Q: My wife (32 years of age) has undergone quadricep tendon surgery and related muscle surgery through VY plasty method seven month ago. At the time of surgery, a lot of wasted muscles were removed around the quadricep tendon. Now she is doing some related exercises. She still does not have full strength in muscle and is also using leg brace with walker. Will it take some more time for her to build up muscle and get the right strength so that she can walk without any support? By doing an MRI will we be able to know the exact position/status of her tendon and muscle?

A:I can understand the agony you are going through, but, now I can offer you a few suggestions that might help her. 1. She would benefit from pool therapy by weight relief by increasing the muscle strength of Quadriceps with progressive exercises. 2. Daily program of part hydrotherapy and part dry land rehabilitation would be the ideal thing. Pool therapy when given first, help to relieve the pain, thus helping to improve the performance and function in dry land rehabilitation. 3. She can try TENS at the physiotherapy clinic along with exercises. 4. Repeated isometric and resisted exercises are a must. 5. Yes, you can get an MRI done to know the condition of the muscle.