How To Rehab A Hamstring Injury?

Hamstring set (heel dig)

  1. Sit with your affected leg bent. Your good leg should be straight and supported on the floor.
  2. Tighten the muscles on the back of your bent leg (hamstring) by pressing your heel into the floor.
  3. Hold for about 6 seconds, and then rest for up to 10 seconds.
  4. Repeat 8 to 12 times.

Why do hamstring injuries take so long to heal?

  • Hamstring injuries take a long time to heal due to function of the muscle. Their involvement in motions at the hip and knee cause the muscle to be under a great deal of stress and strain during most activity.


How long does it take to recover from a hamstring injury?

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.

Is walking good for hamstring injury?

To avoid this, you should start doing gentle hamstring stretches after a few days, when the pain has started to subside. This should be followed by a programme of gentle exercise, such as walking and cycling, and hamstring strengthening exercises.

Should you massage a hamstring injury?

Once a hamstring has been strained, massage can help loosen scar tissue and tight muscles, stimulate blood flow, and aid in gently stretching the injured muscles. Though massage can be an invaluable tool in healing, it should not be performed during the most acute stage of the injury when rest is the best approach.

Will a hamstring injury heal itself?

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.

Do squats work hamstrings?

Both leg presses and squats primarily work your quadriceps, or quads. But they also work your hamstrings (muscles opposite your quads at the back of your thighs) and glutes (the muscles in your buttocks).

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

Torn hamstring symptoms

  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.

Is heat or ice better for sore hamstring?

You should use ice if you have an acute injury, or the first day of soreness. Such injuries may include: Hamstring strain.

What is the best exercise for a pulled hamstring?

Hamstring set (heel dig)

  • Sit with your affected leg bent. Your good leg should be straight and supported on the floor.
  • Tighten the muscles on the back of your bent leg (hamstring) by pressing your heel into the floor.
  • Hold for about 6 seconds, and then rest for up to 10 seconds.
  • Repeat 8 to 12 times.

How do you rehab a grade 1 hamstring pull?

Hamstring Strain Rehab

  1. Grade 1 – Mild muscle/tendon pull or strain.
  2. REST – Immobilize your leg, avoiding any/all physical activity.
  3. ICE – Apply a cold pack (a frozen bottle of water thinly wrapped in a towel will also work) directly to your hamstring for +/- 20 minutes every 2 to 3 hours.

Should you stretch a strained hamstring?

The stretch should not be painful. Gentle stretching of your hamstring is helpful for recovery. Aggressive stretching of your hamstring will delay your recovery. Hold this position for 3 to 5 seconds, and then lower your leg back down.

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.

Hamstring Strain: Rehab Exercises

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Here are a few examples of workouts that you may try out for yourself. The exercises may be recommended for a specific disease or for rehabilitation. Start each exercise cautiously to avoid injury. If you begin to experience discomfort, reduce the intensity of the workouts. You will be instructed on when to begin these workouts as well as which ones will be most beneficial to you.

How to do the exercises

1st slide of a total of 6 Set of hamstrings on slide 1 of 6. (heel dig),

  1. Sit with your afflicted leg bent in your chair. Ensure that your healthy leg is straight and supported on the floor. By pushing your heel into the floor, you may tighten the muscles on the back of your bent leg (hamstrings). Continue to hold for approximately 6 seconds, and then take a 10-second break. Repeat the process 8 to 12 times.

Hamstring curl

Slide number two of six The second slide of six, the hamstring curl

  1. Lie down on your stomach, with your knees bent at 90 degrees. Placing a cushion beneath your tummy will help you feel more comfortable. Roll up a washcloth and place it under your leg, right above your kneecap, if you are experiencing discomfort in your kneecap. In order to elevate the foot of your afflicted leg, you must bend the knee so that the foot is raised toward the buttocks of your leg. If this action causes you pain, attempt it without bending your knee quite as far as possible. As a result, you may be able to prevent any uncomfortable movements. Using your leg, slowly raise and lower it
  2. Repeat the process 8 to 12 times. When you are able to complete this exercise with easy and without experiencing any pain, you can add additional resistance. Making a loop out of an exercise band is as simple as tying the ends of the band together. Attach one end of the loop to a sturdy item or close a door on one end of the loop to keep it from moving. (Alternatively, you may have someone hold one end of the loop to give resistance.) Using the other end of the exercise band, wrap it around the lower half of your afflicted leg
  3. Repeat steps 1 through 4 while gently drawing the exercise band back with your leg

Hip extension

3rd slide out of 6 Hip extension is seen on slide 3 of 6. ,

  1. Standing in front of a wall, your hands on the wall at around chest height
  2. Kick your afflicted leg straight back behind you while keeping the knee of your affected leg straight. Take a deep breath and slowly drop your leg back to the starting position. Repeat the process 8 to 12 times. When you are able to complete this exercise with easy and without experiencing any pain, you can add additional resistance. To accomplish this, follow these steps: Make a loop out of the ends of an exercise band by tying them together. Attach one end of the loop to a sturdy item or close a door on one end of the loop to keep it from moving. (Alternatively, you may have someone hold one end of the loop to give resistance.) Using the opposite end of the exercise band, wrap the lower portion of your afflicted leg around it. Steps 1 through 4 should be repeated carefully, drawing back on the workout band with your leg each time.

Hamstring wall stretch

Slide 4 of 6, Hamstring wall stretch, is on page 4.

  1. In a doorway, lie on your back and pass one of your good legs through the open door
  2. To straighten your knee, slide your afflicted leg up the wall and around the corner. You should be able to feel a mild stretch along the back of your thigh. Maintaining the stretch for at least 1 minute is necessary to get things started. Then aim to extend the time you maintain the stretch for as long as possible, perhaps up to 6 minutes. Repeat the process 2 to 4 times. If you do not have access to a doorway to perform this exercise, there is an other method that you may use: Lie down on your back and bend the knee of the leg that is afflicted
  3. To relieve pressure on the foot, wrap a towel over it and hold the ends of the towel in your hands
  4. Bring your knee up to your chest and slowly pull back on the cloth. You should be able to feel a mild stretch along the back of your thigh. Stretch for 15 to 30 seconds, depending on how tight the stretch is. Alternatively, if you are able, try to hold the stretch for one minute. Repeat the process 2 to 4 times.
  1. Make sure you don’t arch your back or bend either knee. Maintain one heel in contact with the floor and the other heel in contact with the wall. Do not use your toes to indicate anything.

