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More Tendon Facts:

Tenosynovitis is a condition affecting the sheath that surrounds a tendon. In many cases, the sheath encounters tearing due to inflammation of the underlying tendon. The majority of tenosynovitis sufferers are female.


A fully ruptured Tendon REQUIRES surgery. It will not heal on its own.


Except for a fully ruptured tendon, Tendonitis can almost always be cured without surgery.


Left untreated, tendonitis can be extremely debilitating and lead to life long complications.


Continually using your Tendon while it is injured will lead to a worse injury.


To Heal as fast as possible use conservative treatment options at home such as:

Rest
Use an Ice Pack to Get Swelling Down
Use a Deep Heat Therapy at Home Once Swelling is Down
Treat the Injury Well Beyond the Point When the Pain Disappears

 

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Quadriceps Tendonitis



The Quadriceps Tendon

Quadriceps tendonitis can lead to tendinosis if left untreated.

The knee is one of the most unique joints in the body. The kneecap is the largest 'sesamoid' a bone wrapped inside a tendon that connects the large muscles on the front of the thigh, the quadriceps muscles to the lower leg bone.

The quadriceps tendon helps us straighten our leg; this part of the knee is like a lever made-up of the quadriceps muscle group, quadriceps tendon, patella, patellar retinaculum, patellar ligament and various soft tissue in the area. The second job of this group of muscles and tendons and ligaments is very important for stabilizing the leg.

Quadriceps tendinitis (also spelled tendonitis) is a painful condition affecting the quadriceps tendon above the patella (kneecap). The quadriceps group of muscle (individually called the vastus lateralis, vastus intermedius, vastus medialis and the overlying rectus femoris) is the largest in the front of the thigh and is very important for stabilizing the leg. The quadriceps tendon connects the quadriceps to the tibia (shins) via the patellar tendon, which surrounds the knee cap itself. The movement of the knee known as the quadriceps mechanism involves the patella (knee cap), the patella tendon, the quadriceps and its tendon. They all work together to extend the leg to straight.

Quadriceps tendonitis is caused by repetitive use of this tendon. This condition is most common in an athlete who is in involved in sports that require lots of jumping such as basketball, volleyball and jogging, or in a sport that requires a lot of stopping and starting. Little tears in the tendon and tendon sheath will present as pain and inflammation if these tears are not allowed to heal with rest.

Quadriceps tendinitis - inflammation of the quadriceps tendon is caused by tiny tears that are not giving the proper rest to heal.

Inflammation in the quadriceps tendon is often due to irritation and/or micro-tearing of the collagen fibers. When the fibers tear, they become weaker, inflamed and swollen causing pain and tenderness in the area.

There are 2 types of tendonitis, acute and chronic. Acute quadriceps tendonitis refers to inflammation that comes on suddenly, usually from a tendon strain or overloading it during exercise. Chronic quadriceps tendonitis occurs over time and generally results from long term repetitive use of the quadriceps tendon.

With both types of tendinitis, scar tissue develops on the tendon as the tears begin to heal. This scar tissue mends the tears in an abnormal way leaving the collagen fibers weaker and more prone to further injury. In the case of chronic quadriceps tendinitis, a build up of scar tissue over a long period of time will make the tendon and the entire knee joint more prone to re-injury.

Other conditions which can be a cause of anterior (front) knee pain are commonly confused with quadriceps tendonitis. These conditions include patellar tendonitis, synovial plicae, chondromalacia, patello-femoral subluxation and hyper-pressure, fat pad impingement or Hoffa's syndrome and patello-femoral arthritis.



Symptoms of Quadriceps Tendinitis

Quadriceps tendinitis - inflammation of the quadriceps tendon is caused by tiny tears that are not giving the proper rest to heal.

If you are suffering from Quadriceps Tendinitis pain in the area at the bottom of the thigh, just above the knee cap. The most noticeable pain is when you move your knee, the more you move the more tenderness develops in the area of the tendon attachment just above the kneecap.

  • Pain when tightening or flexing the quadriceps with a straight leg.
  • Pain when the top of the kneecap is pressed.
  • Irritation or pain when moving from a crouched position to a standing position.
  • Stiffness or tightness in the morning when you get up or the day following any activity or exercise that irritated the area.
  • Tenderness and swelling in or around the quadriceps tendon
  • You may feel a sensation of warmth or burning pain.



Causes of Quadriceps Tendinitis

Quadriceps tendonitis is caused by repetitive use of this tendon. This condition is most common in an athlete who are involved in sports that require a lot of jumping such as basketball, volleyball and jogging, or in a sport that requires a lot of stopping and starting.

Quadriceps tendinitis can be a sport related injury for runners

Inflammation in the quadriceps tendon is often due to irritation and/or micro-tearing of the collagen fibers. When the fibers tear, they become weaker, inflamed and swollen causing pain and tenderness in the area.

