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Hamstring Origin Tendinopathy

Hamstring Origin Tendinopathy

Hamstring Origin Tendinopathy

 

WHO?

  • Sports with repetitive running/ kicking requirements
  • Gym rats (heavy squatters/ deadlifters)
  • Desk workers & persons with chronic poor posture

 

WHAT?

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.

 

MANAGEMENT?

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
• Taping
• Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy, located just next to Whitfords Shopping centre within Healthy Life Gym.

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Fat Pad Impingement

Fat Pad Impingement

WHO?
• Young athletes
• Runners
• Cyclists
• Soccer/ Footy players

WHAT?

Fat pad impingment syndrome is a common condition affecting the knee joint and may also be referred to as Hoffa’s Syndrome. The fat pad is a small, sensitive area of soft tissue, composed mailny of adipose tissue (hence the name), that is found just underneath the bottom half of your kneecap and patellar tendon. This fat pad helps to lubricate the knee joint, whilst also acting as a bit of a shock absorber.

WHEN?

Fat pad impingement can occur at any age but most often occurs in active teenagers and adults between the ages of 20-50. It usually occurs over time and is regularly seen in persons performing running activities or sports that require lots of kicking. It is also a condition seen in the elderly either as a result of trauma to the knee or gradual wear and tear from age and/or conditions such as OA.

HOW?

Irritation to the fat pad is usually as a result of activities that require repetitive extension (straightening) of the knee. Over-extension of the knee can also be caused by a traumatic injury or a fall onto the knee. When the knee is overly straightened this fat pad can get pinched between the knee cap and the bones of the knee joint (femur and tibia) resulting in impingement. Repeated pinching and impinging of the fat pad results in inflammation which causes pain and swelling to occur around the knee cap.

MANAGEMENT?

Treatment and management for fat pad impingement is often quite straightforward, with a focus on managing painful symptoms in the initial weeks before moving onto to an exercise modification and rehabilitation program to target long term relief. Your local move forward physiotherapist will assess your knee as well as your hips, low back and ankle to determine the underlying cause of your injury. Once assessed you will then be given an individualised treatment plan to manage your painful symptoms and prevent any further damage. A number of techniques may be used to do this including;
• Dry needling/ acupuncture
• Knee mobilisations
• Deep tissue massage
• Heat/ Ice therapy
• Hydrotherapy
• Pilates
• Stretching and strengthening exercises
• Activity/ exercise modifications at either our Pilates studies at Quinns Physiotherapy , or within Healthy life gym located by hillarys Physiotherapy

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