Calf stretch

Slide number five of six Stretching the calves, slide 5 of 6.

  1. Stand with your back to a wall and your hands on the wall at around eye level. Step back approximately a step with your injured leg in front of your other leg. Maintaining the straightness of your back leg and the placement of your back heel on the floor, bend your front knee and slowly push your hip and chest toward the wall until you feel a stretch in the calf of your back leg Hold the stretch for 15 to 30 seconds
  2. Then release it. Repeat the process 2 to 4 times. Steps 1 through 4 should be repeated, however this time maintain your back knee bent.

Single-leg balance

Slide number six of six Sixth slide of six, single-leg balance

  1. Make the letter “T” by standing on a level surface with your arms spread out to your sides like you are writing the letter. Afterwards, raise your good leg off the floor while bending it at the knee. In the event that you are unsteady on your feet, one hand can be used to grab onto a chair, counter, or wall. When you’re standing on your afflicted leg, make sure your knee is straight. Try to maintain your balance on that leg for at least 30 seconds. After then, take a 10-second break to recover. Repeat this process 6 to 8 times. When you are able to maintain balance on your injured limb for 30 seconds with your eyes open, try to maintain balance on it with your eyes shut. As soon as you are able to complete this exercise with your eyes closed for 30 seconds with ease and without experiencing any pain, consider standing on a cushion or piece of foam and repeating steps 1 through 4.

Follow-up care is critical to the success of your therapy and overall safety. Make careful to keep all of your appointments and to show up on time, and call your doctor if you are experiencing any difficulties. Keep track of your test results, as well as a record of the medications you’re taking, for future reference.

Where can you learn more?

More information on “Hamstring Strain: Rehab Exercises” may be found by typing EnterZ526 into the search box. As of July 1, 2021, the information is current.


Unstable hamstrings are caused by damaged muscles or tendons in one or more of the three hamstrings (in the back of the leg), which can be partially or totally repaired with restorative exercises. It is one of the most frequent lower-body injuries, and it affects athletes who participate in sports involving high-speed running, such as football, soccer, or track and field, in particular. People who have previously injured their hamstrings are 2 to 6 times more likely to experience another injury in the same area.

Physical therapists are experts in the movement of the body.

For an evaluation, you can make contact with a physical therapist directly.

Find a Physical Therapist in Your Area!

What Are Hamstring Injuries?

Located at the back of the thigh, the hamstring muscle group is comprised of three muscles that link the pelvis to the leg. In addition to straightening (extending) the hip and bending (flexing) the knee, they are also the principal muscle group responsible for these movements. The three muscles are as follows: Muscle anatomy contains the “belly,” which is the component of the muscle that contracts or relaxes to move a limb, and the tendon, which is the portion of the muscle that attaches the muscle belly to the bone.

Hamstring strain injuries are caused by damage to the muscle belly.

When doing high-speed running, with quick starts or changes in direction, or when the muscle is overstretched by activities such as sprinting, hurdling, kicking, or heavy lifting, this is most common. The following are risk factors for hamstring strain injuries:

  • A history of hamstring strain injury in the past
  • And Hamstring weakening as a result of growing older Muscle stiffness in the quadriceps and hip flexors
  • Poor flexibility of the quadriceps and hip flexors. Inadequate warm-up before to participation
  • Muscle exhaustion

How Does It Feel?

Hamstring strain injuries are characterized by the abrupt onset of discomfort in the back of the leg. They are most commonly seen in athletes. It takes place really rapidly and leads the individual to quit participating in an activity that they were previously engaged in. The symptoms of a modest injury may only last a few days, but the symptoms of a more serious damage may linger for many weeks or more. Among the most common signs and symptoms are:

  • A strong ache in the back of the thigh or in the buttocks that comes on suddenly
  • Muscle pain that feels like a “snap” or tears in the muscle Bruising that occurs within hours or days of an injury
  • A feeling of tenderness when touched in the affected region Sitting comfortably, elevating the leg when lying down, and straightening the knee are all difficult tasks. Walking or running with a limp as a result of the difficulty
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How Is It Diagnosed?

Beginning with an awareness of your medical history and the source of the ailment, the doctor can make an accurate diagnosis of hamstring strain. The following are examples of questions your physical therapist may ask you:

  • What were you doing when you first felt the pain, and did you hear or feel a “pop” as a result of it? What part of your body is hurting right now? Did you observe any bruising or swelling following the injury? What activities were you unable to perform immediately following the accident, and how have you been able to function since the injury (for example, walking, sleeping, elevating your leg)
  • Have you ever suffered from a similar injury?

In addition, your physical therapist will conduct a clinical examination that will include some of the tests and measurements listed below to establish the extent of your injury, including:

  • An examination to see whether there is any discolouration or bruises
  • Pain evaluation, in order to determine your present degree of discomfort and the actions that make your discomfort better or worse
  • Through palpation (gently pushing with the fingers), it is possible to detect where and how large the sore region is. This information will be used to assist assess the severity of the injury. A range-of-motion test will be performed to compare the motion of your damaged leg with the motion of your healthy limb. Muscle-strength test to assess the strength of the hamstring muscles when bending or straightening your knee and hip
  • Muscle-strength test to measure the strength of the quadriceps muscles when bending or straightening your knee and hip
  • Gait analysis, in order to detect any limping or changes in your walking style

Hamstring strain injuries are often classed as Grade I, II, or III based on the severity of the injury:

  • Grade I: Mild strain with minor tears
  • Generally feels like a pulled or cramping muscle. Grade II: Moderate strain with moderate tearing. Strain of moderate severity with partial ripping
  • Stinging or burning feeling at the back of the thigh
  • Grade II. The muscle has been completely ripped in Grade III, which may result in a “lump” on one side of the thigh where the muscle has been pulled.