There are 2 types of tendonitis, acute and chronic. Acute quadriceps tendonitis refers to inflammation that comes on suddenly, usually from a tendon strain or overloading it during exercise. Chronic quadriceps tendonitis occurs over time and generally results from long term repetitive use of the quadriceps tendon.

With both types of tendinitis, scar tissue develops on the tendon as the tears begin to heal. This scar tissue mends the tears in an abnormal way leaving the collagen fibers weaker and more prone to further injury. In the case of chronic quadriceps tendinitis, a build up of scar tissue over a long period of time will make the tendon and the entire knee joint more prone to re-injury.

Quadriceps Tendinosis  can cause pain at the front of the knee

Quadriceps Tendinitis Risk Factors include:

  • Participating in "jumping" sports such as basketball, volleyball and jogging.
  • Having diabetes, gout or para-hypothyroidism.
  • Incorrect footwear, while participating in a sport
  • Age can be a factor because as we grow older our tendons become more brittle and therefore prone to injury.
  • Activities that require sharp, sudden changes of direction or lots of stopping and starting.
  • Mis-alignment of the foot, ankle, and leg including flat feet, leg length differences, tracking abnormalities, etc.



Do You Really Have Quadriceps Tendinitis?

Other conditions which can be a cause of anterior (front) knee pain are commonly confused with quadriceps tendonitis.

Quadriceps Tendinosis  can cause pain at the front of the knee

Quadriceps Tendinosis - Tendinosis refers to a non-inflammatory, degeneration of the collagen fibers in a tendon. This tissue break down is often caused by repetitive stress on the tendon fibers and the failure for the fibers to heal.

Partial Quadriceps Tendon Tears - Usually seen in people over the age of 40 as the tissue as part of aging degenerates. A sudden trauma to the tendon may cause it to tear or may spontaneously tear with people suffering from diabetes mellitus, gout, systemic lupus erythematosus, rheumatoid arthritis, end-stage renal disease, prolonged systemic steroid use or hyperparathyroidism. Early surgical repair within 27hrs is the key to successful healing of the tendon. (source: National Library of Medicine)

Quadriceps Tendon Complete Ruptures - If you are suffering from a complete rupture of the quadriceps tendon you will have a very painful and swollen knee. The rupture has left you unable to walk or you may walk with assistance or holding your leg as straight as possible. You may notice a gap in the tendon just above the kneecap where the muscle and tendon have broken away from the bone. Early surgical repair within 27hrs is the key to successful healing of the tendon. (source: National Library of Medicine)

Synovial Plicae - Weakness in the knee as if it is unstable while walking up or down stairs or slopes. Pain with the extension of the knee, as well as may hearing a cracking noises when flexing and straightening your knee. Known as "pathological synovial plica syndrome" considered a embryonic relic. At the 12th week of life the synovial plica forms in the knee, as we grown and mature this tissue then is becomes entangled within the knee and is unable to dissolve and remains in our adulthood. Estimated that 50% of the population has the 'plicae' after birth. It is common for this condition to be over looked by doctors. (source: National Library of Medicine)

Calcific Tendinitis - A chemical reaction in the body, after injury to the soft tissue, the body is healing but instead of healthy tissue, it creates calcium in the tendon. If you are suffering calcific tendinitis of the quadriceps tendon, you may have pain and stiffness that may last for a few weeks to two months and suddenly disappear. If calcific tendinitis is return a number of times is now chronic you may notice your pain linger for a few months to years.

Chondromalacia Patella - Causes a dull, aching pain in the front of your knee. There is damage or softening of the cartilage on the underside of the knee cap. Pain while walking up or down stairs, kneeling or squatting or after sitting for long periods of time with your knee bent.

Quadriceps Tendinosis  can cause pain at the front of the knee

Hoffa's syndrome or fat pad impingement - Pain, inflammation, and swelling at the front of the knee cap and along the sides of the patellar tendon. Increased pain when standing for long periods of time, squatting or using stairs and or pain when you extended you knee. Hoffa's syndrome is caused by at pad either suffers a contusion or an injury, resulting in damage and swelling. This can lead to the Hoffa's pad becoming trapped between the femur and the patella every time the leg is extended.

Patellofemoral Subluxation - Pain on the sides and around the knee cap. The kneecap slides up and down in a groove on the end of the thigh bone (trochlear groove). In some people the kneecap is pulled toward the outside of the knee and the kneecap does not slide in its groove. This condition normally affect adolescents and younger children.

Patellofemoral Arthritis - Causes pain in the front of your knee and can make it difficult to kneel or climb stairs. The kneecap slides up and down in a groove on the end of the thigh bone (trochlear groove). Patellofemoral arthritis occurs when the cartilage along the trochlear groove and on the underside of the patella wears down and becomes inflamed.

