If it hurts, don’t do it. Wait a week or two to initiate the eccentric exercise; during this time, make sure that you’re still getting ART and following your therapist’s recommendations for exercise. He/She will be better able to assess your situation.
[quote]twoolf wrote:
I’ve been continuing posterior chain work, and implementing daily eccentric work for the quads.
I have a question about range of motion. Should stick to a ROM that does not cause pain on the concentric (i.e., parallel or higher) and do a regular, unnasisted concentric; or should I go through a full ROM and use my arms to assist on the concentric to avoid pain on the way up? Or (a third option) should I go to the depth at which I just begin to feel discomfort? Or some combination of the above?
I have seen articles recommending the full ROM approach ( http://www.t-nation.com/readTopic.do?id=459823 ), but conventional wisdom seems to be “If it hurts, don’t do it.” What do you recommend?
So far I have been doing full squats with an assisted concentric or parallel-depth squats with a normal concentric for 3x15 daily. I alternate days with bodyweight-only squats and bar-weight-only front squats, both with long, slow eccentrics. I think I’m seeing some improvement, but it seems like it will be a long process.
Thanks for your advice.
Eric Cressey wrote:
Strengthen the muscles working at the hips; they’ll help to take some of the load off the quads.
FYI, I’m not a fan of the anti-inflammatory approach. I’ll leave it at that.
When working back into things, try 3x15 long eccentric body weight only squats throughout the day everyday. Once you get back into the gym, start with light weight and long eccentrics. GRADUALLY add volume and resistance.
twoolf wrote:
I’m currently trying to recover from quadriceps tendonitis in both knees. It’s developed over the last six months. I used to do very little squatting, and about a year ago started doing a lot of low-rep deep squatting and Olympic lifts. Six months later I started feeling pain above my knees on deep squats. Stupidly, I trained though it, and it got worse. Now I’ve laid off squatting completely (though I’m still doing deadlift variations and some power cleans and power snatches, which don’t cause pain because they don’t involve as much knee flexion).
My orthopedist put me on prescription anti-inflammatories, and I’m getting ART. If I can get the pain to clear up, what do you recommend to prevent the tendonitis from recurring? I’m particularly interested in the types of exercises and set/rep schemes that will help strengthen the tendons without re-injuring them.
Thanks!
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