Hamstring Strain

Posterior Thigh Pain with Muscle Power Deficits

If a patients presents to clinic with pain in the buttock or posterior thigh, often related to blunt trauma or sporting activity, you should consider a hamstrings strain as a potential diagnosis! For more clinical findings click here!

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Anatomy

      Image via Complete Anatomy 2018 by 3D4 Medical

Hamstring Dominant Movement

Often times, patients with a history of hamstring strains tend to exhibit hamstring dominance. Checking activation sequence and quality can help the therapist determine if the hamstrings are being over-utilized and the gluteal muscles are being under-utilized. If hamstring dominance is present gluteal activation in the future will be key! (Click image to watch 1-2 minute video)

Range of Motion

To help rule in a strain to the hamstrings group it is helpful to elongate, contract and palpate the muscle noting any reproduction of the patient’s symptoms. Straight leg flexibility is one way to elongate the hamstrings group as well as attain an objective measure! (Click image to watch 1-2 minute video)

Treatment

Treatment of hamstring strains depends on the how acute the strain is and/or the irritability of the patient. Early on, inhibition of the hamstrings group should be priority rather than stretching. As the patient progresses, eccentric loading to the hamstrings (if tendinopathy present) and especially gluteal strengthening should be considered!  (Click the image to watch 1-2 minute video)

Therapeutic Exercise

After pain has been reduced, hamstring length has been restored,  and gluteal activation is progressing it is important to incorporate lower extremity motor control while promoting gluteal dominance vs. hamstring dominance. (Click the image to watch 1-2 minute video)

Hip Osteoarthritis

Hip Pain with Mobility Deficit

Do you or a family member have pain in your hip that gets worse with weight bearing and getting in and out of chairs? Do you feel like your painful hip is limited in range of motion compared to the other side? That pain pattern is similar to that of hip osteoarthritis. Look below for some things to consider!

If you do not know the common clinical findings no problem! Click here

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Anatomy

      Image via Complete Anatomy 2018 by 3D4 Medical

Special Tests

A good clinical measure to take would be active and passive range of motion of the hip. Hip internal rotation and hip flexion are often limited by 15 degrees when compared to the non-painful side. (Click image to watch 1-2 minute video)

Treatment

This technique can be used for both pain modulation and to help increase range of motion in the hip! (Click image to watch 1-2 minute video)

Therapeutic Exercise

Quadruped rock backs are a gentle way to begin to gain more flexion range of motion in the hip. Therapeutic exercises chosen should always closely match treatment given in clinic. (Click image to watch 1-2 minute video)