You will most likely be sent to an orthopedic physician for medical diagnostic imaging, such as an X-ray or magnetic resonance imaging (MRI), to determine the degree of your injury if your physical therapist feels you have had a serious injury (Grade III). Surgery may be suggested in the event of a fracture of the ischial tuberosity (the “sit-bone,” a portion of the pelvis) and/or a complete rupture of the muscle.

How Can a Physical Therapist Help?

Seek treatment from a physical therapist as soon as possible after suffering a hamstring strain. You may prepare for your physical therapy appointment by doing the following:

  • Rest the affected region by refraining from engaging in aggravating activities such as walking or exercising. Crutches may be required if you are experiencing significant difficulties walking. Avoid putting too much pressure on the damaged region. 3 to 4 times a day, for 15 to 20 minutes, apply ice to the wounded region (with a towel put between your skin and the ice)

Your physical therapist will create a unique treatment regimen that is tailored to the precise type of your injury as well as your desired outcomes. The following may be included in your treatment: Manual therapy is a type of treatment that uses your hands to manipulate objects. Therapists are skilled in manual (hands-on) treatment, which involves gently moving and manipulating muscles and joints to increase mobility, flexibility, and strength in their patients. For the purpose of promoting recovery, your physical therapist may gently massage and manipulate the afflicted region.

  1. Exercising your range of motion.
  2. This can prolong your healing time.
  3. He or she will also instruct you on how to perform these exercises.
  4. Hamstring strengthening will be a critical component of your rehabilitation regimen after your injury.
  5. Training with a purpose.
  6. Your physical therapist will devise a functional training program for the hamstring muscle group, with a gradual return to increasingly demanding activities as part of the program’s progression.

A physical therapist will help you through the recovery process after surgery. It is important that your physical therapist interact with your surgeon in order to ensure that you receive thorough and consistent postoperative treatment.

Can This Injury or Condition Be Prevented?

You may reduce your chances of suffering a hamstring strain injury by doing the following:

  • Always stretch and warm up before engaging in any sports activity. To avoid starting a new exercise too fast, gradually increase the frequency and intensity of the activity over time to allow your body to become used to the new movement patterns. Ensure that your hamstring muscles are as strong as possible. After working out, pay attention to your body (and stretch, apply ice, and relax as needed) before repeating the same exercise.

What Kind of Physical Therapist Do I Need?

Physical therapists are all trained and experienced in the treatment of hamstring strain injuries, which is a result of their education and experience. However, you might want to think about the following:

  • A physical therapist who has extensive expertise in treating clients who have had hamstring strains. The orthopedic or sports rehabilitation specialization is something that certain physical therapists perform. A physical therapist who is a board-certified clinical specialist or who has completed a residency or fellowship in orthopedics or sports physical therapy is qualified to practice in this specialty. There are advanced knowledge, expertise, and abilities available to this physical therapist that may be applicable to your situation.

Find a PT, an online service developed by the American Physical Therapy Association to assist you in searching for physical therapists with specialized clinical specialty in your geographic region, will help you locate physical therapists who have these and other certifications. When looking for a physical therapist (or any other type of health care practitioner), here are some general guidelines:

  • Consult with family, friends, or other health-care professionals for advice. When you call a physical therapy facility to schedule an appointment, inquire about the physical therapists’ previous expertise in treating clients who have had hamstring strains. Ensure that you are prepared to describe your symptoms in as much detail as possible, as well as any activities that make your symptoms worse.

Find a Physical Therapist in Your Area!

Is this content helpful?

Thank you very much. Your feedback has been forwarded to the appropriate party. Customers, according to the American Physical Therapy Association, should have access to information that will assist them in making health-care decisions, as well as information that helps prepare them for their appointment with their health-care practitioner. The papers that follow give some of the most up-to-date scientific research on the subject of physical therapy treatment for hamstring strain injuries. The papers present the results of recent research and provide an overview of the standards of practice in the United States as well as in other countries.

  • The authors, Sherry MA, Johnston TS, and Heiderscheit BC Acute hamstring strains should be treated as soon as possible.
  • Summary of the article on PubMed.
  • Opar DA, Williams MD, Timmins RG, Hickey J, Shield AJ.
  • 2015;47(4):857–865.
  • 2015;47(4):857–865.
  • John L.
  • Hamstring strength and morphological progression during a return to sport following an injury are examined.

Med Sci Sports Exerc.

Summary of the article on PubMed.

Silder A, Sherry MA, Sanfilippo J, Tuite MJ, Hetzel SJ, Heiderscheit BC.

2013;43(5):284–299 (Article Summary in PubMed).

Opar DA, Williams MD, Shield AJ.

Sports Medicine 42(3):209–226 (2012).

Askling CM, Malliaropoulos N, Karlsson J.

Sports Medicine.

46, no.

86–87, 2012.

Heiderscheit BC, Sherry MA, Silder A, Chumanov ES, Thelen DG.

J Orthop Sports Phys Ther.

Article Summary in PubMed.* PubMed is a free online resource produced by the National Center for Biotechnology Information (NCBI) (NCBI).

Details Review by an expert published on June 27, 2018; revised on June 27, 2018.

Guide is the type of content you’re looking for. Symptoms Conditions Injuries to the hamstrings Laura Stanley, PT, DPT, board-certified sports clinical specialist, is the author of this article. Bryan HeiderscheitPT, PhD served as an expert reviewer.

Hamstring Strain Rehab

You can keep your mobility and active lifestyle by not allowing a hamstring injury to take them away. Knowing how to recover from a hamstring strain or pull can assist you in returning to your usual activities as fast as possible. has compiled information on what a hamstring strain is, how it manifests itself, and what you can do to recover from it successfully.

What is a Hamstring Strain?

A hamstring injury is caused by the overexertion or overextension of the hamstring muscles, resulting in a strain or rupture to this group of muscles and tendons in the back of the thigh. A hamstring injury can occur during sports or other activities (the muscles that allow you to bend your leg at the knee). This is a relatively common injury among sportsmen and anyone who engage in regular physical activity. Injury to the hamstring can be classified into three categories: a little muscle or tendon pull or strain of the first degree Grade 2– Partial muscle/tendon tearGrade 3– Complete muscle/tendon ruptureGrade 4– Complete muscle/tendon rupture Grade 1 injuries normally recover within a few days to two weeks if they are treated with rest and physical therapy as directed.

