The most appropriate step to manage the patient's symptoms as mentioned in question is Quadriceps strengthening exercises.
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What is quadriceps?</h2>
The Quadriceps femoris is one of the largest and most powerful muscle of the human body. The quadriceps femoris is both a hip flexor and a knee extensor. It is made up of four individual muscles; the rectus femoris, and three vastus muscles. They are one of the strongest muscles in the body and make up the majority of the thigh.
Anterior knee discomfort in young women is frequently caused by patellofemoral pain syndrome. Usually, chronic usage or misalignment is at blame for such discomfort. A patellofemoral compression test can simulate the discomfort. Exercises for stretching and strengthening of quadriceps are part of the initial therapy, along with activity modification and non-steroidal anti-inflammatory medications.
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Females and males each have some amount of the sex hormones, androgens and estrogens. In males however, androgens like testosterone is more dominant and in females estrogens like estradiol are more dominant. The hormones both affect the sexual response cycle. The sexual response cycle has four phases: desire, arousal, orgasm and resolution. The desire phase can last anywhere from a few minutes to hours and includes physical changes like an increase in muscle tension, heartbeats quickening, flushed skin, and an increased flow of blood to genitals. The arousal phase extends to the brink of the orgasm phase, during this phase the changes experienced in the desire phase are intensified along with blood pressure increasing. The orgasm phase generally only lasts a few seconds and is the climax of the sexual response cycle, some characteristics include: Involuntary muscle contractions and spasms, blood pressure, breathing, and heart rate at their highest point, a release of built up sexual tension, and flushed skin. During the resolution phase the body returns to normal, often a sense of wellbeing and fatigue is achieved. To begin the cycle a male need a certain amount of the androgen, testosterone, but high levels in females tend to lead to more sexual thought and desires, typically though, women have relatively low levels of testosterone. In women, estrogens, such as estradiol are more common. Estrogens are produced when a girl starts puberty and helps her reproductive cycle begin. A high level of estrogen in men can lead to a reduced sex drive, loss of hair, or trouble focusing, but a normal level in men is crucial to proper erectile function.
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