Looking for some input on an older injury that continues to be bothersome. I recently graduated college after playing soccer for four years. My sophomore year I recall hurting my quad bad enough that I began to favor my non dominant foot. I developed a lump in that quad after the season and after seeing a trainer and being told it was a knot, I figured it would go away. My sophomore through senior year I continued to battle with the injury that never went away, but did not want to go to the trainer if it was just a knot. After my senior season I finally decided to see an orthopedic doctor, who after tests and images told me it was a tear. However, I was told that since I had waited too long there was nothing that could be done at that point. It is still debilitating and restricts most of my active lifestyle. Bothers me to this day when playing soccer, weight training, and simply running. Seems that my quad is becoming more deformed with the lump formed and dip in my quad.
I was wondering if anyone else has endured this type of injury and if there was any professional advice on what could be done to help.
Post by Brian Capogna, MD on Nov 14, 2017 14:41:47 GMT -6
Dear poster, thank you for your thoughtful question. What, in layman's terms, is a "quad strain" in the medical field actually can mean a tear of the muscle itself. That does not always mean that the injury is surgical, however. In fact, if injuries are in the muscle often repair is not possible for muscles like the quadriceps or achilles and these injuries are often best treated with rest, anti-inflammatories, icing, stretching, and physical therapy. From your story it does appear as if you may have had a tear in the quadriceps muscle itself. However to truly clarify the extent of what you are experiencing I think X-rays and an MRI of the area are warranted if you have been dealing with this injury for several years with persistent symptoms. There are times where with significant muscle injury you can form reactive bone in the muscle itself, however, a surgeon would need these imaging studies to provide any reasonable advice regarding your surgical or non surgical options.
Post by Glenn Fleisig, Ph.D. on Nov 14, 2017 15:22:07 GMT -6
Per Dr. Capogna's suggestion you should see an orthopaedic surgeon with sports medicine fellowship training. If you post here (or click on my name and send a personal message) stating what city you live near, I may be able to recommend one near you.