Symptoms of a Hamstring Strain

The following symptoms are indicative of a hamstring strain in the majority of cases:

  • Pain in the back of your thigh that is sudden and/or acute
  • Occasionally, you may experience a “popping” or ripping feeling in the back of your leg. The wounded region develops swelling and/or discomfort within a few hours of the injury. Along the back of your leg, you may see some bruising or discoloration. Muscle sluggishness
  • Impossibility of putting any weight on your wounded leg

Mild or grade 1 hamstring strains may typically be treated at home with over-the-counter medications. More serious strains, such as grade 2 and 3 (inability to bear any weight on your injured leg or inability to walk more than 3 or 4 steps without experiencing extreme pain), should be evaluated by your doctor or primary care provider.

Hamstring Strain Recovery

Recovery time for a hamstring injury can range from a few days to many weeks or even months, depending on the severity of the injury. A totally torn hamstring may need many months of rest and gradual therapy before you may return to your previous level of activity.

Hamstring Strain Initial Treatment

In order to care for your hamstring strain during the first 72 hours after incurring it, RICE treatment should be done to treat your injury: REST– Keep your leg immobilized and refrain from engaging in any physical activity. Crutches or a cane can be utilized in instances where you must move in order to prevent exacerbating your injury more. A cold pack (a frozen bottle of water thinly wrapped in a towel would also work) should be applied directly to your hamstring for +/- 20 minutes every 2 to 3 hours for up to 3 days.

PROPER COMPRESSION– Wrapping a compression garment over an injured leg, or using bandages or both, can help to prevent swelling and movement that could lead to additional injury.

It may be possible to lessen or reduce the discomfort with pain medicines such as sports creams, gels, patches, and medicated wraps, among other forms of treatment.

Short-term usage of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be beneficial in reducing inflammation. Disclaimer: Before taking any drug, always consult with your doctor or primary care provider first (topical or oral).

Hamstring Strain Recovery Exercises

Returning to sports activities or rigorous activity too soon after an injury might exacerbate or worsen the condition of the injured area. However, postponing stretching and exercising for an extended period of time may result in the shrinkage of your hamstring muscles as well as the production of scar tissue around the site of the initial injury. After a few days or when the discomfort begins to lessen, you should be ready to begin doing easy stretches and modest exercises to help with the recovery of a grade 1 strain.

The exercises listed below will assist you in your efforts to reintroduce load, tolerance, and mobility to your hamstrings: Hamstring Bridge is a type of bridge that connects the hamstrings to the rest of the body.

  1. Lie down on your back with your hips bent and your feet flat, with your shoulders aligned with your hips. Raise your hips off the floor on both sides. For a few seconds, hold the bridge position, then return to the beginning position
  2. Remove the shoes off your feet and move them one step away from your body. Raise your hips off the floor on both sides. For a few seconds, hold the bridge position, then return to the beginning position
  3. Steps 4, 5, and 6 should be repeated a second time. Return to the starting point and begin the process over.

Curls of the hamstrings

  1. Lie down on your back with your knees straight
  2. In order to raise the foot of your strained leg, you must bend the knee so that the foot is brought up toward your hips. When performing this exercise, if it aches, try bending your leg less. Move your leg slowly up and down and side to side
  3. Repeat the process 10 to 12 times.

Isometrics for the Hamstrings This exercise is quite similar to hamstring curls, with the exception that you use your foot (on your unaffected leg) to hook the afflicted leg and give resistance to the curling action during the exercise. Begin with a low level of resistance and gradually raise it as you are able. Extenders for the hamstrings

  1. Lie down on your back with both hands gripping your afflicted leg (you may need to use a towel if required)
  2. Maintain the straightness of your opposing leg. Slowly extend your knee (lifting your foot up) while keeping your upper thigh in a vertical posture. Take a moment to halt and hold when you feel a small stretch
  3. Extend your knee even further, halt, and hold for another count
  4. Repeat this exercise three times a day for a total of 10 repetitions.

Please keep in mind that none of the stretches listed above, or any other recommended stretches, should be uncomfortable. When it comes to recuperation, mild stretching of your hamstrings is really important. Take a look at this video to discover how these workouts are carried out.

Hamstring Injury Recovery

Physical activity and exercise should be introduced gradually, with the weight load on the afflicted limb increasing as long as there is no discomfort. As you heal from your injury, you should do the following to help strengthen your hamstring: To walk, start off slowly and gradually increase your speed and distance covered. If you have to walk with a cane or crutches, you are probably not ready for this degree of exercise at this time. Cycling– If you are able, begin with an exercise bike before progressing to a bicycle.

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Yoga – Return to or begin regular yoga workouts if you haven’t already.

A mild massage to the thigh, as well as a reflexology massage, can assist to alleviate unpleasant symptoms.

Hamstring Strain

The material in this article provided you with knowledge about hamstring strains, including how to recognize their signs and how to recover from the injury. Having a good understanding of what to do when you pull or strain your hamstring can help you heal from this injury in the shortest amount of time possible. Try to force your way back into your usual activities after you’ve sustained an injury. This will only exacerbate the condition and increase the likelihood of requiring surgical intervention.

Hamstring Strain Overview

The unfortunate fact is that hamstring strains are both frequent and quite painful. Athletics of many kinds are affected, including runners, skaters, football, soccer, and basketball players, among others. However, what exactly is a hamstring? It is not a single “string,” as some may believe. On the back of your thigh, there are three muscles that make up this group. They provide you the ability to bend your leg at the knee. It is possible for one or more of these muscles to get overworked during a hamstringstrain.

A hamstring strain is more likely to occur during activities that require a lot of sprinting and leaping, as well as quick stopping and beginning.

  • Preparing for exercise does not require any warm-up time. While pulling your pelvis forward and contracting your hamstrings, the quadriceps muscles (located in the front of your thigh) become stiff. glutes that aren’t very strong. The glutes and the hamstrings function in tandem. It is possible for the hamstrings to become overused and strained if the glutes are weak.

