crosskore 0 Report post Posted October 26, 2004 I got my knee checked out today and the guy said the problem is under my knee cap, then he said something about my quads being to weak... I dont understand that, seeing as how I go to the gym alot and my quads are alot stronger then anyone I hang around with...Anyways, I have to go to physiotherapy to strengthen my kneese and quads. Anyone here have any experiance with this kind of stuff? Share this post Link to post Share on other sites
headonaswivel 1 Report post Posted October 26, 2004 Ive had too much physio. I also studied sports therapy in University.I suggest gettin a second opinion. I struggle with the idea of someone who trains in the gym and plays hockey often as having underdeveloped quads. Underdeveloped quads would translate into loose and weak kneecaps because they insert all along the knee and down onto the front of the tibia. If you train and play as you stated then his assessment makes no sense. Share this post Link to post Share on other sites
foppa21 0 Report post Posted October 26, 2004 It might make sense if he meant the rectus femorus in specific as opposed to all the quads in general. It might just be an error in the way he phrased it. Share this post Link to post Share on other sites
crosskore 0 Report post Posted October 26, 2004 Thats what I was thinking, because I trained all summer and I play alot of sports, then he tells me my quads are weak? It didnt make sence to me. Share this post Link to post Share on other sites
Speed Demon 0 Report post Posted October 26, 2004 This exact thing happened to me. I had a knee cap problem and I had to take physio theoropy to strengthen my knee and the quads to make my cap not feel so "mushy" and not move around so much. Even though I worked out all the time and ran all the time, they wanted me to restrengthen and strengthen my quads even more. The physiotheoropy lasted approximately 3 months with 40 minutes a day of very annoying exercises. Share this post Link to post Share on other sites
BobEP 0 Report post Posted October 27, 2004 I had my kneecap dislocated, cartilage torn, and ligaments ripped. My kneecap was very loose as well, and i have VERY strong quards. He's not talking about the quads up on the front of your thigh. Flex your knee and looks at the tiny muscles directly on the SIDE of the kneecap. These are what need strengthened and it's a pain in the ass. What you need to do is get some 5-10 lb. ankle weights and then exercise by:1. Lay down with the good leg bent normal and the bad all the way down, then just lift and hold 5 seconds then back down (40 times)2. lay on your side with the good leg over the bad leg (with the good leg bent), then lift the other leg 40 times (no holds needed)your doc will probably have you do these, but just incase ya want to get a head start...(Don't forget the ankle weights!) Share this post Link to post Share on other sites
Speed Demon 0 Report post Posted October 27, 2004 What you need to do is get some 5-10 lb. ankle weights Sometimes, ankle weights are not recommended at the beginning of your physiotheoropy. You should be flexing your muscles during exercise. You want to strengthen and gain control of these muscles. However, after a while, you can add the ankle weights. This is the advice from my physiotheoropist. Of course though, physiotheoropists have different opinions. Share this post Link to post Share on other sites
headonaswivel 1 Report post Posted October 27, 2004 He's not talking about the quads up on the front of your thigh. Flex your knee and looks at the tiny muscles directly on the SIDE of the kneecap. These are what need strengthened and it's a pain in the ass. What you need to do is get some 5-10 lb. ankle weights and then exercise by:1. Lay down with the good leg bent normal and the bad all the way down, then just lift and hold 5 seconds then back down (40 times)2. lay on your side with the good leg over the bad leg (with the good leg bent), then lift the other leg 40 times (no holds needed)your doc will probably have you do these, but just incase ya want to get a head start...(Don't forget the ankle weights!) ???????????Lets run down what inserts into the knee area(lateral and medial, not top muscles like rectus femoris and vastus intermedius):On the lateral side you have vastus lateralis, which comes down from the hip area and sweeps along the knee to insert on the side and down slightly to the top of the tib.Also on the outside is the biceps femoris, the outside hamstring, which inserts on the femur and the head of the tib.On the inside there is vastus medialis on the front, and the other hamstrings semimembranosous and semitendonosous. Both of those are along the inside tibial condlye as well.Also in the region are muscles that originate and go down the lower leg, ie gastroc, and tib ant etc. As well are muscles that adduct the thigh, but these are not palpatable at the knee.The point is there are no little muscles that are in the knee. They all originate up high and insert there, or start around the knee and go distal. So lets try not to give medical advice to someone when you dont know what you are talking about. Its obvious you meant well.......but lets save advice for professionals when it comes to the body and healing. Someone who is unaware could case way more damage following that kinda advice. Share this post Link to post Share on other sites
blackhawks4ever 0 Report post Posted October 27, 2004 Hey Crosskore, I'm with Headonaswivel on this one. It sounds like you were told that your patella is not sliding in its groove like it's supposed to. Generally the recommendation is to do Quad strengthening exercises( to prevent patellar subluxation). But if your playing alot of hockey you probably already have good quad strength. The only other thought is if you have some sort of anatomical (orthopedic) misalignment of the knee, but that would not benefit from muscle training. I think you may have gotten some bad advice......IMO Share this post Link to post Share on other sites
