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Quadriceps Muscle Vastus Medialis – Thigh and Knee Pain

Pain on the inside of the thigh going into the knee can be caused by the vastus medialis muscle.

Pain on the inside of the thigh going down into the knee may indicate vastus medialis dysfunction.

  • Pain on the inside of the knee extending half way up the front of the thigh
  • Persistent pain in the knee joint
  • Can cause the knee to ‘buckle’ (trick knee)
  • People often sleep with a pillow between the knees to relieve the pain

Where is the vastus medialis muscle?

The vastus medialis muscle attaches to the thigh bone (femur) right below the hip joint and travels down to attach to the knee (patella) and shin bone (tibia). The vastus medialis is one of four quadriceps muscles.

What movements do the vastus medialis muscles control?

  • Straightens the leg at the knee

Activities that cause vastus medialis muscle pain and symptoms:

  • Deep knee bends
  • Excessive kneeling
  • Running
  • Step masters or running stairs
  • Weak ankles that collapse to the inside
  • Walking with weight distributed on the outside of your feet

Interesting facts about the vastus medialis:

  • A trigger point in the vastus medialis can cause the knee to buckle unexpectedly. If this trigger point is not released and the muscle is stretched to try and relieve symptoms, knee pain and knee weakness will worsen.

Clinical diagnoses to which the vastus medialis muscle symptoms may contribute:

  • Patella femoral dysfunction
  • Chondromalacia patella
  • Floating Patella
  • Buckling knee (trick knee)
  • Sprain/ Strain of the thigh or knee
  • Phantom leg pain with above knee amputation
  • Anterior Cruciate Ligament sprain or tear
  • Posterior Cruciate Ligament sprain or tear
  • Torn meniscus (cartilage)
  • Iliotibial tract friction syndrome
  • L2 L3 or L4 radiculopathy

You use the vastus medialis to straighten the knee.

Other muscles that should be considered and examined in conjunction with the vastus medialis muscle:

Satellite Trigger Points: Tensor Fasciae Latae, Iliopsoas, Peroneus Longus, Gluteus Medius, Adductor Longus, Adductor Brevis, Rectus Femoris

Associated Organ System: Urinary and Reproductive System

For detailed anatomy information: Vastus Medialis Anatomy

Help with Vastus Medialis Quadriceps Muscle Pain

Cold Therapy Gel For Vastus Medialis Injury and Pain

Biofreeze Pain Relieving Gel is an excellent pain relieving gel and I recommend it for those who have sudden onset muscle pain or recent injuries.  It is better to use than warm therapy gels and creams for muscle pain caused by inflammation as it cools the area much like ice. A recent study showed that Biofreeze decreased pain 2 times more than ice and the pain relief lasts 9 – 10 longer. If  your pain is from a recently pulled quadriceps muscle I would recommend Biofreeze. To treat the vastus medialis, rub Biofreeze starting at the top of the inside of the thigh down the inside of the leg to the knee.

Biofreeze is recommended for recent quadriceps muscle injury

Cold Pack For Quadriceps Muscles

The Pro Ice Quad Multipurpose Cold Therapy Wrap is a good choice to provide cold therapy to quadriceps and hamstring injuries. The wrap not only provides a consistent temperature but also provides compression which is important for reducing swelling and aiding in faster recovery.

cold pack for vastus medialis muscle injury

Warm Therapy Gel for Vastus Medialis Muscle Pain

Sombra Warm Therapy Pain Relieving Gel is a pain relieving gel that I use both personally and in my massage therapy practice. It provides warmth without burning heat and is great for relieving pain. Applying Sombra to the muscles on the front and sides of the thigh, down into the knee can help reduce pain and tightness caused by the vastus medialis muscles. I recommend Sombra for chronic pain and chronically sore tight quadriceps muscles.

Sombra Warm Therapy Gel provides quad muscle pain relief.