What Does a Hamstring Strain Feel Like?

Mild hamstring strains are unlikely to cause significant discomfort. Severe cases, on the other hand, can be excruciating, making it hard to move or even stand. Other signs and symptoms of a hamstring strain are as follows:

  • Exercise that is both sudden and forceful, as well as accompanied with a cracking or popping sensation Walking, straightening the leg, or bending over causes pain in the back of the thigh and lower buttock
  • Tenderness
  • Bruising

A complete physical examination will be performed by a doctor or physical therapist in order to identify a hamstring strain. They will inquire as to the circumstances behind the injury to the limb.

What’s the Treatment for a Hamstring Strain?

Minor to moderate hamstring strains, on the other hand, normally recover on their own. All you have to do now is give them some time. You can do the following to expedite the healing process:

  • Allow the leg to rest. As much as possible, avoid putting any weight on the leg. If the pain is severe, you may be need to use crutches until the agony subsides. Inform your doctor or physical therapist whether they are required. Ice your leg to relieve the discomfort and swelling that has developed. Carry out this exercise for 20-30 minutes every three to four hours for two to three days, or until the discomfort is gone
  • Compress the calf of your leg. In order to keep swelling down, wrap an elastic bandage over the leg. Raise your leg on a pillow whether you’re sitting or lying down to reduce swelling. Anti-inflammatory pain relievers should be used. Analgesics such as ibuprofen (Advil,Motrin) or naproxen (Aleve,Naprosyn) will assist to relieve pain and swelling associated with arthritis. Side effects of these medications, including an increased risk of bleeding and ulceration, have been reported. Unless your doctor expressly instructs you otherwise, they should only be taken for a limited period of time. If your doctor or physical therapist approves it, you should engage in stretching and strengthening activities. Hamstring strengthening is one method of preventing hamstring strain
  • However, there are other methods.

In extreme situations when the muscle has been ripped, surgery may be necessary. The surgeon will mend the muscles and restore them to the rest of the body.

When Will a Hamstring Strain Feel Better?

The length of time it takes to recover depends on how seriously you hurt your hamstring. It’s important to remember that everyone heals at a different pace. While you are healing, you should continue to work on your hamstring with a new exercise that will not aggravate the injury. For example, runners might want to try completing laps in a swimming pool. Whatever you do, don’t try to hasten the process. Don’t even think about trying to get back to your previous level of physical activity until you’ve done the following:

  • You have the same range of motion in your wounded leg as you have in your unaffected limb. Your wounded leg is as powerful as your intact limb
  • You have no pain. It causes you no discomfort in your leg when you walk
  • When you run
  • When you sprint
  • And when you jump.

If you start exerting yourself too soon after a hamstring strain has healed, you risk reinjuring the hamstring and developing persistent muscular dysfunction as a result.

How Can I Prevent a Hamstring Strain?

Because hamstring strains may be extremely painful, athletes should make every effort to avoid them. After all, recovering after a hamstring injury is far more difficult than avoiding one. Here are a few pointers:

  • Warm up before and after strenuous exercise
  • Stretch afterward. Step up your physical activity intensity gradually – no more than 10% increase each week is recommended
  • If you get soreness in the back of your thigh, you should stop exercising. Hamstrings should be stretched and strengthened as a preventative strategy.

How Physical Therapy Can Help Heal and Prevent a Hamstring Strain

You may find that the trained services of a physical therapist (PT) will be beneficial in helping you fully recover from a hamstring strain or tear(the phrases can be used interchangeably). In addition to treating your pain, your PT can prescribe exercises that will help you regain your normal range of motion (ROM), strength, and total functional mobility. So, what exactly does physical therapy entail in the examination and treatment of a hamstring strain? Gary Burchell is a Getty Images contributor.


Understanding the signs and symptoms of a hamstringstrain can assist you in receiving the most appropriate therapy at the earliest opportunity.

Typical hamstring strain symptoms may include the following:

  • You are experiencing pain in the back of your thigh, either behind your knee, in the muscle belly, or close to your buttock
  • Having trouble fully straightening your knee without experiencing discomfort
  • Having difficulty taking huge steps or walking swiftly, as well as experiencing pain when ascending stairs Running is difficult and painful for me

The level of discomfort you are experiencing can range from moderate to severe, and the particular location of symptoms might differ from person to person as well. If you feel you have a hamstring strain, you should see your doctor as soon as possible so that you can begin receiving adequate treatment.


Hamstring strain symptoms can appear abruptly, usually as a consequence of a fast motion, such as running or cutting movements when participating in sports, causing the muscle to tighten and become painful. A hamstring strain can occur as a result of just moving in the incorrect direction while getting out of a chair or while walking and jogging. As a result, what exactly happens to your hamstring muscle when you have a strain? A tear has occurred at the muscle-tendon interface, which is essentially a rip in the muscle.

With the help of the inflammatory process, your body quickly swings into “healing mode.” This procedure entails the following steps:

  • The introduction of new cells into the injured location in order for the region to be cleaned and transformed into healthy collagen. Scar tissue bridges are formed, which will eventually repair and regenerate into healthy muscle and tendon tissue. Remodeling of the collagen tissue to transform it into normal, healthy hamstring muscle tissue

Doing the appropriate things—at the right time—to get your hamstring moving and functioning properly will help the healing process go more quickly.

First Steps Towards Recovery

If you believe you have a torn hamstring, you should take several precautions to ensure a speedy recovery from the injury. These may include the following:

  • Don’t get too worked up over it. In most cases, hamstring strains are not harmful, despite the fact that they are unpleasant. To ensure that you receive an appropriate diagnosis, consult your healthcare practitioner
  • Consult with your physical therapist to begin treating the pain and regaining your usual mobility as soon as possible
  • Avoid engaging in activities that might aggravate your hamstring discomfort or prevent natural tissue recovery from occurring.

It is possible to safely restore your mobility and return to your daily activities if you begin doing the correct things at the appropriate time.

How Severe Is Your Hamstring Tear?

