Pulled HAmstring / Hamstring Strain

what is the usual rehab protocol / treatment for patients with Pulled hamstrings? :rollin

:hat What a cool name u have there!

Look at it this way...
A Pulled muscle can either be Muscle spasm and/or muscle strain. The latter may even co-exist with a contusion. I don't know in ur case but you first have to understand the course of the pathology.

here's how i would do it:
1. 24- 48hrs: RICE. Here you must make sure u prevent the formation of Swelling right from the scene of injury as it will prolong the healing period.
2. 48hrs-1week:Here the aim is to prevent the formation of adhesions in a muscle. start with heat and follow with soft tissue mobilization
3. 2weeks- 3weeks: Stretch and strengthen the muscle gradually
4. 3 weeks- Sports specific training- the aim is to return the athlete back to his/here sport.
5. Correction of the causative factors: remmember a muscle is like a rubber, it acts best if it's warmed and slowly stretched before the workout.

Hope this will help :hat

hey I have had a client whos has had a history of hamstring problems, I more or less followed the protocall written, but he still complains of his hamsrting being tight/sore towards the end of games - his a gaelic football player, he stretches his hamstrings reguarly and I am able to to achive full knee extension with 90 degrees hip flexion easily - I have completed slump test no problems pelvis is neutral hip flexors are ok , He has also been recieving soft tissue massage Im not sure what else can I do ?

hi

please check pelvic and lumbar balance,
any trigger points,
check balance between biceps femoris - semiten/membr
improve stomach and core muscle,
improve balance between antygonists,(mainly hamstrings-quadriceps, eccentrics for hamstring)
check feet,

all the best

In a recent course I have done we discussed that if the patient is in prone lying and lifting his leg in extention, the chain of activation should be glutes first, then hamstrings. You can test that and just visually see, if he activates his gultes first.


Also if the gultes are not strong enough to start of with, the hamstrings overload.
Same for adductor magnus. So test these and also strengthen them.

so it might be a muscle control or/and muscle imbalance problem.

good luck! (ps. brookner and kahn: clinical sports medecine has a nice little section about it)

Originally Posted by Physioindeed In a recent course I have done we discussed that if the patient is in prone lying and lifting his leg in extention, the chain of activation should be glutes first, then hamstrings. You can test that and just visually see, if he activates his gultes first. Also if the gultes are not strong enough to start of with, the hamstrings overload. Same for adductor magnus. So test these and also strengthen them. so it might be a muscle control or/and muscle imbalance problem. good luck! (ps. brookner and kahn: clinical sports medecine has a nice little section about it)

i was introduced to this test a while ago and have to say; im not too confident of its diagnostic accuracy, does anyone else feel the same? I would still test for activation of hip ext but would be more concerned with the sequence of contralateral lower back muscles; that is on asking your pt to lift their leg off the bed, note which sequence they contract their mms, i and generally not too concerned if one fires before another (unless it is marked) but i would query if they contracted the opposite lumbar mms BEFORE gluts/hammis. Their seems to be (purely observational) more correlation with LBP and 'mis-firing' in this scenario compared with activation between hammi/glute
If it is contralateral side firing first, its relatively simple to correct. How effective and long lasting it is, im not sure. Does anyone have any similar findings, or have i been in a closed, poorly ventilated room for too long?