Home > Blog > Physiotherapy > Conditions > Hamstring Injuries Physiotherapy
Hamstring Injuries Physiotherapy
A hamstring strain injury happens when 1 or more of the 3 hamstring
muscles or tendons (at the back of the thigh) is torn, either partially
In fact, hamstring injuries are one of the most common injuries of the lower body,
particularly affecting athletes participating in sports involving
high-speed running, such as
After tearing a
hamstring muscle, the patient is 2 to 6 times more likely to suffer a
subsequent hamstring re-injury. In most cases, hamstring strain injuries are
successfully managed with physiotherapy.
What are Hamstring Injuries?
The hamstring muscle group includes 3 muscles along the back of the
thigh that connect the pelvis to the leg. They are the primary muscle
group responsible for straightening (extending) the hip and bending
(flexing) the knee.
The 3 hamstring muscles are:
- Biceps femoris
The anatomy of muscles includes the muscle “belly,” the portion that
contracts (tightens) or relaxes to move a limb, and the tendon, the portion that
connects the muscle belly to the bone. Hamstring strain injuries occur
when there is damage to the muscle belly caused by excessive force being
generated while the muscle is being stretched.
This type of injuries typically happens
during high-speed running, with sudden starts or changes in direction,
or when the muscle is overstretched by activities such as sprinting,
hurdling, kicking, or heavy lifting.
Risk factors for hamstring strain injuries include:
- A history of prior hamstring strain injury
- Hamstring weakness
- Increasing age
- Poor flexibility of the quadriceps and hip flexors (muscle tightness)
- Inadequate warm up before activity
- Muscle fatigue
How Does a hamstring injury Feel like?
When a person experiences a hamstring strain injury, they will feel/experience a sudden pain at the back of the thigh.
Hamstring pulls and injuries happens very quickly and
causes the individual to stop performing an activity. The symptoms
caused by a mild injury may only last for a few days; symptoms of a more
severe hamstring injury can last for weeks.
Common hamstring injury symptoms include:
- A sudden, sharp pain in the back of the thigh or in the buttocks
- A feeling of a "pop" or tearing in the muscle
- Bruising within hours or days after the injury
- Tenderness to touch in the affected area
- Difficulty sitting comfortably, lifting the leg when lying down, or straightening the knee
- Difficulty walking or running, resulting in a limp
How Is hamstring injuries Diagnosed?
Diagnosis of a hamstring strain injury starts with a thorough
understanding of your health history and the cause of the injury. The
questions our senior physiotherapists may ask include:
- What were you doing when you first felt the pain, and did you feel a “pop"?
- Where do you feel the pain now?
- Did you notice any bruising after the injury?
- What were you not able to do immediately following the injury, and
how have you been functioning since the injury (eg, walking, sleeping,
lifting your leg)?
- Have you had a similar injury before?
We will also perform a clinical evaluation,
including some of the following tests and measures to determine the
nature of your injury:
- Observation, to note any discoloration or bruising
- Pain assessment, to identify your current pain level, and the activities that make your pain better or worse
- Palpation (gently pressing with the fingers), to pinpoint the location and size of the tender area through touch, which will help determine the severity of the injury
- Range-of-motion test, to compare the motion of your injured leg with your healthy leg
- Muscle-strength test, to determine the strength of the hamstring muscles when bending or straightening your knee and hip
- Gait analysis, to note any limping or changes in how you are walking
Typically, hamstring strain injuries are classified as Grade I, II, or III depending on how mild, moderate or severe the injury is:
- Grade I: Mild strain with minimal tearing; usually feels like a pulled or cramping muscle.
- Grade II: Moderate strain with partial tearing; may cause a stinging or burning sensation at the back of the thigh.
- Grade III: A severe, complete muscle tear; may result in a “lump” on the back of the thigh where the muscle has torn.
If we suspect a severe injury (Grade III), you
will likely be referred to an orthopedic doctor for medical
diagnostic imaging, such as an X-ray or MRI, to evaluate the extent of
In the event of a fracture of the ischial tuberosity (the
“sit-bone,” part of the pelvis) and/or a complete rupture of the muscle,
surgery may be recommended.
how our senior physiotherapists can help
Immediately after experiencing a hamstring strain injury, seek help
from our senior physiotherapists. Before the physical therapy session with us, you
- Rest the injured area by avoiding aggravating activities, such as
walking or working out. If you are having notable difficulty walking,
you may need crutches. Do not over-stress the injured area.
- Apply cold therapy to the injured area 3 to 4 times a day for 15 to 20 minutes (with a towel placed between your skin and the ice).
We will design an individualized treatment
program specific to the exact nature of your injury and your goals. Your
treatment may include:
We are trained in
manual (hands-on) therapy to gently move and manipulate muscles and
joints to improve motion, flexibility, and strength. We may gently massage and move the affected area to encourage
healing. These techniques can target areas that are difficult to treat
on your own.
Although it is common for
your hamstring muscles to feel stiff after an injury, it is important
not to stretch these muscles early in the recovery process. We will indicate when it is safe and appropriate to
begin gentle flexibility exercises, and will guide you through how to do
them in the clinic and at home.
Muscle strengthening exercises
strengthening will be an essential part of your rehabilitation program. We will compare the strength of the muscle groups
in each leg, and prescribe and teach you specific exercises to target
areas of weakness.
As you regain the strength in
your hamstrings, your movement quality will need to be assessed so you
no longer put excessive stress on the previously injured area. We will develop a functional training program for the
hamstring muscle group, with a gradual progression back to more
In the event that the severity of your hamstring strain injury
requires surgical treatment, our senior physiotherapist will guide your
postoperative hamstring physiotherapy rehabilitation. We will communicate
with your surgeon to ensure complete and consistent postoperative care.
Back to Top
book an appointment today
(or check your pains / injuries)
Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
do Tell Your Family, Friends And Colleagues About Us =)
We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.
We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.
book an appointment today
(or check your pains / injuries)
Jan 18, 23 03:01 AM
Phoenix Rehab Physiotherapy and Hand Therapy at Tampines Singapore
Dec 11, 22 03:43 AM
Germain Sim is a hand therapist practicing hand therapy, splinting, assessing and treating finger, hand and elbow pains in Phoenix Rehab
Jun 29, 22 08:32 AM
Adele is a registered physiotherapist with over 25 years of experience including treating national athletes as well as recreational athletes having worked in Singapore Sports Council and Singapore Spo…
Feb 03, 22 04:05 AM
Achilles tendon pain is very common among recreational and elite sportspeople. But it is also common among sedentary individuals
Feb 03, 22 12:16 AM
Tendonitis, tendinopathy and tendinosis are all tendon injuries and treated by physiotherapists and hand therapists
Jan 11, 22 02:01 AM
Cervical spondylosis is a general term to describe the degenerative condition in the neck which results in pain and other symptoms
Jan 07, 22 12:28 AM
Tendinopathy (tendon injuries) can develop in any tendon of the body and has many names such as tendinitis and it can be treated with good tendon physiotherapy
Dec 15, 21 01:47 AM
Tendon problems are common in runners and can become a persistent issue if not properly treated.
Dec 14, 21 11:23 PM
Pain and pathology in a tendon, known as tendinopathy, is a common injury in athletes that can be difficult to manage. Physio and hand therapy can help healing
Dec 07, 21 01:31 AM
We use the world’s best tendon recovery programs through cutting edge treatment techniques for all tendon injuries (and tendon injuries differ accordingly)