So, how do you (and your physical therapist or healthcare practitioner) determine the severity of your hamstring strain? A three-tiered approach is used to evaluate hamstring strains, as well as any other muscle strains and rips. Muscle strains are classified into three categories:

  • It is possible to have tiny tears of the tissue in Grade I because the muscle fibers are just stretched too far. The majority of the time, there are no visible indicators of a grade I muscle strain. There is discomfort and restricted motion
  • Grade II: partial tearing of the hamstring muscle with moderate swelling and bruising
  • Grade III: full-thickness tearing of the muscle tissue with significant pain and loss of mobility, as well as swelling and bruising in the back of your thigh
  • Grade IV: full-thickness tearing of the muscle tissue with significant pain and loss of mobility, as well as swelling and bruising in the back of your thigh

The exact extent of your hamstring strain will be determined by your healthcare provider’s examination and, if necessary, by the use of specific tests such as magnetic resonance imaging (MRI). In some cases, no diagnostic tests are required since the signs and symptoms of your hamstring strain are easily discernible enough to determine the diagnosis without the need for additional testing.

Physical Therapy Evaluation

During your first appointment to a physical therapist for treatment of your hamstring strain, he or she will do an initial exam to gather information about your condition and to select the most appropriate therapy. A physical therapy examination for hamstring strain may contain the following components:

  • History: Your physical therapist will go through your injury and health history with you, including how the injury happened and any symptoms you are experiencing. In addition, they will assess whether there are any valid grounds for not providing therapy or if your situation may necessitate a more thorough evaluation by your healthcare practitioner or an orthopedist. Touch palpation: Your therapist may use his or her hands to palpate, or inspect, your hamstring muscle and surrounding tissue. Range of motion and flexibility measurements: Your physical therapist will take measurements of your hip and knee ROM and flexibility. Hamstring strains are known to restrict the range of motion and flexibility in the area surrounding the hamstring joints. hamstring and surrounding muscle strength measurements: Your physical therapist will assess the strength of your hamstrings and surrounding muscles. Measurements and observations of functional mobility: Your physical therapist will examine how your hamstring discomfort affects your ability to conduct daily activities like walking and running. Depending on the severity of your ailment, they will observe you walking, running, climbing stairs, or jumping. Balance and proprioception: Your physical therapist may administer particular tests to assess your balance and proprioception, which may be affected as a result of your hamstring injury.

A unique plan of treatment for your hamstring strain rehabilitation will be developed by your physical therapist based on the findings of the assessment and consultation. He or she will also collaborate with you to develop realistic expectations for your hamstring rehabilitation.

PT Treatment

After your physical therapist has worked with you to design a particular treatment plan for your hamstring strain, they will begin working on it. The primary aims of physical therapy for a hamstring strain are to restore normal flexibility and range of motion, to regain normal strength, to minimize discomfort and swelling, and to assist you in returning to your optimal function.

There are a variety of various therapies and methods that your physical therapist may utilize to treat your hamstring injury. These may include the following:

  • A deep heating therapy such as ultrasound can aid in the improvement of circulation and extensibility around the affected tissues of your hamstring. Your physical therapist may employ this therapy, despite the fact that evidence suggests that it may not provide the benefit that was originally thought in musculoskeletal applications. Treatment with massage: Massaging the wounded tissue can aid in the improvement of scar tissue mobility. Electrical stimulation: During your hamstring rehabilitation, electrical stimulation can be employed to achieve a variety of different aims. It is possible that your PT will utilize e-stim to assist you with controlling your discomfort, reducing swelling, or improving the way your hamstring muscle contracts. Techniques such as kinesiology taping are used by certain physical therapists to assist enhance the function of the hamstring muscles. It is also possible to employ kinesiology tape to reduce swelling and bruising in the area of your hamstring muscles. Because there has been minimal study on the usage of K-tape, it is recommended that you discuss its use with your therapist. Walking with crutches: If you have a serious hamstring strain, you may be needed to walk on crutches until the injury heals. Physical therapy should educate you how to walk correctly, as well as when and how to transition from needing an assistance device to walking normally. The usage of ice can be beneficial during the acute phase of an injury in order to manage swelling and reduce the amount of pain that you are experiencing. Before stretching your hamstring muscles, your physical therapist may use wet heat packs to assist relax your hamstring muscles and increase tissue extensibility.

Therapeutic Exercise

Treatment with therapeutic exercise is the most significant treatment your therapist can provide you with. Your physical therapist will prescribe particular exercises for you to complete in the clinic, and you will most likely be prescribed a home exercise regimen to follow on a regular basis as well. This allows you to take charge of your hamstring strain rehabilitation and put yourself in the driver’s seat when it comes to your health. Exercises to treat a hamstring strain may include the following:

  • Hamstring stretches: Both static and dynamic hamstring stretching exercises can aid in the improvement of hamstring functionality. Stretching is one of the most effective methods of remodeling scar tissue formed by injured muscle during the healing process. While stretching, you should feel a tug, but it should subside after a few minutes and return to its baseline feeling. PT may recommend lower extremity strengthening activities following a hamstring injury. These exercises will help strengthen your hamstrings as well as the muscles in your lower extremities. Exercises should be easy to begin and should not be painful. With time, your injuries will recover and you will be able to graduate to more severe strengthening activities. Exercises to strengthen your hips and core muscles: According to research, maintaining the strength of your hips and core muscles can be an excellent approach to return to regular activity after a hamstring injury. During your hamstring rehabilitation, you may be prescribed advanced hip strengthening and dynamic abdominal strengthening exercises. Agility drills: As your rehabilitation develops, your physical therapist may ask you to participate in increasingly advanced agility drills, such as hopping and jumping. Taking the time to learn how to jump and land correctly will help you avoid injuring your hamstrings (as well as other lower extremity joints and muscles) when you return to active engagement in sports. Exercises for balance and proprioception: Maintaining proper balance and lower extremity awareness may be a component of your rehabilitation program. Walking, running, and leaping may all be improved by ensuring that your muscles are working properly to keep your hips, knees, and ankles in the ideal posture.
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Your physical therapist should explain to you the reasoning behind each exercise you perform, and he or she should ensure that you are performing the activity correctly. If you experience any discomfort or have any queries regarding your workouts, you should consult with your physical therapist.

