Tag Archives: Leg pain

Training Tips: Leg Extension vs Squats

What’s the difference between leg extension and squats, and which ones better for you?

If you find are an avid gym goer yourself, you’ve probably heard some version of this argument. When discussing leg workouts, there is much debate surrounding the importance of leg extension versus squat movement. Although both of these exercises can be performed in a gym setting, they provide different results based on how each exercise incorporates various types of movement patterns into your workout regimen. 

Breaking down leg extensions vs squats

Let’s begin with understanding the basis of these two exercises.

Leg extensions are a targeted movement for the quads (your big thigh muscles), providing an extremely isolated contraction. In this context, isolated means that the quads are the only muscles performing major work, the other muscles groups contributions are minimal. Consequently, the result is a complete and intense contraction of your quads at the end of each rep. If you want to develop a teardrop shape in your quad muscles, leg extensions are a great exercise to add to your routine.

On the flip side, squats are the undisputed king of compound movements. They engage your entire lower body and core, making them the perfect exercise for building overall strength and functional fitness. Plus, squats are just plain awesome for building those glutes and hamstrings, in addition to quads. Because of this difference, leg extension and squat exercises cannot replace one another and serve different purposes in your leg training program.

Comparing the pros and cons of leg extensions vs squats

The benefits of leg extensions are their ease of use and isolation. Leg extension machines require little balance and coordination since the movement is machine guided and non-weight bearing (seated). Thus, leg extension devices are excellent for beginners or after an injury (rehabilitative) if prepared correctly. Leg extensions enable direct overload of the quadriceps without the involvement of other muscle groups and can help to correct imbalances in muscle development and increase volume in the quadriceps at the end of a workout.

However, due to their isolation nature, leg extensions have a number of limitations. Leg extensions are performed with a seated base and a fixed movement pattern, which do not replicate the natural leg movements we undergo in our daily lives or the leg movements performed in sports. Also, leg extensions place a large amount of stress on the knee joint, mainly when they are performed with heavy weights or with poor technique.

Conversely, squats are considered one of the best lower body exercise options available. They imitate the motions we use each day, like sitting down and standing up, lifting objects from the floor and more. They also help improve joint range of motion especially at the hips, ankles, and knees and developing strength usable throughout life. Additionally, squats recruit multiple muscle groups to perform an activity. This allowss for maximum overall strength development, an increase in muscle mass, and a higher volume of calories burned. As physiotherapists, we refer to squats as functional movements due to their real world carry over and ability to reduce the chance of injuries.

So which one is better?

So now the question arises, which type of exercise will best suit you? Most people who exercise should include squats in their routine as the foundation of their leg workouts. Squats allow the development of overall leg strength as well as improve balance, and when done correctly, squats promote good long-term joint health for those doing a lot of sitting and standing. Although not every person who trains their lower body will be an athlete, having strong legs is an important aspect of staying active and fit. A strong leg foundation is also beneficial to those who are trying to lose fat or improve daily movements, as good leg strength helps create a solid base of stability for any physical activity.

While squats are excellent for developing strength and balance, leg extensions also have a place in a complete lower-body workout program and can be an effective way to work on isolated quadriceps strength, to address a specific weakness and for increasing muscle definition without putting a high demand on the rest of the body.

Instead of trying to choose between squats and leg extensions, the most effective approach is to combine the benefits of each exercise, so everyone benefits from both improving their lower-body strength and developing good muscle definition. Prioritizing squats while supplementing with leg extensions will enable everyone to build strong and functional legs while still having a strong focus on building muscle, thus giving the best overall performance and appearance.

Have more questions?

Look for PhysioNow! We have expert clinicians ready to assist you with any training questions you may have. If you are struggling through any kind of knee pain, leg pain, or even anticipating an upcoming surgery whether it is a total knee replacement or an ACL repair, we will help you through it all! One of the most important parts of training is learning how to stay injury free, so book with PhysioNow today for you first assessment and treatment! Look for us at one of our 10 west GTA locations including Burlington, Oakville, Mississauga, and Etobicoke! P: 289-724-0448 Email: applewood@physionow.ca

Stopping Shin Splints with Physiotherapy

What is a shin splint?

