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Hamstring Injury


Presentation

  • […] in thigh extension and knee flexion hamstring muscle group comprises three separate muscles: semitendinosus, semimembranosus and biceps femoris hamstring injury is defined by the anatomical site within the muscle that is affected, and injury must be present[gpnotebook.co.uk]
  • Objectives: To evaluate the effectiveness of all rehabilitation strategies employed to promote the return to full strength, range of movement and function of those individuals presenting with all forms of hamstring injury, regardless of site, severity[cochrane.org]
  • The “pain in the butt” hamstring strain presents difficulties that are different from those posed by lower hamstring strains.[triathlete.com]
  • Phase 3 Protection Range of motion is no longer restricted, as sufficient hamstring strength without accompanying pain should now be present.[jospt.org]
  • If a large, bony avulsion fragment is present, it may require reattachment. The recovery of strains goes through three phases.[emedicinehealth.com]
Localized Pain
  • pain and loss of function, demonstrated by palpation, range of motion and muscle testing magnetic resonance imaging (MRI) can provide further information on the extent of injury The hamstring muscles are three separate muscles which work together to[gpnotebook.co.uk]
Collapse
  • New York Yankees great Mickey Mantle once collapsed in a heap after ripping a hamstring while trying to beat a throw to first.[latimes.com]
Prolonged Immobilization
  • As soon as pain permits, it is important to begin a program of stretching and range-of-motion rehabilitation exercises because prolonged immobilization and inactivity results in muscle shrinkage (atrophy) and scar tissue (fibrosis).[medicinenet.com]
Inguinal Pain
  • pain. 2 Imaging Unless an avulsion fracture with bony fragment or apophyseal fracture is suspected, plain radiographs are of little use in the examination of an acute hamstring injury. 22 Instead, ultrasonography (US) and MR imaging technologies have[jospt.org]
Vascular Disease
  • If you have diabetes, vascular disease, or reduced sensation, talk to your doctor before using ice therapy. 4 Wear a compression wrap around your hamstring.[wikihow.com]
Palpitations
  • […] of pain -Significantly reduced ROM -Pain on walking -Obvious weakness on testing c-Intratendinous An injury which extends into the tendon 4 -Complete tear of muscle or tendon -Sudden onset of pain -Significant limitation to activity -Palpable gap on palpitation[sportsinjurybulletin.com]
Arthritis
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases. . Accessed Sept. 13, 2015. Fields KB, et al. Hamstring muscle and tendon injuries. . Accessed Sept. 13, 2015.[mayoclinic.org]
  • Guide to Core Strengthening Hamstring Injury Prevention The following measures may have the effect of reducing the risk of sustaining a Hamstring muscle strain: Hip & Thigh Injuries Hip Labrum Tear Hamstring Injury Thigh Muscle Strain Hip Arthritis Hip[physioroom.com]
  • Piriformis syndrome – Sacroiliac joint derangement – Lower lumbar disc herniation – Peripheral neuropathy (nerve impairment) – Central spinal stenosis
(narrowing of the spinal cord) – Spondylolisthesis
(spinal joint slippage) – Spondylotic degeneration (arthritis[cyclingweekly.com]
  • Past medical history may also be important since previous injury or arthritis of the back, hip, or knee can decrease the range of motion and flexibility of the muscles, causing the hamstring to become more prone to injury.[emedicinehealth.com]
  • Arthritis, a chronic joint condition, may also cause knee pain. The first goal of treatment is to prevent the injury from becoming worse. A person can rest the tendon by avoiding repetitive activities, especially the activity that caused the injury.[medicalnewstoday.com]
Forgetful
  • But don’t forget common injury prevention strategies like, warming up properly and using a bit of old-fashioned common-sense. Even if you don’t have a hamstring problem now, the following suggestions will be helpful.[stretchcoach.com]
Peripheral Neuropathy
  • There are several possible causes: – Sciatica/radiculopathy (referred pain) – Nerve impairmentν Piriformis syndrome – Sacroiliac joint derangement – Lower lumbar disc herniation – Peripheral neuropathy (nerve impairment) – Central spinal stenosis
(narrowing[cyclingweekly.com]

