Quadriceps Tendonitis Treatment Lake Oswego OR

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James Brendan Mcsherry, DDS
(503) 657-8312
15775 SE 82nd Dr
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Walter Swanson, MD
(503) 635-1604
16001 Quarry Rd
Lake Oswego, OR
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1970
Hospital
Hospital: Columbia Mem Hosp, Astoria, Or
Group Practice: Columbia Orthopedic Clinic

Data Provided By:
Wayne Kaesche
(503) 635-1604
16001 Quarry Rd
Lake Oswego, OR
Specialty
Orthopedic Surgery

Data Provided By:
Marilyn Louise Yodlowski
(503) 635-1604
16001 Quarry Rd
Lake Oswego, OR
Specialty
Orthopedic Surgery

Data Provided By:
Dale Van Rhoney, DDS
(503) 635-9371
440 A Ave
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Keith Smith, MD
(503) 203-2096
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1975

Data Provided By:
Stephen Fuller
(503) 635-1055
16001 Quarry Rd
Lake Oswego, OR
Specialty
Orthopedic Surgery

Data Provided By:
Jon Carper Vessely, MD
(503) 636-3130
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1963

Data Provided By:
John Wallace Thompson, MD
(503) 635-1604
18490 Ray Ridge Dr
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1959

Data Provided By:
Jeffrey D Sessions, DMD
(503) 636-5663
15962 Boones Ferry Rd
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
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Quadriceps Tendonitis

A Patient's Guide to Quadriceps Tendonitis of the Knee

Introduction

Alignment or overuse problems of the knee structures can lead to strain, irritation, and/or injury of the quadriceps muscle and tendon. This produces pain, weakness, and swelling of the knee joint.

These problems can affect people of all ages but the majority of patients with overuse injuries of the knee (and specifically quadriceps tendonitis) are involved in soccer, volleyball, or running activities.

This guide will help you understand

  • how the problem develops
  • how doctors diagnose the condition
  • what treatment options are available

Anatomy

What is the quadriceps muscle/tendon, and what does it do?

The patella (kneecap) is the moveable bone on the front of the knee. This unique bone is wrapped inside a tendon that connects the large muscles on the front of the thigh, the quadriceps muscles, to the lower leg bone.

The large quadriceps muscle ends in a tendon that inserts into the tibial tubercle, a bony bump at the top of the tibia (shin bone) just below the patella. The tendon together with the patella is called the quadriceps mechanism. Though we think of it as a single device, the quadriceps mechanism has two separate tendons, the quadriceps tendon on top of the patella and the patellar tendon below the patella.

Tightening up the quadriceps muscles places a pull on the tendons of the quadriceps mechanism. This action causes the knee to straighten. The patella acts like a fulcrum to increase the force of the quadriceps muscles.

The long bones of the femur and the tibia act as level arms, placing force or load on the knee joint and surrounding soft tissues. The amount of load can be quite significant. For example, the joint reaction forces of the lower extremity (including the knee) are two to three times the body weight during walking and up to five times the body weight when running.

Related Document: A Patient's Guide to Knee Anatomy

Causes

How does this problem develop

Quadriceps tendonitis occurs most often as a result of stresses placed on the supporting structures of the knee. Running, jumping, and quick starts and stops contribute to this condition. Overuse injuries from sports activities is the most common cause but anyone can be affected, even those who do not participate in sports or recreational activities.

There are extrinsic (outside) factors that are linked with overuse tendon injuries of the knee. These include inappropriate footwear, training errors (frequency, intensity, duration), and surface or ground (hard surface, cement) being used for the sport or event (such as running). Training errors are summed up by the rule of toos. This refers to training too much, too far, too fast, or too long. Advancing the training schedule forward too quickly is a major cause of quadriceps tendonitis.

Intrinsic (internal) factors such as age, flexibility, and joint laxity are also importan...

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