Shin splints are a common complaint in runners or athletes with sports that involve a lot of high impact movements like dancers, volleyball, basketball players, etc.

Usually, it presents as pain in the front of the lower leg, or the shin area. Sometimes, it may be called medial tibial stress syndrome (MTSS). Oftentimes, it’s caused by irritation of the tissues between the tibial bone and the muscles, and/or overuse of a lower leg muscle called the tibialis anterior. It can happen to just a single leg, or both simultaneously.

The muscle, tibialis anterior, may be involved in the development of shin splints.

The tibialis anterior play major role in lifting your ankle upwards (dorsiflexion). Functionally, it helps with shock absorption and is a major contributor during ambulation.

Why do shin splints happen?

1) Footwear: If you run or exercise a lot without proper running or sports shoes, it puts additional stress on the muscles around the leg. Consequently, this can result in the overuse and irritation of the structures in the area, and pain in the shin bone.

2) Sudden change in activity: Abruptly increasing the difficulty in your exercise routine like training more frequently, for longer periods of time, or increased repetitions increases your chance of developing shin splints.

3) Muscle imbalance: Muscle weakness or tightness can influence the biomechanics of your stride and gait. As a result, the areas you place more weight on may change and increase the pressure on certain areas of the body like the shins.

4) Sports like dancing, running, soccer etc: Notably, these activities focus more on lower body movements that are high impact. Therefore, individuals who practice these sports may be more at risk for developing shin splints.

5) Flat Feet: Flat or pronated feet change the pull of muscles and weightbearing in the legs. As a result, this may create muscular imbalance and result in some muscles having to work harder, putting increased stress on them.

What are the signs and symptoms?

1) Dull, achy pain down the shin bone

2) Tender to the touch over the shin area, especially the inner portion

3) Swelling over the shin area

4) May experience redness on the lower leg after exercises

5) Exercise makes it worse while rest makes it better

How can shin splints be treated acutely?

Importantly, the RICE protocol is used often on sports injuries and works well on shin splints in the acute phase. RICE is an acronym that helps us remember what to do to treat our injuries.

1) Rest: Firstly, avoiding exercise for some time will allow muscles to recover and allow more efficient healing.

2) Icing: Secondly, icing on the shins will reduce inflammation, pain and swelling.

3) Compression: Additionally, compression bandages or braces can reduce stress on muscles and prevent pain.

4) Elevation: Finally, elevating the leg can help clear swelling and reduce inflammation from the leg.

How can shin splints be treated in the long term?

Physiotherapy is the first line of treatment for shin splints as it is a common sports injury. The following steps will help improve your pain.

Orthotics: Custom made insoles can correct the muscle imbalance and takes pressure off from overworked areas

Orthotics

Orthotics may help correct foot posture increase the risk of developing shin splints

Footwear: Proper runners or sports shoes are needed as a proper base of support to your ankle and leg. Then, this will help the muscles and joints absorb less pressure.

Stretching exercises: Ankle stretches will correct muscle length and after exercising, helps to clear byproducts of exercise that can make muscles sore. Eg. Calf stretch, soleus stretch, tibialis anterior stretch.

One example of a calf stretch, but many other effective methods may be used

Massage: Self-massage or massage therapy on tender spots and the surrounding muscles will help reduce inflammation and reduce areas of high muscular tension.

Strengthening exercises: Strengthening certain group of muscles can make them more resilient, correct imbalances, and prevent pain. Eg. Strengthening exercises of the calves, quads, and glutes can help correct this issue, especially in areas of weakness.

Looking for treatment? Look for PhysioNow!

If you are experiencing leg pain or shin splints, you can get treatment quickly! Here at PhysioNow, we have many expert Registered Physiotherapist to help, with locations across the GTA including Burlington, Oakville, Mississauga, and Etobicoke. Book with PhysioNow today for your first assessment and treatment!