How Long Will It Take to Get Better?

Hamstring strains are one of those annoying ailments that keep popping up. According to research, the usual hamstring strain improves in around 40 days or so after it occurs. Depending on the intensity of the strain, your individual injury may take longer or shorter to recover from. One issue with hamstring strains is that they can re-injure themselves if they are not properly treated and rehabbed. An increase in the frequency of hamstring strains generally occurs within one year after the initial injury.


Does it seem like there is a method to avoid or at least reduce your chances of developing a hamstring injury? There could be something there. According to research, those who maintain strong hamstring strength (particularly eccentric strength) are less likely to get a hamstring strain than those who do not. Eccentric strength is defined as the ability of a muscle to contract while extending. Despite the fact that it is difficult to do, the Nordic eccentric hamstring exercise has been demonstrated to reduce the occurrence of hamstring strains among elite athletes.

The ability to leap, run, and conduct high-speed starting and stopping may aid in the training of the hamstrings to function effectively while engaging in sports, according to some research.

Again, consult with your physical therapist to determine which exercises are the most effective for you to perform in order to lower your risk of hamstring injuries.

A Word From Verywell

You may experience discomfort when you strain or tear your hamstrings, which may prohibit you from participating in your typical job and leisure activities. If you have a hamstring injury or discomfort, consult with your healthcare physician to determine whether physical therapy is appropriate for you. Your physical therapist can assist you in managing your pain while also improving your mobility and strength, allowing you to return to your typical activities as fast and safely as possible. Thank you for sharing your thoughts!

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Verywell Health relies on only high-quality sources, such as peer-reviewed research, to substantiate the information contained in its articles. Read about oureditorial process to discover more about how we fact-check our information and ensure that it is accurate, dependable, and trustworthy.

  1. L. Ernlund and L. A. Vieira Article about hamstring injuries has been updated. Revista Brasileira de Ortopédia 2017
  2. 52(4):373–382. Kilcoyne KG, Dickens JF, Keblish D, Rue JP, Chronister R. doi:10.1016/j.rboe.2017.05.005
  3. Kilcoyne KG, Dickens JF, Keblish D, Rue JP, Chronister R. A unique rehabilitation program was developed to improve the outcome of grade I and II hamstring injuries in intercollegiate athletes. The Science of Sports Medicine
  4. Schmitt B., Tim T., McHugh M. A novel notion in hamstring injury recovery and prevention of re-injury is the use of prolonged state eccentric exercise in the hamstrings. Int J Sports Phys Ther
  5. Mendiguchia J, Alentorn-geli E, Brughelli M. International Journal of Sports Phys Ther. Are we on the right track with regard to hamstring strain injuries? The British Journal of Sports Medicine published a study in 2012 that found that 81-5 It is possible to get more information at doi:10.1136/bjsm.2010.081695. Yves Guillodo, Clement Here-Dorignac, Bernard Thoribé, and colleagues Clinical predictors of the time it will take to return to competition after a hamstring injury. Muscles Ligaments Tendons J
  6. Liu H, Garrett WE, Moorman CT, Yu B. Muscles Ligaments Tendons J
  7. Liu H, Garrett WE, Moorman CT, Yu B. A review of the research on the incidence, mechanism, and risk factors of hamstring strain injuries in sports. Sherry MA, Erickson LN (Journal of Sport and Health Science)
  8. Erickson LN, Sherry MA Following a hamstring strain injury, rehabilitation and return to sport are essential. J Sport Health Sci. 2017
  9. 6(3):262–270. J Sport Health Sci. 2017
  10. 6(3):262–270. doi:10.1016/j.jshs.2017.04.001

supplementary readings

  • The authors, MN Bourne and colleagues, “Eccentric knee flexor strength and the likelihood of hamstring injuries in rugby union,” published in the journal Rugby Union. Goosens, EW, and colleagues in the American Journal of Sports Medicine. “A lower eccentric hamstring strength and a single leg jump for distance predict hamstring injury in PETE students,” the researchers concluded. Sherry, MA, and Best, TM. European Journal of Sport Science. An evaluation of two rehabilitation regimens for the treatment of acute hamstring strains was conducted. JOSPT

7 Step Exercise Program after a Hamstring Strain

Plyometric exercise may be included in your ankle fracture rehabilitation program. Photograph by John Fredele/Getty Images Depending on how far along your hamstring strain physical therapy program is, your PT may assign you to high-intensity jumping exercises, known as plyometrics, to complete. Exercises that may be performed include:

  • Exercises such as drop-jumping, single-leg hopexercises, and box jumping are all recommended.

There is one thing that all of these exercises have in common: they impose a significant amount of stress on your lower extremity muscles and joints. Exercises such as these should only be performed under the strict supervision of your physical therapist and should only be performed in the final phases of your hamstring strain rehabilitation after considerable healing has occurred. Functional mobility testing can also be performed by your physical therapist to assess when (and if) it is safe for you to return to high-intensity athletics.

Once your hamstring has healed and you are ready to transition away from the physical therapy clinic and back into your regular activities, your physical therapist can work with you to develop a home exercise program to help you maintain optimal flexibility, strength, balance, and jumping ability in order to reduce your risk of re-injury.

Furthermore, no two injuries are the same, and your hamstring recovery may be swift or it may take a little longer than you would have like.

Be patient with your body during your recuperation, and you’ll soon be able to return to the activities that you enjoyed before your injury occurred.

A Word From Verywell

If you have suffered a hamstring strain, your physical therapist will likely guide you through exercises similar to those in this program to aid in your recovery. Make an appointment with your physical therapist to begin your own individualized rehab program for your hamstring strain so that you can return to maximal functional mobility as fast and safely as possible following your injury.

Hamstring Injuries: The Best Hamstrings Strength Exercises to Prevent Injury

Hamstring injuries, rips, and strains are some of the most prevalent sports-related ailments that athletes suffer from. And to make matters worse, they have one of the worst rates of re-injury in the industry. At SportSpinal Physiotherapy, we see a lot of people.

