Treatment FAQ

what is the best treatment for a strained hamstring

by Mrs. Annalise Jenkins Published 2 years ago Updated 2 years ago
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What's the Treatment for a Hamstring Strain?
  • Rest the leg. ...
  • Ice your leg to reduce pain and swelling. ...
  • Compress your leg. ...
  • Elevate your leg on a pillow when you're sitting or lying down.
  • Take anti-inflammatory painkillers. ...
  • Practice stretching and strengthening exercises if your doctor/physical therapist recommends them.
Jun 22, 2021

Medication

  • 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. ...

Procedures

To speed the healing, you can:

  • Rest the leg.
  • Ice your leg to reduce pain and swelling.
  • Compress your leg.
  • Elevate your leg on a pillow when you're sitting or lying down.
  • Take anti-inflammatory painkillers.
  • Practice stretching and strengthening exercises if your doctor/physical therapist recommends them.

Therapy

Treatment is not difficult, but it requires patience, as the tendon can take several days or even weeks to heal fully. The first steps involved in treating a strained tendon include the RICE treatment; RICE stands for Rest, Ice, Compression, and Elevation.

Self-care

  • Experience sudden pain and tenderness in the back of your thigh.
  • Find movement painful, but the strength of the muscle is not likely to be affected.
  • Feel like the back of your thigh is tight, but you will be able to walk normally.
  • Find your thigh swollen.

Nutrition

See more

How to quickly heal a strained hamstring?

How long for hamstring strain to heal?

How long should it take to heal a strained tendon?

How to tell if your hamstring is strained or pulled?

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Is walking good for a pulled hamstring?

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.

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

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.

How do I heal a pulled hamstring quickly?

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.

How do I know if my hamstring is pulled or torn?

Diagnosing a hamstring tearPhysical exam. The doctor will check your thigh for swelling, tenderness, and bruising. ... MRI. If the doctor thinks you have a severe injury, you might get an MRI. ... Ultrasound. An ultrasound is another test that produces a detailed image of your muscles. ... X-ray.

Does a pulled hamstring hurt behind the knee?

Hamstring Related Anatomy Each originates at the bottom of the pelvis, run down the back of the thigh and across the back of the knee joint, and inserts on the upper leg bone. When the hamstring tendons that cross the knee joint are strained, pain in the back of the knee is felt.

Is a hot tub good for a pulled hamstring?

Pulled hamstring recovery – What not to do The first is heat. Stay away from hot baths or saunas. The second is alcohol. Alcohol will almost certainly increase the bleeding and swelling and slow down your recovery.

Should you massage a pulled hamstring?

Is Massage Good for Pulled Hamstring? Yes. Once the acute phase of healing is over, sports massage can be of great benefit.

What does a grade 1 hamstring strain feel like?

Grade 1 Strain- Mild, only a few fibers have been injured. 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.

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 should I sleep with a pulled hamstring?

The best sleeping position for hamstring pain, which affect the back of the thigh, is to sleep with the knee extended, not bent. As chiropractor Ron Rogers states 'sleeping with the injured part in a position that elongates the healing muscle will minimize the tendency for scar tissue to rob the muscle of flexibility.

Why is my hamstring not healing?

One of the main predictors of prolonged time to recovery for hamstring strains is the location in which the tear or strain takes place.

What is the role of hamstrings in the body?

While their primary role is to bend the knee, hamstrings also contribute to the rotation of the lower leg. A hamstring strain refers to an injury in which the muscle or tendon is stretched or torn.

What is a hamstring tear?

A hamstring strain refers to an injury in which the muscle or tendon is stretched or torn. Less severe strains are often referred to as a "pulled hamstring.". A hamstring tear, also known as a rupture, infers a more serious injury. Some hamstring injuries are mild and improve with rest and over-the-counter (OTC) pain relievers.

How to strengthen gluteus and hamstrings?

Add retro-running (running backward) to your workout which helps balance the gluteus and hamstring muscles while strengthening those around the knee. Approach squats and other exercises that engage the gluteus and hip flexor muscles with caution, starting slowly and gradually increasing in depth.

What causes hamstring injuries?

Hamstring Injury Causes. Most hamstring injuries are caused when the muscles are overloaded. These include the biceps femoris, semitendinosus, and semimembranosus. Muscle overload occurs when a muscle is either stretched beyond its limits or challenged with a sudden, excessive weight load.

Where do avulsions occur?

Avulsions most commonly occur near the pelvis (proximal tendon avulsion), 1  although they can also happen nearer to the shinbone (distal tendon avulsion 2  ). If an acute rupture occurs, the surgeon will usually wait 72 hours to allow the recoiled muscles to "relax.".

