Repairing Guides

how to repair a hamstring

by Amie Cormier Published 2 years ago Updated 1 year ago
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Take a break from strenuous activities to allow the injury to heal. Use a cane or crutches to avoiding putting your full weight on your injured leg. Apply ice packs several times a day to relieve pain and reduce swelling. Wrap the injured area with a compression bandage or wear compression shorts to minimize swelling.Nov 17, 2020

Medication

  • Starting Position: Stand upright holding on to a chair or table for balance
  • Action: Lift your foot back behind you bringing it up towards your glutes as high as you can. ...
  • Progression: Add an ankle weight or wear a shoe to work the muscles harder

More items...

Procedures

These include:

  • RICE – Rest, ice, compression, and elevation. ...
  • Physical rehab can be helpful in healing a strained hamstring. ...
  • Manual therapy: Such as ART, deep tissue massage, or instrumented assisted soft tissue therapy will help the scar tissue heal in the right orientation. ...

Therapy

  • Warm up prior to exercise. I recommend that you increase your normal warm up time. ...
  • Cool down. After performing your exercise or activity, take the extra time to cool down and stretch. ...
  • Initially avoid potential high risk activities. ...
  • Regain full strength and motion before returning to sport. ...

Self-care

Typically, treatment includes the RICE method, which involves:

  • Rest: Limit participation in activities that cause pain in the hamstring until it heals.
  • Ice: Apply an ice pack for 20 minutes a few times a day.
  • Compression: Wear an elastic compression bandage to help prevent swelling.
  • Elevation: Place the thigh higher than the heart when sitting to reduce swelling.

Nutrition

See more

How can I strengthen my hamstring muscles?

How long for a hamstring strain to heal?

How to recover from a hamstring strain fast?

How do you heal a pulled hamstring?

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How long does a hamstring injury take to recover from?

Recovery from a hamstring tear or strain Mild to moderate (grade 1 or 2) tears or strains can heal within three to eight weeks with diligent home therapy. For a grade 3 hamstring tear or strain, recovery may be as long as three months.

Can a torn hamstring heal on its own?

Though these injuries can be very painful, they will usually heal on their own. However, for an injured hamstring to return to full function, it needs special attention and a specially designed rehabilitation program. When the hamstring is injured, the fibers of the muscles or tendon are actually torn.

How do you tell if hamstring is pulled or torn?

How do I know if I've injured my hamstring? Mild hamstring strains (grade 1) will usually cause sudden pain and tenderness at the back of your thigh. It may be painful to move your leg, but the strength of the muscle should not be affected. Partial hamstring tears (grade 2) are usually more painful and tender.

Is walking good for hamstring injury?

Slowly increase your physical activity, such as walking. Follow the exercises your provider gave you. As your hamstring heals and gets stronger, you can add more stretches and exercises. Take care not to push yourself too hard or too fast.

What happens if you don't repair a torn hamstring?

Too often athletes postpone treatment for a hamstring injury assuming it will heal on its own, but a delay in treatment may significantly delay a return to sport activities. Some athletes suspect they've pulled their hamstring when they've actually torn it. In such cases surgery may be necessary for a full recovery.

Can I walk with a Grade 2 hamstring tear?

Walking will likely be unaffected, you may feel minimal symptoms with sprinting. Grade 2 Strain- Moderate, a partial muscle tear up to half of the muscle. You may experience a limp with walking, and running may not be an option due to weakness and pain.

Should you see a doctor for a torn hamstring?

Mild hamstring strains can be treated at home. But you should see a doctor if you can't bear any weight on your injured leg or if you can't walk more than four steps without significant pain.

How to treat a torn hamstring?

Treatment of a torn hamstring is usually determined by the severity of the injury. Resting a pulled hamstring is the key to successful treatment. As a general guide, if you have a hamstring strain, you can do activities that do not aggravate your recent injury.

How to heal hamstrings?

Rest. Allowing time for the muscle to rest is the first step in the treatment of most hamstring injuries. Rest allows the swelling to subside and inflammation to settle down. In order to sufficiently rest the muscle, sometimes crutches are needed to relieve the stress of the muscle. 2 .