They occur most frequently in activities that involve a high level of speed, agility, and explosive power, such as track and field. It is my goal in this post to provide information about hamstring tears, as well as the most effective ways to recover from a tear and reduce your risk of damage.

Anatomy of the hamstrings

In reality, when we talk about hamstrings, we are referring about three distinct muscles:

  1. The biceps femoris is the hamstring muscle that is located on the lateral (or outermost) side of the hamstring. Semimembranosus is a hamstring muscle located in the medial (or innermost) hamstring region. It can be found beneath: Semitendinosus is the other hamstring in the medial region. A portion of this is virtually on top of your semimembranosus

Types of hamstring injuries

Typically, a hamstring injury develops during the following activities:

  1. During high-speed running or during the acceleration/deceleration phase (think of any team sport or track & field), sprinting is used. Stretching occurs most frequently during actions such as kicking (think AFL), splits position (think dancers), or a gliding tackle (think soccer).

The biceps femoris is the muscle in your upper arm that is most commonly torn during sprinting injuries, out of the three described above. In addition, your semimembranosus is the most commonly injured muscle while stretching injuries.

When do hamstring injuries occur?

When your foot makes contact with the ground during running, your hamstrings generate a tremendous amount of force, which propels you forward and onward. You can occasionally hurt your hamstring in this position since you are propelling forward and experiencing the additional external stress of the ground. Although it can occur at any point throughout your sprint, it is most prevalent during the latter half of the swing phase.’ You are extending (straightening) your knee at this time, while at the same time your hamstrings are attempting to tighten and shorten in preparation for your foot to touch the ground.

Why hamstring injuries

Hamstring injuries can occur for a variety of causes. Here are a few examples. Some of these are as follows:

  • Increasing age
  • Ethnicity (Aboriginal and African athletes are more susceptible)
  • And gender are all factors. Flexibility of the hamstrings has been reduced. Strength in the hamstrings has decreased (particularly when compared to the strength in the quadriceps)
  • Fatigue (the majority of hamstring injuries occur at the conclusion of a sporting event)
  • Ineffective warm-up
  • Injury in the past
  • Tension in the brain
  • Previously performed ACL reconstruction with a hamstring transplant

Prevention is best to avoid hamstring injuries!

The occurrence of hamstring re-injury is a significant consequence of an initial hamstring strain. Approximately half of all re-injuries occur during the first 25 days after returning to sport. As a result, a long-term hamstring “rehab” program is essential in sports where hamstring injuries are common, as well as for anyone who has previously sustained a hamstring injury. The most recent best research has shown that hamstring strength programs that emphasize eccentric strength are the most effective.

What is Eccentric Strength?

Muscles can be strengthened when they are stretching, shortening, or while they are remaining stationary. Eccentric Strength: Strength training that occurs when a muscle is extending is referred to as eccentric strength. Concentric Strength is the term used to describe strength training that takes place as a muscle is shortening. This refers to the practice of strengthening muscles while they are not increasing in length (also known as isometric strength). For instance, while you are performing a bicep curl, the eccentric phase occurs when you are lowering the weight and your bicep is extending.

If you held a dumbbell at a 90-degree angle, you would be demonstrating isometric strength.

The Best Hamstring Strength Exercises for Prevention of Hamstring Injuries

Begin by kneeling and digging your toes into the ground so that your feet are firmly planted on the ground (either by a team-mate or a bar etc.). Throughout the entire action, maintain your hips straight and your posture upright. Count to five seconds as you slowly drop your entire body to the floor. Once you’ve gotten all the way down to the ground, use your hands to pull yourself back up to the starting position. Alternatively, you can raise your body to an upright position without using your hands.

Please be advised that this is quite difficult. Here’s a video of Simon doing a Nordic hamstring. You can begin by increasing hip flexion to make it a little easier and gradually go to the upper position. Take a look at this: 3 x 5-6 would be a decent target for them.

2. Arabesques (also known as single leg stiff leg deadlifts; what a mouthful!)

Begin by not putting any weight on your body. Stand with both of your legs under your hips, then shift your weight to one leg while maintaining a small bend in the knee on that leg. To begin, hinge your hips while maintaining your trunk straight, while simultaneously dragging the other foot back as if you were kicking something in the back of your head. Consider drawing a straight line from the top of your head to the bottom of your foot in the air. When you return to an upright posture, maintain everything as straight as possible.

3. Gliders

To begin, stand with one hand hanging onto a support and your legs slightly apart. Place all of your body weight on the heel of one leg, with your knee slightly bent, and then repeat on the other leg. Glide the leg that does not have any weight on it rearward. This will need to be done with the gliding leg on a slick surface in order to be effective. If you are wearing a sock on tiles or a slide board, for example, A fair target for these would be three 6-8-inch pieces.

4. Long Lever Bridges

Lean forward and lay one foot on a bench, with the knee slightly bent, while lying on your back. Lifting your bottom off the ground requires pushing up through your heel. Return your bottom to the ground while maintaining control. 3 x 10-15 minutes is a good target.

Other Tips to Prevent Hamstring Tears

Lie down on your back with one leg straight and the other bent upwards. Pulling the bent leg across your body should be done with the opposite arm to the bent knee. It’s important to maintain your shoulders flat in order for the movement to originate from your lumbar spine.

2. Keep Glutes Flexible

Lay down on your back. Bring your knee to your chest and place the same side hand on the outside of your knee to complete the movement. Place your other hand on top of your foot and squeeze together. Pull your foot in towards your chest and cross your knee across to the opposing shoulder with your opposite hand.

3. Keep your Nerves Gliding Smoothly

Place a rolled towel below your knees and sit on a table or on a chair with your legs crossed. Sit with your shoulders lowered and your head sunk towards your legs. Elevate your chin while simultaneously pulling your toes back towards you and straightening your knee. Hold the position for 1-2 seconds. Then bend your knees, point your toes, and let your head to fall to your chest. Hamstring injuries are prevalent, and they can manifest themselves in a variety of ways. If you are experiencing any type of hamstring discomfort, please contact us at SportSpinal Physiotherapy on 62624464 to schedule an appointment as soon as possible.

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