Quad Pain Diagnosis

[pudding_bowl]

I'm all for doing double leg if the patient can't manage single leg. But like you say they may be a bit far off that still.
If ACP provides benefit then definately pursue it. If your getting benefit then keep on doing what your doing. At which point a plateau is reached then we should look into the eccentric protocol perhaps. I would almost say they are contraindicated as the eccentric work is shown to reduce the vascularisation in the tendon and I think ACP is attempting to increase it? Fill me in if I'm wrong on that.

[Tidalzone]

I think that you are right on the neovascularization / contraindication. Perhaps the ACP / vascularization is required in this instance to initially provide tendon cell proliferation for the healing which did not occur after the injury.

The eccentrics (and perhaps reduced vascularization) can be considered later when the tendon has progressed to better handle the load.

One thing is clear - - I'm way out of my league on this discussion!!