musculoskeletal patient report hamstring

by Garett Connelly 6 min read

Hamstring Strain Injuries: Recommendations for Diagnosis ...

34 hours ago Most hamstring injuries occur in the thick, central part of the muscle (the muscle belly) or where the muscle fibers join tendon fibers. In the most severe hamstring injuries, the tendon tears completely away from the bone. It may even pull a piece of … >> Go To The Portal


Common tests & procedures

Physical examination of a patient with a suspected hamstring injury should include inspection and palpation of the affected region, passive stretch of the hamstring muscles and resistance testing of the hamstring muscle.

What is included in the physical exam of a hamstring injury?

Strength assessment of the hamstring muscles is recommended through manual resistance applied about the knee and hip.

How can I assess strength in the hamstring muscles?

Hamstring injury in athletes: using MR imaging measurements to compare extent of muscle injury with amount of time lost from competition. AJR American journal of roentgenology. 2002;179(6):1621–1628.

What is the role of MR imaging in the diagnosis of hamstrings?

The primary goals of a rehabilitation protocol for hamstring injuries is to return the athlete to sport at the prior level of performance, and to minimize risk of reinjury.(26) Acute Hamstring Strain

What are the primary goals of a rehabilitation protocol for hamstring injuries?

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How do you assess a hamstring injury?

During the physical exam, your doctor will check for swelling and points of tenderness along the back of your thigh. The location and intensity of your pain can help determine the extent and nature of the damage.

Which hamstring muscle is most commonly injured?

The biceps femoris is further divided into a long head and a short head, and is the most commonly injured muscle of the three. All of the hamstrings originate on the pelvis and insert onto the back of the tibia (lower leg bone).

How do you measure hamstring strength?

0:010:50Hamstring Strength - YouTubeYouTubeStart of suggested clipEnd of suggested clipJust above the ankle joint the subject is asked to slowly pull the leg away from the examiner intoMoreJust above the ankle joint the subject is asked to slowly pull the leg away from the examiner into the examination. Table while the examiner simultaneously pulls the leg away from the examination.

How do you assess hamstring tendinopathy?

Modified bent-knee stretch test The therapist takes the heel in one hand and holds the knee with the other hand. He brings the hip and knee in maximal flexion and then rapidly straightens the knee. These tests are used to identify a hamstrings origin tendinopathy, but do not replace an MRI.

What are common hamstring injuries?

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.

What are the two main causes of a hamstring strain?

Strains and tears happen when the muscle is lengthening as it contracts or shortens. They may also happen if the muscle is stretched too far or is taxed too suddenly. When you sprint, for example, your hamstring muscles must contract repeatedly as your leg lengthens with your stride.

How do you check hamstring function?

1:284:59Hamstring Examination | Practical Clinical Examination Skills - YouTubeYouTubeStart of suggested clipEnd of suggested clipSo a nice easy way to assess hamstring flexibility is to have a look at a straight leg raise. SoMoreSo a nice easy way to assess hamstring flexibility is to have a look at a straight leg raise. So asking whether there's any pain or problems with that.

How can you tell if you have weak hamstrings?

To see if your hamstrings are weak or tight, bend over and touch your toes. If your toes and fingers do not meet, you may have tight or weak hamstrings. Your hamstring muscles are susceptible to both, overuse injuries and acute or sudden injury.

What causes hamstring weakness?

Muscle imbalance - during high-speed activities, the hamstring may become fatigued and can lead to a strain. Poor conditioning - weak muscles are less able to cope with the stress of exercise and are more likely to be injured.

What is tendinopathy of the hamstring?

What is Hamstring Tendinopathy? A proximal hamstring tendinopathy is a pathology of the high hamstring tendon where it attaches to the ischial tuberosity (sit bone of the buttock). Typically, we see this condition in runners who have suddenly increased their training volume/intensity, or started hill running.

What is hamstring tendinosis?

Hamstring tendinosis is a degenerative condition of the tissue involving little if any inflammation. The three hamstring muscles on the back part of the thigh have tendinosis insertions on the ishial tuberosity (sit bones) and the back of the lower knee (tibia and fibula).

What does high hamstring tendinopathy feel like?

True high hamstring tendinopathy feels like a vague, aching soreness high up on your hamstrings and deep in your buttock. There will be pain when you run, especially when accelerating and when maintaining a fast pace.