Quadriceps Strain Causes, Symptoms & Treatment Options

The quadriceps are one of three sets of large muscles that make up the thigh. The quadriceps are strong muscles located in the front of the thigh and can handle large amounts of stress. However, they can become overstretched or torn. This kind of injury is a strain and is particularly common among athletes who rely on these muscles for running, jumping, and making sudden starts and stops. Quadriceps injuries range in severity but are often painful and can keep an athlete out of play for several weeks.

Quadricep strains often occur during athletic competition, when athletes make a sudden and forceful motion that pulls or tears the muscle fibers of the quadriceps. This muscle tear usually results from overexertion. Lack of adequate warm-up and stretching can put athletes at greater risk for this injury.

Quadriceps strains are most common in these sports:

• Soccer
• Hockey
• Football
• Rugby
• Basketball
• Sprinting

Quadricep strains often cause pain and loss of strength. These and other symptoms can range from mild to severe, depending on the extent of the muscle tear. Moderate to severe strains will likely keep the athlete on the sidelines from sports play. Common symptoms also include:

• Popping or snapping sensation at the time of injury
• Sharp pain and tenderness
• Swelling
• Bruising
• Loss of strength and motion
• Front thigh pain, especially when walking or bearing weight

If you have strained your thigh muscles, you should stop playing immediately. Consult your doctor on a treatment and rehabilitation plan so your injured muscles can heal properly, and you can return to your normal activities. Your doctor will ask questions about your injury and overall medical history. A physical examination will check for signs of injury, like swelling and bruising. Your doctor may check your range of movement by bending or straightening your knee and hip. He or she may order an imaging test (like an X-ray) to check for fractures; occasionally, an MRI may be used to confirm the diagnosis of a thigh muscle pull.

Treatment of quadriceps strains usually involves conservative measures to allow injured muscles to heal properly. Conservative treatments include:

• Rest from activities and sports that place strain on the quadriceps. This could include using crutches to keep weight off the affected leg
• Ice to reduce swelling
• Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, to help relieve pain and inflammation
• Compression bandages to help reduce swelling and protect the muscle
• Physical therapy (such as stretching exercises and sports massage) after pain and swelling have subsided, to help in the healing process

Try these exercises to help address your condition:

Below is a PDF of the Exercise Program

Quadriceps Strain

Surgery is usually not  recommended for the treatment of  quadriceps strains. Your doctor can advise you if you should consult with an orthopedic surgeon.

The time it takes to return to play will depend on the extent of the injury and how the athlete follows treatment recommendations. Before getting back to sports, athletes should be free from pain and have strength and range of motion similar to pre-injury levels. With proper rest, treatment and rehabilitation, most athletes can expect a full recovery from this injury.