Where do hamstring injuries occur?

Most tend to occur either in the middle of the back of the thigh or just beneath the gluteus muscle near the point where the tendon connects to the bone.

How do you know if you have a hamstring injury?

In some cases, you may hear an audible "pop" or feel your leg giving out from under you. A chronic hamstring injury can occur if an untreated tear or strain worsens over time.

What causes a hamstring to tear?

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. Treatment of a torn hamstring is usually determined by the severity of the injury. Resting a pulled hamstring is the key ...

How to treat a hamstring injury?

Apply ice to the injured hamstring in the acute phase, and then after activities. Ice will help limit the swelling and inflammatory reaction and may help to stimulate blood flow to the injured area. Ice can also be an effective pain-relieving treatment for these types of muscle strains. 6 

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 .

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 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.

When is surgery necessary to reattach a muscle?

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 . Patients who have more severe symptoms of pain should be evaluated to determine if they might benefit from more invasive treatments.

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.

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 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 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 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, ...

What is compression in sports?

Compression is the act of wearing tight-fitting sleeves or other garments typically made of mostly spandex material. You likely see professional athletes often wearing them during games, but these can also be very beneficial to healing.

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.

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 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 long does it take to ice a leg?

This usually lasts for three or four days after the injury.

What is the best treatment for hamstring pain?

Ice: Ice may be used during the acute phase of injury to control swelling and to decrease the pain that you are feeling. Heat: Your physical therapist may use moist heat packs to help relax your hamstring muscles and to improve tissue extensibility prior to stretching.

What does a physical therapist measure?

Measures of ROM and flexibility: Your physical therapist will measure the ROM of your hip and knee. Hamstring strains typically limit the amount of motion and flexibility around these joints. Strength measurements: Your PT will measure the strength of your hamstrings and surrounding muscles.

What are the grades of hamstring strains?

Hamstring strains and all muscle strains and tears are graded on a three-tiered system. 2  The three grades of muscle strains include: Grade I: the muscle fibers are simply overstretched, and microscopic tearing of the tissue may be present. Typically, there are no outward signs of a grade I muscle strain.

What is the purpose of a PT evaluation for a hamstring strain?

When you first visit a PT for treatment of your hamstring strain, he or she will conduct an initial evaluation to gather information about your condition and to determine the best treatment. Components of a PT evaluation for hamstring strain may include:

How to tell if hamstring is strained?

Typical symptoms of a hamstring strain may include: 1 . Pain in the back of your thigh, either behind your knee, in the muscle belly, or near your buttock. Difficulty fully straightening your knee without pain. Difficulty taking large steps or walking quickly, or pain with climbing stairs.

What are the symptoms of a grade 1 strain?

Typically, there are no outward signs of a grade I muscle strain. Pain and limited mobility are present. Grade II: partial tearing of the hamstring muscle, with moderate swelling and bruising present. Grade III.

How to heal a hamstring?

See your doctor to be sure you get an accurate diagnosis. Visit your physical therapist to start treating the pain and to start working on restoring your normal mobility. Avoid aggravating activities that can cause pain or prevent normal tissue healing of your hamstring.

How to tell if hamstring is strained?

Other possible symptoms of a hamstring strain are: 1 Sudden and severe pain during exercise, along with a snapping or popping feeling 2 Pain in the back of the thigh and lower buttock when walking, straightening the leg, or bending over 3 Tenderness 4 Bruising

What happens when you strain your hamstring?

During a hamstring strain, one or more of these muscles gets overloaded. The muscles might even start to tear. You're likely to get a hamstring strain during activities that involve a lot of running and jumping or sudden stopping and starting. Getting a hamstring strain is also more likely if:

What muscles are tight in the front of the thigh?

The muscles in the front of your thigh (the quadriceps) are tight as they pull your pelvis forward and tighten the hamstrings. Weak glutes. Glutes and hamstrings work together. If the glutes are weak, hamstrings can be overloaded and become strained.

How to heal a hamstring injury?

After all, healing a hamstring strain is much harder than preventing it. Here are some tips: Warm up before and stretch after physical activity. Boost the intensity of your physical activity slowly -- no more than a 10% increase a week.

How to heal a torn hamstring?

Practice stretching and strengthening exercises if your doctor/physical therapist recommends them. Strengthening your hamstrings is one way to protect against hamstring strain. In severe cases where the muscle is torn, you may need surgery. The surgeon will repair the muscles and reattach them. Continued.

What to do when your leg hurts when you lay down?

