Hamstring Pain - Proximal Hamstring Tendinopathy {Stop Stretching It!!!}

Full Article - https://www.sportsrehabexpert.com/public/Hamstring-Injuries-Proximal-Hamstring-Tendinopathy-Should-You-Stretch-The-Area.cfm

Your #1 site for all things sports rehab, sports performance, and orthopedic rehabilitation is: https://www.sportsrehabexpert.com/

Physical Therapy in Ann Arbor, MI: https://www.annarbor.physio/

Instagram: https://www.instagram.com/sportsrehabexpert/

Sports Rehab Success Show - Hamstring Pain - Proximal Hamstring Tendinopathy {Stop Stretching It!!!}

In this episode we discuss why stretching a proximal hamstring injury can be one of the worst things you can do for treatment. Especially early on in the recovery process!

Compression and the insertion of the hamstring tendon being at the hip is the biggest reason why.

Most of these clients will report a significant amount of pain in sitting due to the location of the pain. The increased discomfort comes from compression to the sensitive tendon attachment it gets while sitting.

So when a tendon is currently sensitive that it limits a significant amount of activities, placing the tendon in a state of compression can lead to increased symptoms or at best no relief from the problem.

It just so happens that greater degree of hip flexion or torso flexion will place the tendon in a compressed position. If you perform an activity that involves both trunk and hip flexion this will create the most compression (this would be the standard standing hamstring stretch).

So instead of stretching, it would make more sense to place the muscle and tendon in positions where it feels semi comfortable to perform some type of resistance based contraction. That contraction can be an isometric, isotonic, or eccentric. All 3 types will have benefits for restoring capacity in the hamstring tendon.

The biggest takeaway is that you want to restore strengthening of the tendon in ranges of motion that are comfortable and gradually work up to a flexed position as the injuries and symptoms allow for it.

https://youtu.be/axyqwQlW8Wo