Interesting symptoms. I would recommend your PT perform a femoral nerve tension test to see if you are getting some neural inhibition from L2-4 of your spine. Age of your spine, previous injury, genetic predispositions can contribute to shutting down your quads. Treatment would be directed at more focused spinal mobility and neural mobilization. Failure to progress would indicate benefit of an MRI and further consult. If no neural involvement, then strength and fatigue resistance is a concern. You might have hit the wall for what your strength and aerobic conditioning will allow. Some individualized coaching would then be in order to identify some training holes in your preparation and physical capacity. Hope this gives you some ideas, I know how frustrating this situation feels! There IS a path forward.
I was doing the 24 week Mountaineering Plan for Denali, and right around week 12ish I starting having problems with my quads. I started getting this sluggish, tired, fatigued feeling when I would start my runs/hikes. After .25miles of running my thighs would feel like they already ran a marathon. The same with uphill skiing or hiking. It felt like I already climbed a mountain, they felt tired and I just couldn’t move at my normal pace.
I eased off the training plan for a week or two, but was still having trouble. I started seeing a Physical Therapist once a week, he did dry needling of my hams, glutes, calfs. After a few weeks the pain was reducing, but now I’ve hit a flatline and we haven’t been getting any more progress. He has tried needling my back/spine, and hip adjustments. But nothing is helping. It’s been three months so far since starting PT sessions.
I’ve been doing extensive foam rolling, stretching, and massage gun the first two months I was having trouble. I’m also doing 30min of yoga daily.
Do you have any thoughts or suggestions? My PT is a little stumped on why my quads arn’t progressing. Just recently he suggested trying to get more anti-inflammatory into my diet, so I’m drinking 8oz of tart cherry juice and two servings of brown rice a day. I have also been focusing on core and leg strengthening exercises. It’s just been frustrating as I haven’t been getting better.
Any thoughts you have would be appreciated.
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