Treatment

  • In nearly all cases, hamstring strains will heal following adherence to a treatment program that includes these conservative, non-surgical treatment options.[highmountainortho.com]
  • Hamstring Injury Treatment Treatment of hamstring injuries will vary depending on the type of injury you have, its severity, and your own needs and expectations.[orthotoc.com]
  • Treatment Of Hamstring Injury The immediate treatment of a Hamstring muscle injury consists of the POLICE protocol – protect, optimal loading, ice, compression and elevation.[thephysiocompany.com]
  • Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only.[drugs.com]
  • Hamstring injuries: prevention and treatment – an update. British Journal of Sports Medicine 2014. Last Review Date: 26-11-2017 Next Review Date: 26-11-2019[local-physio.co.uk]

Prognosis

  • Treatment and prognosis Return to play is largely predicted by clinical assessment with poor correlation between imaging-based grading systems and time to return to play 4.[radiopaedia.org]
  • The diagnosis and prognosis for time to return to sport (RTS) after acute hamstring injuries are mainly based on a comprehen-sive clinical examination 2–7.[aspetar.com]
  • This makes recommendations regarding rehabilitation and prognosis about healing time and return-to-play notoriously difficult.[sportsinjurybulletin.com]
  • What is the prognosis for hamstring injuries? The outlook is generally good, but can require a period of rest by avoiding running and athletic competition. The length required for recovery varies depending on the severity of the muscle injury.[medicinenet.com]
  • The outlook (prognosis) is generally good, but can require a period of rest by avoiding running and athletic competition, followed by adhering to a rehabilitation programme of exercises.[patient.info]

Epidemiology

  • Related Medscape topics : Resource Center Adolescent Medicine Resource Center Exercise and Sports Medicine Resource Center Joint Disorders Resource Center Trauma Specialty Site Orthopaedics Epidemiology Frequency United States As a percentage of lower-extremity[emedicine.medscape.com]
  • Epidemiology of Hamstring Strains in 25 NCAA Sports in the 2009-2010 to 2013-2014 Academic Years.[en.wikipedia.org]
  • Epidemiology of high school and collegiate football injuries in the United States, 2005-2006. Am J Sports Med. 2007 ;35: 1295 – 1303. [Crossref] [Medline], [Google Scholar] 87. Sherry MA, Best TM.[jospt.org]
  • Epidemiology of muscle injuries in profressional football (soccer).” American Journal of Sports Medicine 20 (2011). Mtshali, P. TS, N. P. Mbambo-Kekana, A. V. Stewart, and E. Musenge.[totum.ca]
  • Epidemiology of injuries in English professional rugby union: part 2 training Injuries. Br J Sports Med 2005;39:767–75. doi:10.1136/bjsm.2005.018408 Askling CM, Tengvar M, Tarassova O, et al.[aspetar.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology. Hamstring injuries occur along a continuum ranging from mild strain at the myotendinous junction to the less common ischial tuberosity (proximal hamstring) injuries. A strain is a partial disruption of the musculotendinous unit.[sportsmedreview.com]

Prevention

  • Preventing Hamstring Injury Mark my words, “Prevention is much better than Cure.” Anything you can do to prevent an injury from occurring is worth it.[stretchcoach.com]
  • Hamstring Injury Prevention Warm up before working out or playing sports, and be sure to cool down afterward. Exercise regularly to maintain muscular and cardiovascular fitness and prevent injuries from fatigue. Stretch and Strengthen.[orthotoc.com]
  • Current trends in treatment and prevention. Sports Med. 1997 Jun. 23(6):397-404. [Medline]. Unger CL, Unger DA. Preventing and rehabilitating hamstring injuries. Athl Ther Today. 1997 May. 44-9. Worrell TW.[emedicine.medscape.com]
  • Is It Possible to Prevent a Pulled Hamstring? While all injuries cannot be prevented, pulled hamstrings are often due to tight muscles and poor flexibility.[emedicinehealth.com]
  • They also recommended using both uni- and bilateral exercises in order to prevent muscle strength asymmetry.[simplifaster.com]

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