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Hamstring injuries

Hamstring injuries

  • It usually occurs in running athletes as a result of sudden hip flexion and knee extension.
  • Most commonly seen in rapid acceleration sports like soccer, etc.
  • With a hamstring strain, the muscle gets stretched too far or might even start to tear.
  • It many occur during exercise that involves a lot of running and jumping or sudden stopping and starting.
  • Hamstrings is a group of three muscles that run along the back of your thigh. They allow you to bend your leg at the knee.


Causes -

  • Inadequate warm up.
  • Strength imbalance (hamstrings to quadriceps)
  • Reduced hip extension
  • Leg length differences (shorter leg has tighter hamstrings)
  • Rapid acceleration activities when running or initiating running activity, jumping rope,tennis, elliptical machine,walking, etc.


Grades of Hamstring Injury -

Grade 1 - a mild muscle pull or strain

Grade 2 - a partial muscle tear

Grade 3 - a complete muscle tear


Symptoms -

  • Back thigh pain
  • Hamstring tightness
  • Pain while sitting
  • Stiff legged gait
  • Tenderness
  • Sudden and severe pain during exercise alongwith a snapping or popping feeling.


Investigations -

  • Physical examination to check the movements at hip & knee that aggravates pain.
  • Xray
  • MRI


Treatment -

  • To reduce pain, swelling, joint mobility.
  • Restore the level of function before the injury.
  • Increase muscle strength and conditioning.
  • Rest, ice, NSAIDs, protected weight-bearing.
  • Operative procedure as advised by the clinician.