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  • Writer's pictureBrittany Taylor

Torn Hamstring?


Torn Hamstring Miranda Physio

 

What is a torn Hamstring?

 

A hamstring strain occurs when muscles fibres in the back of your thigh become damaged or torn. This happens when the muscle is working beyond its flexibility and strength capabilities. It can happen in both acute situations and in those performing repetitive sports/activities overtime.

 

The muscle fibre can tear anywhere from just underneath your buttock to your mid-thigh or just above the back of your knee.

 

Grading of Hamstring tears:


 Grade I: This is when less than 10% of fibres have been torn. Usually you will feel pain and a pulling sensation but you will still be able to walk and even run.


Grade II: This is when between 10-50% of the muscles fibres are torn. You will usually have to stop your activity due to pain and weakness and you may find it difficult to walk normally. Those with more severe GII injuries will only be able to walk on their heel and will have some bruising present.


Grade III: When more than 50% of the muscle fibres have been torn. More likely in those competing in elite or amateur sports that involve running and jumping. You will usually have major bruising and be unable to weight bare without support due to pain and weakness.

 

Signs & Symptoms of a Torn Hamstring


  • Sharp, sudden pain

  • Cramping

  • Painful walking and running

  • Bruising

  • Limping or weakness

  • Inability to sprint

  • Pain with sitting

 

If you are experiencing any of these signs book in to see a Physiotherapist.

 

 

Immediate management of a hamstring tear

 

The POLICE protocol:

Protection - avoiding aggravating activities

Optimal-  pick only activities that promote healing - like exercises prescribed by your physio

Loading - perform low load exercises to maintain strength

Ice – ice area for 10 minute at time

Compression – to reduce swelling and bruising

Elevation – to reduce swelling

 

No HARM protocol - This means avoiding:

·      Heat

·      Alcohol

·      Running/activity

·      Massage


We also recommend to avoid using any anti-inflammatories for pain relief as this can increase bruising.


When should you see a Physio?

 

Immediately! Evidence show that commencing physiotherapy "early" as in "day 1" will reduce pain and improve healing time

 

 

Return to sport after a Hamstring Tear?

 

In General:

-       Grade I hamstring Strain = 1-2 weeks

-       Grade II hamstring Strain = 3-6 weeks

-       Grade III hamstring = 6- 12 +weeks


What will recovery look like?

Hamstring tear exercises

 

Goal 1: pain free walking

-       Reduce pain by offloading the hamstring using tape or crutches.  

-       Gentle muscle activation

-       Avoid Stretches




Hamstring tear exercises

Goal 2: Restore Strength

-       Double leg hamstring strengthening

-       Progressing to eccentric and concentric movements

-       Progressing to single leg hamstring strengthening adding

-       Commence flexibility program

 


Hamstring tear exercises

Goal 3: Return to pain free activities

-       Progressive strengthening

-       Flexibility program

-       Commence plyometric exercises

-       Return to training/specific sports related skills

 

hamstring tear exercises

Goal 4 : Prevent re-injury

-       Maintenance of flexibility and strengthening programs

-       Maintenance of plyometric exercises throughout pre-season- off season

-       Education and correct management of training volume/load

 

 

These exercises are only examples and should be prescribed and performed under the guidance of a Physio.


Written by Brittany Taylor, Physiotherapist

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