Professional Documents
Culture Documents
Thigh
By
RICHA VISHWAKARMA
M.P.T. II YEAR
(MUSCULOSKELETAL)
Mechanism of Injury
Classification
Investigations
Management
Operative management
Physiotherapy Management
Phase 1:Acute
Phase 3: Remodelling
Phase 4: Functional
QUADRICEPS STRAINS
Acute phase
RICE.
NSAIDs if not contraindicated.
Crutches in a touch-down or partial weight-bearing
(painless) fashion.
Hold all lower extremity athletic participation.
Avoid SLR in early rehabilitation because of increased
stress on the torn rectus femoris.
Intermediate phase
Goals
Regain normal gait.
Regain normal knee and hip motion.
Usually intermediate phase begins 3-10 days post injury,
depending on severity of injury.
Exercises
Initiate a gentle quadriceps and hamstring stretching
program.
PNF patterns.
Aquatic rehabilitation program in deep water with
flotation belt.
Cycling with no resistance
ADDUCTOR STRAIN
Risk factors
Contact sports
Obesity
Poor muscle conditioning
Inflexibility
Sports that require quick starts
Activity
Relative rest from athletic injury until patient is
asymptomatic and rehabilitation protocol complete.
Avoid lateral movements, pivoting, twisting, reverse of
direction.
Initiate PRICE regimen (protection, rest, ice,
compression,elevation above heart).
Crutches
Employ crutches weight-bearing as tolerated until
patient walks with a normal, nonantalgic gait
Modalities
Cryotherapy postexercise.
Pulsed ultrasound.
Electric stimulation
Exercises
Aquatic deep-water pool running.
Stationary bicycling with no resistance.
Active ROM exercises of hip
Flexion, extension, abduction, gentle adduction.
Isometric exercises
Hip adduction.
Hip abduction.
Hip flexion.
Hip extension.
SLR, quad sets.
Trochanteric bursitis:
Pain over the lateral aspect of the hip & thigh may be due
to local trauma or overuse resuting in inflammation of the
trochanteric bursa which lies deep to the tensor fascia lata.
Gluteus medius tendinitis:
Acute tendinitis may cause pain and localized tenderness
just behind the greater trochanter. Perticularly seen in
dancers and athletes.
Management
Protection phase
reference
Thank you