What is hamstring strain?

A hamstring strain occurs when the muscle fibers of the hamstring muscle in the back of the thigh are stretched too far. This can cause tearing of the muscle fibers. Once the injury has been diagnosed, treatment should begin.

How to treat hamstring pain?

Allowing time for the muscle to rest is the first step in the treatment of most hamstring injuries. Rest allows the swelling to subside and inflammation to settle down. In order to sufficiently rest the muscle, sometimes crutches are needed to relieve the stress of the muscle. 2 

How to warm up hamstrings?

Before activities, heating the injured muscle can help loosen the tissue. Applying a heat pack to the hamstring prior to stretching or exercising may help to warm up the injured muscle. As a general rule, remember to heat before, and ice after. 7 

Is it necessary to have surgery on a hamstring?

Surgical treatment is rarely necessary for the treatment of a hamstring injury. When the injury occurs within the central part of the muscle, it is almost always best to treat these injuries non-surgically. In some situations when the muscle attachment to the bone is pulled off, surgery may be necessary to reattach the muscle to its proper location. 2 

Is it necessary to treat a hamstring injury?

Surgery. Surgical treatment is rarely necessary for the treatment of a hamstring injury. When the injury occurs within the central part of the muscle, it is almost always best to treat these injuries non-surgically.

How to stretch hamstrings?

To stretch your hamstring muscles, extend one leg out in front of you and then lean forward until you feel the stretch in the back of your thigh. Repeat with the other leg. Don't bounce.

What to do after hamstring injury?

After the initial pain and swelling of a hamstring injury subside, your doctor or a physical therapist can show you how to perform specific exercises designed to improve flexibility and strengthen your hamstring muscles.

How to stop swelling in leg from a sprain?

Use a cane or crutches to avoiding putting your full weight on your injured leg. Apply ice packs several times a day to relieve pain and reduce swelling. Wrap the injured area with a compression bandage or wear compression shorts to minimize swelling.

What is the term for a small piece of bone pulled away from the main bone?

Sometimes, a small piece of bone is pulled away (avulsion fracture) from the main bone when this detachment occurs. X-rays can check for avulsion fractures, while ultrasound and MRIs can visualize tears in your muscles and tendons.

What Does a Torn Hamstring Feel Like?

When a patient tears their hamstring tendon from their origin, off the pelvic bone, they often describe the sensation of being shot in the back of their thigh and buttock.

How Do We Identify A Hamstring Tear?

When a patient comes to my office with a probable hamstring tear, I examine them first and then obtain an MRI scan.

When Don't I Need Surgery For a Torn Hamstring?

Surgery is not required if the patient partially tears their 3 tendons or if they completely tear just one of their hamstring tendons off the ischial tuberosity.

When Do I Need Surgery For a Torn Hamstring?

However, if someone tears all 3 tendons and they have pulled away more than an inch or so, surgery is recommended. Without surgery, patients can experience chronic pain and weakness in hip extension and knee flexion. They can also develop nerve pain in their leg if the torn hamstring tendons scar down to the nearby sciatic nerve and pull on it.

What Does Hamstring Surgery Entail?

Surgery consists of making a transverse incision in the crease just below the buttock (which makes for a scar that is hardly noticeable), isolating the torn tendons, and suturing them back to the ischial tuberosity using suture anchors.

Luckily, Hamstrings Strains are More Common Than Hamstring Tears

As I mentioned before, fortunately, it is much more common for athletes to strain their hamstrings rather than tear them. This usually results from an eccentric contraction. In other words, the muscle is contracting while the muscle fibers are being elongated.

What to do if your hamstring is torn?

If any of the following symptoms match your condition, your hamstring muscle may be completely torn, or pulled off the bone:

How to treat a pulled hamstring?

Apply an ice pack once an hour. Use a cold pack, or wrap ice in a wet towel, and place it on the injury site. Leave this on for 10 to 15 minutes, then take it off. Repeat this once an hour during the day you pulled your hamstring. Continue icing once every two or three hours for the next couple days after that.

How to get your thigh muscles to work?

