Medication
You may want to write a list that includes:
- Detailed descriptions of your symptoms
- Information about medical problems you've had
- All the medications and dietary supplements you take
- Questions you want to ask the doctor
Procedures
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.
- inability to place weight on your leg.
Therapy
- Non weight bearing the entire 4 weeks (toe touch is permitted for balance)
- Hip brace is to be locked @ 30 degrees and crutches used for full 4 weeks
- Gentle semi-reclined position can be assumed with small towel roll under the knee to reduce hamstring tension and reduce knee stiffness
Self-care
Hamstring injury
- Overview. A hamstring injury occurs when you strain or pull one of your hamstring muscles — the group of three muscles that run along the back of your thigh.
- Symptoms. A hamstring injury typically causes a sudden, sharp pain in the back of your thigh. ...
- Causes. ...
- Risk factors. ...
- Complications. ...
- Prevention. ...
Nutrition
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How do you repair a torn hamstring?
How long does it take for a hamstring to heal?
What is the recovery time from hamstring surgery?
How to diagnose torn hamstring?
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 long does it take to repair torn hamstring?
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. Returning to sports before the injury is fully healed can cause more severe injuries.
Do you need surgery for torn hamstring?
Surgery is performed for hamstring injuries when the tendon has been pulled completely away from the bone. It is more common for the tendon to tear away from the pelvis than it is from the shinbone. Surgery is RARELY required. When the tendon is torn off the bone, it is referred to as a “tendon avulsion injury”.
How do you tell if hamstring is torn or pulled?
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.inability to place weight on your leg.
Can you walk on a torn hamstring?
Grade 3; this is a complete tear of one or more of the hamstring muscles. You'll feel pain and not be able to straighten your leg all the way, and you'll notice swelling right away. Walking will be very difficult and may require crutches.
What does a hamstring tear feel like?
A hamstring injury typically causes a sudden, sharp pain in the back of your thigh. You might also feel a "popping" or tearing sensation. Swelling and tenderness usually develop within a few hours.
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.
Will an MRI show a hamstring tear?
MRI reliably depicts the location and extent of hamstring injuries. Fluid sensitive sequences such as Proton-density and T2-weighted fat-suppressed sequences or STIR sequences depict tendon tears and avulsions as fluid-signal filled defects at the site of disruption. Adjacent hemorrhage and edema are readily apparent.
Can you walk with grade 3 hamstring tear?
Severe hamstring tears (grade 3) will usually be very painful, tender, swollen and bruised, making it difficult to walk and stand. There may have been a "popping" sensation at the time of the injury and you'll be unable to use the affected leg.
Should you massage a hamstring injury?
Yes. Once the acute phase of healing is over, sports massage can be of great benefit. It can: Flush out excess fluids and swelling from the tissue.
Is heat good for a pulled hamstring?
Is heat or ice better for a hamstring pull or tear? In the initial stages of the injury, ice helps minimize the inflammatory response and reduce swelling. Once the acute injury phase is over, heat is recommended to loosen the muscle and ease pain and stiffness.
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
How can physical therapy help athletes?
Physical therapy can help guide an athlete with appropriate treatment. Many people find relief with modalities such as ultrasound, electrical stimulation, and therapeutic massage. 4 Most athletes should begin therapeutic exercise as soon as possible.
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
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.
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.
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.
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 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.
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 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.
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 is the most common injury in athletics?
One of the most common and troublesome injuries seen in athletics is the hamstring strain. The hamstring is a group of muscles located on the back of the thigh. The main job of the hamstring muscles is to allow the leg to flex (bend) and extend. Hamstring injuries can occur in a number of ways, the most common is through over stretching.
Can a hamstring injury be a recurring injury?
Hamstring injuries can occur in a number of ways, the most common is through over stretching. A mildly strained hamstring that is not treated properly and allowed to heal sufficiently may result in recurring strains of that ham string. Cleveland Clinic is a non-profit academic medical center.
What to do when you have a hamstring strain?
As with any injury, the number one thing you want to do immediately is get pressure off the injury as soon as possible. With a strain, you have a muscle injury, and expanding and contracting those muscles will only further aggravate the hamstring. Sit back, elevate the injured leg, and turn on a good movie.
What supplements help with hamstring pain?
Food sources or supplements containing turmeric derivatives and coenzyme Q10 can be major assets in helping to soothe pain and inflammation to help make hamstring healing just a little easier.
What is the most severe strain of the hamstring?
The most serious strain is a 3rd degree, and is a severe tear or rupture of the muscle or tendon. A hamstring strain in this severity requires a medical professional to treat it, and has the potential to require surgery or a cast to immobilize the injury.
What is a 1st degree strain?
Because of the swelling, limited mobility is also not uncommon. A 1st degree strain is classified as a mild overstretching of a muscle.
How long does it take for a tear to heal?
