Muscle strain
I experience pain when I flex my leg backward, but I don't feel any discomfort during squatting or jumping.
The pain worsens after running.
I consulted a doctor who suggested that my tendon should be fine and that it might be a hamstring strain.
However, it has been about three months, and it hasn't healed.
Since I am part of the school team, I need to train, but running causes a recurrence of the pain.
What should I do? Is there a way to completely cure this?
Lao Wu, 10~19 year old female. Ask Date: 2022/10/15
Dr. Wang Zhaomin reply Rehabilitation
Chronic muscle strains may lead to persistent symptoms without complete healing.
It is advisable to apply heat and enhance stretching exercises regularly.
Prior to exercising, it is important to pay attention to warming up to prevent injuries.
If the pain does not improve or worsens, please visit an orthopedic or rehabilitation specialist for an accurate diagnosis and appropriate treatment.
Reply Date: 2022/10/15
More Info
Dealing with hamstring strains can be particularly challenging for athletes, especially when the injury persists despite rest and rehabilitation efforts. Given your situation, where you experience pain during specific movements like running but not during squatting or jumping, it’s crucial to adopt a comprehensive approach to recovery.
Understanding Hamstring Strains
Hamstring strains occur when the muscles at the back of the thigh are overstretched or torn. This can happen due to sudden movements, improper warm-up, or inadequate conditioning. The fact that you have been experiencing pain for three months suggests that this may not be a simple strain but could involve underlying issues such as muscle imbalances, improper biomechanics, or even scar tissue formation from previous injuries.
Recovery Tips
1. Rest and Activity Modification: While it’s important to maintain some level of activity, you should avoid movements that exacerbate your pain, particularly running. Consider cross-training with low-impact activities such as swimming or cycling, which can help maintain your fitness without stressing the hamstrings.
2. Physical Therapy: Engaging with a physical therapist who specializes in sports injuries can provide you with a tailored rehabilitation program. They can assess your movement patterns and identify any biomechanical issues contributing to your pain. Techniques such as manual therapy, ultrasound, or electrical stimulation may be beneficial.
3. Strengthening Exercises: Focus on strengthening not just the hamstrings but also the surrounding muscles, including the quadriceps, glutes, and core. Exercises like bridges, deadlifts, and leg curls can help build strength. However, ensure that these exercises are performed with proper form to avoid further injury.
4. Flexibility and Mobility Work: Incorporate stretching and mobility exercises into your routine. Gentle hamstring stretches can help improve flexibility, but avoid aggressive stretching that could exacerbate your pain. Dynamic stretches before activity and static stretches after can be beneficial.
5. Gradual Return to Running: Once you have regained strength and flexibility, gradually reintroduce running. Start with short distances at a slow pace, and pay attention to your body’s response. If pain returns, it may be necessary to scale back and focus on strengthening and flexibility again.
6. Use of Ice and Heat: After activities that aggravate your condition, applying ice can help reduce inflammation. Conversely, heat can be beneficial before workouts to warm up the muscles.
7. Consideration of Nutrition and Hydration: Proper nutrition and hydration play a crucial role in recovery. Ensure you are consuming enough protein to aid muscle repair and staying hydrated to support overall muscle function.
8. Consultation with a Sports Medicine Specialist: If your symptoms persist despite following these recovery strategies, it may be beneficial to consult a sports medicine physician. They can perform imaging studies, such as an MRI, to rule out any significant tears or other underlying issues that may require more intensive treatment.
Long-term Management
To prevent future injuries, focus on a balanced training program that includes strength training, flexibility work, and proper warm-up and cool-down routines. Additionally, consider incorporating rest days into your training schedule to allow your body to recover adequately.
Conclusion
In summary, while hamstring strains can be frustrating and slow to heal, a structured approach involving rest, rehabilitation, and gradual return to activity can lead to a successful recovery. It’s essential to listen to your body and seek professional guidance when needed. With patience and the right strategies, you can return to your sport stronger and more resilient.
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