Hamstring Origin Tendinopathy
- Sports with repetitive running/ kicking requirements
- Gym rats (heavy squatters/ deadlifters)
- Desk workers & persons with chronic poor posture
The hamstrings muscle group is the large bulk of muscle on the back of the thigh, made up of the semimembranosis, semitendinosis and biceps femoris muscles. All three muscles attach at a common point at the pelvis, the ischial tuberosity, via the hamstrings tendon. They then run down the back of the thigh and cross the knee joint. Due to its attachments, this group is responsible for both extending the trunk, at the hip, and bending the knee. When there is constant, repetitive strain placed on the hamstring tendon it starts to become inflamed and irritated resulting in tissue damage and pain.
WHEN & HOW?
Hamstring tendinopathy occurs when, over time, the tendon undergoes repetitive damage but is unable to fully recover. This usually occurs as a result of a previous strain or tear to one of the hamstring muscles, or as a result of chronic inflammation at the tendon which causes gradual degenerative changes to the structure and composition of the tendon.
Due to the hamstrings being responsible for straightening the hip and bending the knee, runners, jumpers and kickers are often more susceptible to hamstring strains and thus hamstring tendinopathy. In sports such as AFL, it is common to see players suffering from tears or strains as a result of excessive tension being placed on the hamstring muscle when kicking or sprinting continuously.
On the opposite side of the spectrum, the hamstrings tendinopathy can be worsened in persons who sit for prolonged periods such as desk workers and very inactive persons. The development of this condition has also been linked to persons with poor core strength and pelvic dysfunction.
To manage hamstring tendinopathy your local Move Forward physiotherapist will assess the hamstring muscle and its attachments, whilst also evaluating the entire lower quadrant to determine any factors that may be contributing to your injury. An individualized program and treatment plan will then be prescribed to help reduce the strain placed on the hamstrings muscle group and its attachment on the pelvis in order to best manage your injury and to prevent any ongoing long term pain. A number of techniques may be used throughout your rehabilitation, which may include;
• Deep tissue massage
• Dry needling
• Joint mobilisations
• Stretching exercises
• Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapy and Jindalee Physiotherapy Move Forward practices.
• Heat and/or ice therapy
• Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy, located just next to Whitfords Shopping centre within Healthy Life Gym.