A minor strain will typically heal within 2-3 weeks when properly treated, so an injury that lingers longer should be a red flag.
What is a third degree tear?
If you experience sudden or sharp pain, a popping sensation or complete loss of sensation, doctors recommend getting an evaluation by a medical professional because you may have what’s known as a third degree tear, which is a severe tear. While a complete tear and a simple strain may exhibit many of the same symptoms such as swelling or tenderness, ...
Can a strain be painful?
Strains can be as frustrating as they are painful, but it isn’t typically anything to panic over. Muscle strains, especially of the hamstring variety, are among the most common injuries for athletes in any sport, and there are many home remedies you can take to overcome it.
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 does it take to ice a leg?
This usually lasts for three or four days after the injury.
How to treat a hamstring tear?
If you have a mild to moderate hamstring tear, Dr. Harris may begin your treatment by recommending conservative protocols, such as the RICE method. RICE stands for the following: 1 Rest: Rest your leg 2 Ice: Ice your leg for 20 minutes at a time 3 Compression: Use a compression bandage 4 Elevation: Elevate your leg
What is the best way to heal a hamstring tear?
Dr. Harris is highly trained in the best surgical techniques to treat hamstring tears. Depending on your condition, he may recommend open or endoscopic (minimally invasive) surgery. Treating your hamstring tear promptly and effectively is the best way to help your body heal and reduce your risk of injury and pain in the future.
What kind of exam is needed for hamstring injury?
Dr. Harris will diagnose the severity of your hamstring injury with a physical exam. He’ll examine your leg for bruising and swelling and ask you about your symptoms. Depending on your injury, he might recommend a diagnostic ultrasound, MRI, or X-ray to fully assess your condition.
What is the most painful grade of hamstring tear?
Grade 3 tears are the most severe and the most painful. With Grade 3 hamstring tears, the muscle rips completely or separates from your leg bone. When this injury occurs, it’s common to hear a popping sound. Severe hamstring tears are usually extremely painful, and they normally cause significant swelling on the back of the leg.
What is a grade 1 tear?
A Grade 1 tear, also known as a hamstring strain, can occur when your hamstring muscles are overstretched but don’t actually tear. Hamstring strains can be painful, but the symptoms usually disappear within a few days.
How to heal a tear in the leg?
Rest: Rest your leg. Ice: Ice your leg for 20 minutes at a time. Compression: Use a compression bandage. Elevation: Elevate your leg. Following the RICE protocol can help relieve pain, minimize swelling, and help small tears heal faster. Dr. Harris may also prescribe oral pain relievers for you to take as your muscles heal.
Can a hamstring tear be a hamstring injury?
A hamstring tear can quickly put you on the sidelines and force you to miss out on your favorite activities. Hamstring injuries are some of the most common that athletes face, but anyone can suffer a hamstring injury. Orthopedic surgeon Joshua Harris, MD, specializes in treating hamstring tears at his Houston practice.
How to stretch hamstrings?
Hamstring Stretch: Lie down on the ground facing up. Raise your injured leg straight up to rest against a wall, pole, or doorway. Your unaffected leg will be either straight on the floor if you're using a pole or doorway, or bend if you're using a wall. As you improve your strength, you'll be able to get closer.
How long does it take for a pulled hamstring to heal?
How Long Does It Take to Recover from a Pulled Hamstring? Pulled hamstring recovery usually takes 4-6 weeks, depending on how quickly your body heals (different people heal at different rates) and the severity of the injury: 1. Grade 1 Strain. This heals within about a week.
What muscles are in the back of the thigh?
Your hamstring consists of three muscles in the back of your thigh – the semimembranosus, semitendinosus, and biceps femoris. These enable you to bend and flex your knee. To attach to bones, the muscle fibers gradually turn into tendon fibers at either end.
What muscles are involved in knee extension?
Balancing the hamstrings are the quadriceps muscles at the front of the thigh; these are involved in knee extension. The hamstrings and quadriceps work together to provide stability and power to the knee. This enables you to do many physical activities, including walking, running, squatting, and jumping.
What does it mean when your hamstrings are pulled?
The term pulled hamstring refers to a strain in at least one of the hamstring muscles. This happens when the muscle fibers are stretched suddenly, and can occur from many activities, including kicking, running, or even simply walking down stairs. In severe cases, the muscle is torn, and there's a popping sound.
How long does it take to recover from a grade 3 hamstring strain?
Grade 3 Strain. Complete recovery from this level of injury will take 3-5 weeks. There will be marked swelling in the hamstring area and you usually can't walk anywhere without some form of support, such as crutches. Avoid all physical activity during the recovery; otherwise the muscle will get injured again.
How to speed up recovery after hamstring pull?
For the first 2-3 days after you've pulled your hamstring, take the following steps: Rest. Try to limit moving your leg as much as possible, and avoid exercise. In serious cases, your doctor may advise you to use crutches.
