Where the hamstring joins with the ischial tuberosity, the hamstring tendon can become inflamed. This is regularly the result of a pre-existing hamstring tear, strain or other similar injury, and affects the ability of athletes to partake in activity while left untreated.
Symptoms of Hamstring Tendinopathy
Aching pain can arise at the point of the ischial tuberosity, which is found near to the bottom of the pelvis and is often where we place our weight when sitting down. This area may also feel tender when touched. Pain is usually also found in the hamstring, especially during any activity that involves stretching of the hamstring muscles or flexing the knee outwards against weight or other resistance. The pain will thus be exacerbated during exercise and may lessen with periods of rest. Runners will often find that the pain arises gradually after completing the exercise.
Causes of Hamstring Tendinopathy
Any prior injury to the hamstring muscles or tendons should be kept in mind when the doctor assesses your injury. In many cases the injury is provoked by a hamstring tear that has either been treated inadequately or allowed to worsen again due to poor recovery and rehabilitation. Other pre-existing hamstring injuries like strain might also contribute to your tendinopathy. However, when a prior hamstring condition is not the primary cause, the tendinopathy is most commonly an overuse injury. This can arise in many track sports such as sprinting and jumping but is not restricted to this area, as hamstring overuse can occur in various people who use repetitive leg movements over time, especially with a lack of warm ups or sufficient muscle strength.
Treatment for Hamstring Tendinopathy
See a doctor so that they can diagnose the injury and advise on suitable treatment. Meanwhile you should rest completely from strenuous leg activities until you are pain free, applying ice or other cold therapies a few times per day to counteract pain and swelling. Anti-inflammatory pain medication can also be beneficial in this area. With patience, rest, and any specific instructions that the doctor gives you, the pain from the tendon should begin to lessen. At this point the doctor might recommend physical therapy that will be instrumental in regaining strength and power in your hamstring. A gradual program of stretching and strengthening exercises will build you up for a full return to activity, while professional massage can help to reduce any rigidity in the hamstring.
Possible complications of Hamstring Tendinopathy
In particularly severe cases in which the pain becomes chronic, irritating fibrous adhesions can sometimes emerge on the tendon. These can be nasty and might require surgery, but this is not the usual conclusion of hamstring tendinopathy.
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- fibula stress fracture
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