Lie on your back and bring your knee up to a slight angle. Contract your thigh muscle with about 50% of its maximum force, hold for thirty seconds, then relax and repeat several times. If still pain-free, repeat with your knee at a narrower angle, bringing your foot back up toward your hip.

How long does it take to get through a pulled hamstring?

A slight pulled hamstring can get through this stage in one to ten days, while a more significant injury can last two to three weeks.

How to get back flexibility after a leg injury?

1. Stretch dynamically and with full range of motion. Once the injury is essentially healed and you are trying to regain former flexibility, your stretching exercises should involve dynamic motion once every other day, with the leg swinging during the stretch. If you feel pain, stop and return to gentler stretches.

How to stretch your hips?

Do this several times per day. Place your foot on a low table or a chair, and stretch forward from the hip into a comfortable, relaxed position with a gentle stretch at the back of your leg. Lie on your back and lift your leg vertically, or as high as is comfortable.

How long can you jog without pain?

Perform this treatment twice a day until your leg is recovered enough to jog for five minutes without pain. Be aware that this treatment is not completely understood, and some doctors prefer to switch entirely to hot treatments. In general, cold treatment reduces blood flow, while heat increases it.

How to tell if hamstring is torn?

The symptoms of a torn hamstring depend on the severity of your injury. You might feel: 1 sudden, sharp pain 2 a “popping” sensation at the time of injury 3 tenderness 4 swelling within the first few hours 5 bruising within the first few days 6 partial or complete weakness in your leg 7 inability to place weight on your leg

How long does it take for a hamstring tear to heal?

Takeaway. Most hamstring tears are caused by athletic injuries. Typically, partial tears he al in 4 to 8 weeks, while complete tears take about 3 months. You should start to feel better with regular physical therapy and lots of rest.

What is the most severe hamstring tear?

The most severe hamstring tear is a grade 3 hamstring tear. It occurs when the hamstring muscle rips completely or tears off the bone. A tear that pulls the muscle off the bone is called an avulsion. If you have a grade 3 tear, you likely heard a “popping” sound or sensation when you got the injury.

What happens when you overstretch your hamstrings?

It happens when the hamstrings are overstretched or overloaded with too much weight. Depending on the injury, the hamstring can tear partially or completely. The injury can affect one or more of the muscles in your hamstring muscle group. These muscles include the:

What is a grade 1 hamstring injury?

Depending on their severity, hamstring injuries are categorized into one of three grades. Grade 1 is mild hamstring strain, which is also called a pulled hamstring. It happens when the hamstring muscles overstretch but don’t tear. If the hamstring stretches to the point where it rips, the injury is considered a tear.

Why do older people tear their hamstrings?

In addition to athletes, older people are prone to hamstring tears. That’s because flexibility often declines with age. Adolescent athletes, who are still growing, are also at risk. Since bone and muscle grow at different rates, the growing bone can tighten the hamstring muscles, making them more susceptible to injury.

How do you know if you have a torn hamstring?

You might feel: sudden, sharp pain. a “popping” sensation at the time of injury. tenderness. swelling within the first few hours. bruising within the first few days. partial or complete weakness in your leg.

What is hamstring muscle injury?

Treatment. Rehabilitation. Hamstring muscle injuries are common, especially in athletes. Most often, hamstring muscle injuries are partial tears of the muscle. These types of injuries, called muscle strains, occur when the fibers that make up the muscle are stretched beyond their normal limits.

What happens when a hamstring tear is incomplete?

When the tear is incomplete, the hamstring muscle is simply stretched too far, but not completely detached. When these tears become complete, the injury is more significant, and the ends of the muscle are no longer connected. 1 . These complete tears need to be recognized as different injuries. While typical hamstring strains can be treated ...

What are the features of a complete hamstring tear?

The MRI can define critical features of a complete hamstring muscle tear, including: 1. The number of hamstring tendons involved. Complete versus incomplete tearing. The amount of retraction (how far pulled back the tendons have become) These are the features that will guide treatment of the injury.

Why does my leg go numb after a hamstring tear?

Numbness in the leg as a result of sciatic nerve irritation. The symptoms may be difficult to see in the earlier stages, but following a complete hamstring tear there is usually significant swelling and bruising that develops in the back of the thigh.