Conditions that may be associated with quadriceps tendonitis include diabetes, hyper-pressure, gout, and para-hypothyroidism.



Quadriceps Tendonitis Diagnosis

A visit to your doctor is really the best and only way for a proper diagnosis of any type of knee pain. To help your doctor achieve a proper diagnosis, he/she will begin with a medical history about you, your current condition and symptoms. He/she will inquire about the intensity of your present pain, the duration of your symptoms and the limitations you are experiencing. Details about what instigated the problem, when it started, and whether or not you have ever had treatments for this or a similar condition in the past, are very helpful in assessing your injury.

Diagnostic testing may be ordered help discover your source of knee pain. Often used to rule out other conditions.

X-rays will provide a two-dimensional image of the overall structure of your knee. They are helpful in identifying knee instability, abnormal bone shapes (bone spurs or bone cysts, fractures, wear and tear on the joints).

MRIs (magnetic resonance imaging) will provide more detailed information and will help to evaluate the soft tissues in and around your knee (muscles, tendons, ligaments, and other connective tissues). It can identify ligament or tendon damage, and can help to determine the extent of your injury, the displacement and degree of your tear or inflammation, as well as other associated knee conditions.



Quadricep Tendonitis Home Conservative Treatment Options

The good news is that most cases of quadriceps Tendonitis will heal with simple home conservative treatments and surgery is often not needed!

It's generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the soft tissue of the knee. This added scar tissue will be problematic, requiring physical therapy and conservative treatment options post-surgery. This is why surgery is only performed as a last resort for chronic tendonitis injuries that won't heal with conservative treatment methods.

Step 1 - Reduce Pain and Swelling with Cold Compression

The first step for conservative treatment of your quadricep tendonitis is to reduce the swelling to "open up" the area for more blood flow. Anyone in the health-care business knows that your blood supplies the oxygen and much needed nutrients required to heal foot tendonitis injuries. This is why for years, doctors, trainers, and other medical professionals have recommended RICE (Rest, Ice, Compression, Elevation) to treat the pain and swelling of fresh injuries, chronic pain, and after any re-injury.

This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood to your damaged tendon and tissue cells begin to break-down. Without cold compression therapy cellular break-down and tissue damage continues because the cells can't get the oxygen they need to survive. By limiting the amount of damage done to your tendons, you also limit the amount of healing that needs to occur. This is a very important step to heal acute or chronic tendon injuries faster and with less pain!

Use a Cold Compress or Ice Pack:

  • 24 to 72 hours after your initial injury or when you first notice pain and swelling in your knee to stop cellular damage, relieve pain, and decrease swelling.
  • After exercise, workouts or activity of any kind to prevent re-injury of your knee.
  • Before and after surgery during rehabilitation to control pre and post-surgery pain and swelling.
  • Anytime you feel your knee is painful or you're having a flare-up of an old tendon injury.
  • Anytime you have swelling, sharp throbbing pain or inflammation in your knee.
  • Any other situation where you need to draw the pain and inflammation out of your knee.
 

Step 2 - Improve Circulation, Soften Scar Tissue & Prevent Re-Injury with a T•Shellz Wrap®

After the inflammation in your knee has been reduced, providing extra blood flow and strengthening the tissue around your knee is recommended.


T•Shellz Wraps contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe electromagnetic energy over its entire surface. This energy travels deep inside to the soft tissue in your body, stimulating blood flow your own body needs to heal your injury. It is the electromagnetic energy that is crucial to the healing process.


healing your pes anserinus tendonitis
  • When treating any soft tissue injury, an effective therapy will increase blood flow to the injury while the joint is immobile.
  • This increase in blood flow will accelerate the body's own ability to heal itself.
  • In our opinion, the T•Shellz Wrap® is the most highly effective deep heat medical device on the market that is registered with the FDA and available for home use.

Use Deep Tissue Therapy T•Shellz Wraps:

  • After swelling and inflammation have been reduced with cold compression.
  • Before exercise or workouts to warm up your knee to prevent re-injury.
  • Before and after surgery during rehabilitation to warm up your tissues before physical therapy exercising or stretching.
  • Anytime you feel the tissue in your knee has stiffened up, is tight and your mobility is reduced causing you more pain.
  • Anytime you have sore or aching tissue around your knee.
  • Any other situation where you need to increase blood flow to your knee to relax your soft tissue, relieve pain, prevent re-injury and enhance flexibility of your tissue.
 