Elevate your leg on a pillow when you're sitting or lying down. Take anti-inflammatory painkillers. Non-steroidal anti-inflammatory drugs ( NSAIDs ), like ibuprofen ( Advil, Motrin) or naproxen ( Aleve, Naprosyn) will help with pain and swelling.

How to stop leg pain from a sprain?

Avoid putting weight on the leg as best you can. If the pain is severe, you may need crutches until it goes away. Ask your doctor or physical therapist if they're needed. Ice your leg to reduce pain and swelling. Do it for 20-30 minutes every three to four hours for two to three days, or until the pain is gone.

What muscle strains are most likely to be chronic?

September 4, 2018 Thomas C. Michaud, D.C. Of all the running-related muscle injuries, hamstring strains are the most likely to become chronic. More than two-thirds of runners that strain their hamstrings will suffer re-injury within one year. With stride lengths exceeding 14 feet, sprinters are especially vulnerable to re-injury.

How many athletes were injured in the agility and trunk stabilization program?

The beneficial effects of the agility and stabilization exercises were even present one year following return to sport, as 70 percent of the athletes treated with conventional stretches and exercises were re-injured, compared to only 7.7 percent of the athletes completing the progressive agility and trunk stabilization program.

How to repair a tendon in the upper biceps?

Rather than treating the pain with over-the-counter anti-inflammatories, which can interfere with tendon remodeling, a more effective approach to repair the tendon is to perform deep tissue massage directly to the muscle-tendon junction of the upper biceps femoris.

What is the stride length of a sprinter?

With stride lengths exceeding 14 feet, sprinters are especially vulnerable to re-injury. Almost always, the hamstring strain occurs just before the lead foot hits the ground, when hamstring tension peaks to resist forward motion of the swinging leg.

Can a hamstring injury hurt while running?

In an MRI study evaluating the location of hamstring strains in different athletes, the only runner to injure a hamstring other than the biceps femoris was an older man who severely strained his inner hamstring muscle while performing stretches prior to running, not while running.

Can heavy motion control shoes cause hamstring weakness?

Heavy motion control running shoes can really be a problem if eccentric hamstring weakness is present. Lastly, until the hamstring tendons are strong and flexible, you should shorten your stride and increase your cadence while running.

Do dancers hurt their hamstrings?

This is consistent with research showing that dancers almost always injure their inner hamstrings, which are very sensitive to stretch injuries. As with most injuries, the single best predictor of future injury is prior injury, possibly because the injured muscle heals with less flexibility and/or impaired coordination.

How to prevent muscle imbalance?

Following are some general tips for prevention: 1 Warm up before working out or playing sports, and cool down afterward. 2 Exercise regularly to maintain your cardiovascular and muscular fitness. Doing so will help you prevent injuries related to fatigue. 3 Spend time stretching and strengthening muscles in your weekly exercise routine. Doing so will help prevent muscular imbalances that may cause injury. 4 Take days off or have easy days between particularly hard physical sessions to give your body adequate rest. 5 Try adding speed work to your routine to prepare hamstring muscles for the types of forces that may lead to injury.

How to treat a hamstring injury?

Consider bandaging your thigh with an elastic wrap to limit swelling and movement. Elevation. Try to keep your leg propped up on a pillow to limit swelling. OTC pain medications may help ease your discomfort with a hamstring injury.

What pain relievers can I take for hamstring pain?

OTC pain medications may help ease your discomfort with a hamstring injury. Oral nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Motrin, Aleve), or another OTC pain medication like acetaminophen (Tylenol), may be good for short-term relief. Topical NSAID creams or gels can also help ease pain.

What are the most common sports that cause hamstring strain?

Hamstring strain is commonly seen in people who participate in the following activities: football. soccer. basketball. tennis. running and sprinting, and other track events. dancing. Older athletes who walk as their primary form of exercise are also at higher risk. So are adolescents whose bodies are still growing.

Why are tight muscles more likely to be injured?

Athletes who have particularly tight muscles may be more likely to experience injury. Muscle imbalances, where certain muscles are stronger than others. Poor conditioning. If the muscles are weak, they’ll be less able to deal with the demands of certain sports or exercises.

How to relieve hamstring pain?

Another option for pain relief involves using a foam roller to apply what’s called myofascial release to your hamstrings. Place the roller just above the back of your knee and roll upward in the direction of blood flow to massage the muscles. Professional sports massage may also help with your pain.

Why does my hamstring hurt?

The main cause of injury to the hamstring is muscle overload. 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.

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.

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Diagnosing A Hamstring Strain

Causes

The Different Degrees of Strains

Helping The Healing

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.

Conclusion

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