Objective: To describe the management of a female high-school varsity track athlete with a Grade 2 quadriceps strain sustained only 10 days before her state qualifying meet.
Clinical Features: An 18-year-old female varsity runner sustained a Grade 2 quadriceps strain during practice while transitioning from a light jog to a sprint. The strain was felt at the end of the toe-off phase.
Intervention and Outcome: She was treated with a combination of multimodal chiropractic intervention, instrument-assisted soft tissue mobilization (IASTM), rehabilitative exercises, and dry needling with electric stimulation. An initial 5 treatments over 7 days allowed her to fully return to competition, where she set personal records in the 100m and 200m dashes at the first subsectional meet. An additional treatment was provided a week later, after which she competed at the state meet and set personal records in the 100m and 400m dashes.
Conclusion: Quadriceps strain is a common athletic injury causing athletes to miss time away from sport. This case demonstrates how a patient with a Grade 2 quadriceps strain was treated over the course of 7 days and was able to return to competition.
Author keywords: Quadriceps Muscle; Muscle Strain; Rehabilitation; Athletic Injuries
Author affiliations: HMO: Bigfork Valley Hospital, Bigfort, Minnesota, United States; MT, CG: Palmer College of Chiropractic, Davenport, Iowa, United States
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