How to tell if you have a tear in your hamstring?

The pain level can be quite significant, and it is typically difficult to walk following the injury. Some of the common signs of a complete tear of the hamstring include: Sharp pain at the junction of the buttock and thigh.

How long does it take to recover from hamstring surgery?

Rehab following surgery takes about 3-6 months or longer before athletes can return to sports. The first six weeks are confined to limited weight-bearing with the use of crutches. Patients may wear a brace to limit the amount of tension on the repaired hamstring tendons.

How far away are tendons pulled?

On the other hand, when three tendons have been torn, they are typically pulled more than a few centimeters away from the bone, and often these patients will do best with a surgical repair of the tendons. 2 . There is also a controversial middle ground when two tendons are torn.

How long does it take for a hamstring to heal after surgery?

This must be done before any other therapy, treatment or surgery can happen. One week after your hamstring has ruptured the tissue may begin travel away from the bone and / or separate from the remaining muscle/tendon. The ends of the tissue begin to fill in with scar tissue as part of the healing process.

How old is a hamstring tear?

An injury that's 4 to 6 weeks old is considered a chronic rupture. When you have a chronic hamstring muscle rupture the tear continues to separate further. A chronic rupture requires a difficult, drastic surgery - often times there may be a transfer of tissue needed to complete the surgery and a lengthy recovery period.

How does suturing help after muscle surgery?

This suturing technique reduces the amount of scar tissue on the muscle after surgery and provides better surface healing of the skin.

What is arthroscopic hamstring surgery?

Arthroscopic hamstring muscle surgery will provide the surgeon with a first hand look into the nature of the injury and what work must be done to fix the injury. If the damage is not extensive, the surgeon will be able to complete the repair through an arthroscopic procedure.

How many keyhole incisions are there in a knee surgery?

This type of surgery is normally used on joints of the body, like the shoulders or knees. This procedure is done using 2 to 4 small keyhole incisions approximately 4 to 5 mm in length. A thin tube containing a camera and light is inserted through an incision near the joint.

How does cold compression help hamstrings?

In addition, cold compression treatments will reduce tissue damage that is caused by swelling and fluid leakage from injury or surgery - reducing the amount of healing that will be needed. You will be given crutches and possibly a brace to keep your hamstring muscles relaxed to avoid straining the repaired tissue.

What is a hamstring avulsion?

Hamstring avulsion surgery, a surgery performed to repair a complete tear in the hamstring, has become more common than in the past. Only a doctor will be able to make a proper diagnosis to determine if surgery is necessary for your hamstring avulsion. Due to swelling and fluid leakage from ruptured blood vessels, ...

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Diagnosing A Hamstring Strain

The Different Degrees of Strains

Helping The Healing

Conclusion

Medically reviewed by
Dr. Shreenidhi Kulkarni
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The treatment of hamstring injury depends on its severity. Treatment includes pain relieving medications and self care practises.
Medication

Nonsteroidal anti-inflammatory drugs (NSAIDs): To relieve pain.

Acetaminophen . Ibuprofen . Naproxen

Procedures

Orthopedic surgery: Performed in severe cases to repair of torn tendons.

Therapy

Physical therapy:Stretching exercises to strengthen the muscles.

Self-care

Always talk to your provider before starting anything.

Practice the RICE therapy that includes: Resting, Icing to reduce pain and swelling, Compressing the leg with an elastic bandage and Elevating the injured leg by placing it on a pillow.

Nutrition

Foods to eat:

  • Foods rich in vitamin A such as carrots, spinach and kale
  • Foods rich in vitamin C such as oranges, broccoli and strawberries
  • Lean meats such as turkey, sirloin, fish, and chicken

Foods to avoid:

  • Foods with A lot of sugars like sweets, cakes and pies, and sugary drinks
  • Fast foods like fries, burgers

Specialist to consult

Sports medicine doctor
Sports medicine doctors are medical professionals who focus on the prevention, diagnosis and treatment of injuries related to athletic activities.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Orthopedician
Specializes in bones and their disorders.

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