[quote]bushidobadboy wrote:
However, since patellofemoral syndrome is often caused by a strength imbalance between the vastus lateralis and the vastus medialis, leg extensions are a prescribed rehab exercise to help cure this condition.
Of course, the weights used in rehab are low.
BBB
You may well be correct, and my ortho certainly isnt in the business of rehab, but he did tell me not to do any leg extensions since I have PFS.
This particular sports medicine facility does do work for local professional athletes; just to give a little bit of credibility to the docs assessment. I’m sure some experts have different opinions on the matter, but I don’t believe the benefits of the leg extension are good enough to warrant its use for the potential risk.
So, the benefits = strenghtening of a problematic VMO. BTW, how else do you propose to strengthen this muscle if you won’t use a leg extension?
I’m unclear, what exactly are the risks involved here, assuming integrity of the supporting ligamentous and tendinous structures is sound?
Finally, try asking your ortho for a more detailed ‘diagnosis’ than PFS. See what he says. If he can’t provide a better answer, he is not a very good ortho, in my opinion.
BBB[/quote]
Leg extensions don’t even seem to be all that common for PFS rehab (albeit from my limited research capabilities). Like you said, a weak VMO is just one possible, and much debated cause of PFS, so I still wouldn’t put much emphasis on leg extensions as a rehab mechanism.
Correct me if I’m wrong, but isnt the VMO just a small part of the quadricep? In which case ANY quad dominant exercise would strengthen the VMO. As far as fixing an imbalance I don’t know, but another subject of debate is whether or not you can isolate and strengthen the VMO independent of the other quad muscles.
Once again I cant see needing leg extensions at all unless its part of a post-op rehab where the patient simply cant do any other exercise because of load parameters, which wouldnt be the case for someone with PFS.
It doesnt logically follow, for my dumbass anyway, that someone who can squat 400lbs would derive some great benefit from extremely low weight leg extensions.
Which raises a question for me; in your opinion should someone with decent squat numbers be looking for a cause other than a weak VMO? Or is it still that the VMO may be weak in relation to the other parts of the quad?
As far as risks, I don’t know. If you would like to debate biomechanics I would have to give you my docs phone #. I’m just telling you what the man told me, and I’m not qualified to have an intelligent discourse with you on the subject.
I would be interested to get more info about other causes based on cartilage damage, as it sounds like you may be onto something here and would like my ortho to be more detailed about it. But I assume this would involve an MRI which I really can’t afford to do. So I guess I will just have to lift and run with pain for now.