatment for injuries. Your orthopedist may also recommend NSAIDs – non-steroidal anti-inflammatory drugs – to help reduce swelling.

What is the most common injury that happens when you are trying to get in shape?

Aches, sprains and soreness are common when one is trying to get in shape. However, muscle tears (also referred to as strains) can be more problematic.

How long does it take for a leg to be able to move after surgery?

No range of motion until 2 weeks, at 2 to 4 weeks 0 to 20 degrees. At 4 to 6 weeks 0 to 50 degrees.

How long does it take to increase range of motion?

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

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.

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

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 a short period of time. Then range of …
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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 we…
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