By using a Deep Heat device like the T•Shellz Wrap®, your body will respond to this added heat by increasing blood flow in the area. This enhanced blood flow will help with your recovery and heal your tendon more completely. Deep Heat increases the amount of blood that flows naturally to your soft tissue to; the heat is also proven to temporarily improve the elasticity and length of soft tissue. This basically means that the application of deep heat will help your soft tissue heal faster and more completely while also reducing your risk of reinjury (due to increased soft tissue elasticity)

Deep Heat Increases Blood Circulation

Greater Blood Circulation Results in
Faster Healing of Soft Tissue

T•Shellz Wrap® = Deep Heat


T•Shellz Wraps contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe electromagnetic energy over its entire surface. This energy travels deep inside to the soft tissue in your body, stimulating blood flow your own body needs to heal your injury. It is the electromagnetic energy that is crucial to the healing process.


Best of all...

The T•Shellz Wrap® is an FDA Registered Medical Device and is suitable for use in therapeutic clinics and FROM HOME. It is completely safe for people and patients to use for themselves.

As mentioned earlier, the use of electromagnetic energy is becoming much more commonplace in North America for everyday people. The technology has been used for decades in the worlds of professional and amateur - a contributing factor as to why athletes seem to recover from injuries so quickly.

Have you ever wondered by an athlete can return to activity after 3 or 4 weeks following a tendon injury - while your average person takes much longer to return back to normal? The secret isn't really that much of a secret - it involves consistent treatments (meaning multiple times a day) using a diathermy treatment like the T•Shellz Wrap® to stimulate blood flow to injured soft tissue. Most athletes have the luxury of using in-house therapy facilities many times per day.

How many us can afford the time and money to visit a therapy clinic multiple times a day? Very few indeed. This is how you can gain the same advantage that athletes enjoy in healing their own injuries - by using a device like the Shoulder T•Shellz Wrap® two or three times a day on a consistent basis.

Consistent Treatments = Consistent And Long Term Improvement

 

Click HERE to Go To Our Online Store If you have questions, call our office at 1-866-237-9608 (toll free continental US).


What Else Makes the T•Shellz Wrap® So Special?

We believe the T•Shellz Wrap® to be one of the most effective treatments to stimulate blood flow to dense, injured tissues such as muscles, tendons, ligaments, and other similar tissues.

We can promise that you will receive a product that is designed to be safe and does what it is supposed to do...quickly relieve pain and aid in the recovery from tendon, muscle and other soft tissue injuries.

The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.

It has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long so you can sit or lie comfortably and watch TV, read or surf the net while you're using it.

Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.

A Recap of the Benefits of the T•Shellz Wrap®..

  • Wraps are available for all major joints - very versatile!
  • Targeted treatment of Tendinosis, Tenosynovitis, Tendon Tears, Bursitis, Impingement, Arthritis, etc
  • It can be used before exercise to warm up your tendons and muscles to reduce the risk of injury
  • FDA Registered medical device for use in home or clinics - very high quality
  • Increases temporary flexibility and length of tissues (reducing the re-injury factor)
  • Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily
  • It soothes pain and whisks away toxins
  • It provides deep heat, which the body responds to by increasing blood flow. Increased blood flow enhances the healing rate - saving time and money when associated with extended doctor or physical therapist visits
  • it is an outstanding tool for post-surgery rehabilitation, getting you back to work faster

When Should I Use My T•Shellz Wrap® During the Day?

The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my wrap and when should I be using them? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.

  • Use a Cold Compress or Ice Pack when you are experiencing inflammation (usually after exertion or movement of the injury area).

The T•Shellz Wrap® would then be used:

  • Right after rising from bed in the morning (as this is when it is most stiff)
  • Prior to going to bed at night (to relax the area and allow for better sleep)
  • Before you know you will be using your injured joint (going to work, driving, typing, etc).


Product Advisors are available 9:00 am to 10:00 pm Eastern Standard Time Monday, Tuesday and between 9:00 am and 5:00pm on Wednesday to Friday.


Learn More About Tendon Injuries & Treatments

I want to learn more about Post-Surgery Recovery

I want to learn more about T•Shellz Wrap® Deep Tissue Therapy

I want to learn more about Ice & Heat: Which Is Better For Treatment?

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I want to learn more about Tendonitis Surgery


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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!

 
 
 

Tendon Injury Facts:

When the tendon gets inflamed it is known as tendonitis, and when the tendons are chronically overused, it may lead to microscopic tears in the collagen matrix and causes a gradual weakening of the tissues.


Achilles tendonitis is a common injury among runners, as the Achilles tendon is responsible for helping you lift off the ground with each stride.


As computers become ever more important elements of the work place and everyday life, incidents of wrist tendonitis are on the rise.


Oral Medications can mask the pain but do not aid in the healing of tendonitis. Anti-inflammatories and pain killers can mask the pain and indirectly cause tendonitis to worsen.


Ice and Compression treatments are the easiest and most effective treatments for tendonitis.

 

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