Hot and Cold Multipurpose Wrap For Thigh and Knee Pain

The Hot Thermal and Ice Cold Compress Therapy Gel Pack Wrap is adjustable and a great choice for a multipurpose pack to use on your thighs, knees, hip, and back. The pack can be put in the freezer and used for cold therapy on recently injured muscles to reduce pain and swelling. The pack can also be put in the microwave for warm therapy for chronic pain and stiffness. Solid quality construction that will last for a long time. Made in the USA


Compression Leggings for Upper Leg Muscle Support

Compression wear is not just preventative wear for exercise. Compression wear can also aid in muscle injury support and reduce swelling during recovery time. If you are considering compression wear look for graduated compression. Graduated compression provides tight compression at the lower end of your limb and gradually decreases compressive force toward the top of the limb. This is important for circulation and inflammation reduction. To support the vastus medialis muscle it is important that you use leggings that go down past the knee so you treat the full length of the muscle. Compression leggings for men as well compression leggings for women come in all sizes, have a choice of colors and are available in various price points. The leggings can be worn alone or under pants.

Braces and Supports To Help Vastus Medialis Injury and Pain

Thigh Wrap for Support and Compression

McDavid Thigh Brace Wrap covers the thigh and can be used for quadricep support or rehabilitation. This support works well if your pain is in the upper thigh area. Provides great compression and warmth to help maintain muscle mobility and reduce pain. Sizing: SM 18 to 20 inches, Med 20 to 22 inches, LG 22 to 25 inches, XL 25 to 28 inches.

mcdavid thigh wrap for vastus medialis support

Knee Brace for Vastus Medialis Knee Pain

The vastus medialis muscle is the prime contributor to stiff buckling knees. The Professional Choice Knee Support is one of the best knee braces I have used. It provides support to weak buckling and painful knees while providing heat to help keep the muscle, ligaments, tendons and joint mobile. The two Velcro bands are adjustable and allow you to adjust the compression. Although it looks bulky, it is comfortable and was made for people who ride horses who bend and straighten their knees for extended periods of time. It does not bind or pinch. If you are prone to knee injury and buckling knees I highly recommend this brace.

Professionals Choice Knee Brace to support vastus medialis knee weakness

Self Treatment For Vastus Medialis Muscle Pain

Easy To Use Foam Roller For Upper Leg Pain

I recommend the The Tiger Tail 18" Roller to use on both upper and lower leg muscles to help relieve tension and pain. I like the Tiger Tail for its ease of use and because it does not strain the wrists and hands. You do not have to contort into different positions or get on the floor or up against the wall to use this foam roller, simply roll it up or down the muscle. The 18" is a good size to use on leg muscles as well as other muscles. This roller is also recommended by physical therapists, athletic trainers and doctors for self-treatment of muscles in between appointments. To use the Tiger Tail on the vastus medialis muscle start as close as possible to the top of the thigh on the inside and roll down the thigh to the top of the knee. Start with light strokes for a minute or two and build into more pressure and more time. Do not overdo as you can irritate the muscles!

Tiger Tail Roller For Vastus Medialis Muscle Treatment

Find and Treat The Source Of Your Vastus Medialis Knee Pain

Do you know that small knots and other dysfunction in the vastus medialis muscle are major contributors to knee pain and buckling knees?

If you have unresolved knee pain I recommend that you purchase Claire Davies The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief. Mr. Davies explains the trigger point phenomenon and muscle pain in everyday language. But what makes this book worth its weight in gold are the individual muscle trigger point treatments that Davies has compiled. His diagrams and step by step instructions help you locate which muscles are contributing to your pain, how to find the trigger point and treat it. It takes time and practice to master finding trigger points, but once you learn you have a tool and method to help relieve muscle pain throughout the body. If you have unresolved knee pain that runs up to the middle of the thigh it maybe trigger points in the vastus medialis muscle. Deactivating trigger points can reduce or eliminate this pain. This book is a must-have for anyone interested in finding the cause and treating muscle pain.

The Trigger Point Workbook can help you resolve muscle pain throughout your body.

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