The quadriceps, or
"quads," are a group of four muscles in the thigh. A pulled quad can
cause mild to severe pain. 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. However, some require further treatment, depending on
the severity of the injury.
Symptoms and causes of a pulled
quad
Common symptoms of a pulled quad include
bruising, pain, and a loss of strength.
The most common symptoms
include:
·
pain
·
swelling
·
loss
of strength
·
loss
of ability to move
·
bruising
Some people can feel the
injury as it occurs, while others only feel the effects.
An athlete who habitually
makes sudden, forceful leg movements, especially when fatigued, is most likely
to pull a quad.
According to research from 2010,
the most common causes of a strain or a pull in the quads include:
·
playing
sports, such as soccer, football, and rugby, which involve forceful
contractions of the quads
·
excessively
extending or stretching the muscle group
·
overall
muscle fatigue
The researcher also described
the grading system for pulled quadriceps:
·
Grade 1: mild pain,
limited loss of strength, and no muscle defects
·
Grade 2: moderate pain,
moderate loss of strength, and possibly a noticeable muscle defect
·
Grade 3: severe pain,
typically with a complete loss of strength and a noticeable muscle defect
How to treat a pulled quad?
A person should stop any
activity if they feel a pulling sensation followed by pain when moving the leg.
Seek medical attention as soon as possible.
For athletes, this may involve
letting a coach know. The coach should examine the injury and begin treatment.
The area around the quads will
likely swell when the injury first occurs. The American
Academy of Orthopaedic Surgeons recommends using the RICE
method for initial treatment of muscle strains in the thigh.
The RICE method stands for:
·
R — Rest: Avoid walking,
running, squats, and any activity that requires the leg to do too much work.
·
I — Ice: To prevent
further swelling, wrap ice packs or bags of frozen vegetables in towels and
apply them to the affected area.
·
C —
Compression:
Apply pressure to the area to keep swelling down.
·
E — Elevation: Elevate the
leg above the level of the heart to encourage the excess blood to drain from
the swollen area.
Using the RICE method and
resting will help the quad to recover fully.
Promoting muscle recovery
Some light stretches can
encourage recovery, and a person may benefit from applying mild heat to the
area before stretching.
Stretching should only last
for a few minutes, and be careful not to stretch very hard or far.
Over-the-counter medications,
such as ibuprofen, can help ease pain and swelling.
A doctor may also recommend physical therapy to restore the range of motion.
Ultimately, the best treatment
for a pulled quad is time. The body will repair itself over the course of a few
weeks.
Recovery
time
Recovery times can
vary, depending on the extent of the injury.
A person with a grade 1 injury
will likely recover within 1–2 weeks if they rest the muscle as much as
possible.
It can take longer to recover
from a grade 2 or 3 strain, in some cases over 1 month.
When the pain has disappeared,
and the strength of the muscle has returned, a person can go back to their
normal activities.
Prevention
Fully warming up before exercise is a
recommended precaution.
Most people do not need to
worry about pulling their quadriceps. Those most at risk tend to be athletes
engaged in intense physical activities.
Some risk factors include:
·
muscle
fatigue
·
an
imbalance between the strengths of the quads and the hamstrings
·
poor
conditioning, or trying to do too much too soon
·
muscle
tightness
Taking the following
precautions can help:
·
fully
warming up before engaging in the demanding activity
·
conditioning
the muscles with regular exercise
·
cooling
down following exercise
·
allowing
the muscle to heal completely before returning to the activity
When to see a doctor
A person may not need to see a
doctor for a mild quad pull. However, if a person has sustained the injury
while playing a team sport, it may be a good idea to see a doctor. The doctor
can recommend ways to speed the recovery.
Seek medical attention for a
quad pull if the injury:
·
causes
extreme pain or loss of movement
·
seems
to worsen
·
does
not improve over time
A doctor will examine the leg
and thigh. They may then use imaging to check the muscle for tears or
additional damage.
The doctor can recommend
medications to ease the pain and swelling. They may also suggest physical
therapy.
Finally, a doctor may advise
about returning to daily activities and write an excusal letter, if necessary.
Takeaway
For most people, a pulled quad
would be an unusual injury. Those most at risk are athletes and others who
participate in physically demanding activities.
It is essential to allow the
body to heal by resting the muscles as much as possible. A person should also
use the RICE method to reduce swelling.
Many people can return to
their regular activities within a few weeks of the injury.
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