WHAT IS A HAMSTRING SPRAIN?
A strain is a tear or stretch of a muscle or tendon. People commmonly call such an injury a "pulled" muscle. Your hamstring muscle group is in the back of your thigh, and allows you to bend your knee. It is made up of three large muscles: the biceps, semimembranosus, and semitendinosus.
HOW DOES IT OCCUR?
A hamstring muscle strain usually occurs when these muscles are contracted forcefully during activities such as running or jumping.
WHAT ARE THE SYMPTOMS?
You will often feel a burning or popping as the injury occurs. You will have pain when walking or when bending or straightening you leg. A few days after the injury, you may have bruising on your leg just below the injury.
HOW IS IT DIAGNOSED?
Your doctor will examine your leg and find tenderness at the site of the injury.
HOW IS IT TREATED?
Treatment may include:
- applying ice packs to your hamstrings for 20-30 minutes every 3-4 hours for 2-3 days or until the pain goes away
- elevating your leg by placing a pillow underneath it
- wrapping an elastic bandage around your leg for compression to keep the swelling from getting worse
- taking anti-inflammatory medication according to your doctor's prescription
- using crutches if it is too painful to walk
As you return to your activity, you may be given an elastic thigh wrap to give extra support to your hamstrings. While you are recovering from your injury, you will need to change your sport or activity to one that does not make your condition worse.
WHEN CAN I RETURN TO MY SPORT OR ACTIVITY?
The goal of rehabilitation is to return you to your sport or activity as soon as is safely possible. If you return too soon you may worsen your injury, which could lead to permanent damage. Everyone recovers from injury at a different rate. Return to your activity will be determined by how soon your leg recovers, not by how many days or weeks it has been since your injury occurred.
In general, the longer that you have symptoms before you start treatment, the longer it will take you to get better. You may safely return to your sport or activity when, starting from the top of the list and progressing to the end, each of the following is true:
- you have full range of motion in the injured leg compared to the uninjured leg
- you have full strength of the injured leg compared to the uninjured leg
- you are able to jog straight ahead without limping
- you are able to sprint straight ahead without limping
- you are able to do 45 degree cuts, first at half speed, then at full speed
- you are able to do 20 yard "figure 8" runs, first at half speed, then at full speed
- you are able to do 90 degree cuts, first at half speed, then at full speed
- you are able to do 10 yard "figure 8" runs, first at half speed, then at full speed
- you are able to jump on both legs without pain, and jump on the injured leg without pain
HOW CAN I PREVENT HAMSTRING STRAIN?
A hamstring strain is best prevented by warming up properly and stretching your hamstring muscles prior to your activites. This is especially important in jumping.
HAMSTRING STRAIN - REHABILITATION EXERCISES

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