Mechanism Of Injury Affects Hamstring Strain Recovery

Mechanism Of Injury Affects Hamstring Strain Recovery Blog

One of the most common sporting injuries is a hamstring strain. This type of strain is commonly caused by jumping or sprinting. People who play soccer, football and similar sports are much more prone to sustaining this type of injury than they are to straining their quadriceps.

Researchers have found that the average soccer player misses three matches for each hamstring injury. For teams with high-profile players who score the majority of the points, this finding has major implications.

Hamstring Strain Treatment

When an athlete is injured, a sports physiotherapist must help the individual by designing a comprehensive rehabilitation plan. Since there is a re-injury rate of over 10 percent, rehabilitation must be personalized for each individual. Many of the re-injury reports can be traced back to an athlete returning to the sport prematurely. Thorough rehabilitation and an adequate length of treatment are two essential components for proper healing. For a sports physiotherapist, determining the right time for the athlete to return to the sport can be a challenge. With new technology available, physiotherapists can offer more realistic time frames for rehabilitative treatments.

Mechanism Impact On Running Injury

In one study, researchers compared the differences of stretching and high-speed running injuries of hamstrings to see how therapy differed and affected recovery prognosis. In many instances, the lesions of hamstring injuries that occured because of sprinting were in the biceps femoris region. At first, there was often a major impairment of functions. However, the recovery period for such injuries had a shorter average rehabilitation period than stretching injuries.

Athletes often reported significant improvement within the first several days after the injury happened. Although pain improved in some instances, flexibility and strength often took more time to regain. During the early phase of the process, pain-free jogging was helpful. However, high speeds were avoided until later in the process to avoid re-injury.

Mechanism Impact On Stretching Injury

Stretching injuries usually occur when movements cause over-extension of the hamstrings. Slide tackling and hiking are two examples of activities that often lead to these injuries.
Lesions for stretching-related hamstring injuries usually affected the semimembranosus tendon in the researchers’ study. If the injury was closer to the ischial tuberosity, the healing process typically took longer. Also, the prognosis for complete recovery was poorer.

Personalized Treatment Plans For Rehabilitation

When an athlete sustains a hamstring injury, it is important for the coach and athlete to work with the physiotherapist as a team. Coaches often pressure athletes to return prematurely, and doctors communicating with coaches may help reduce this practice. Also, athletes may be to blame in some situations.
If an athlete is not honest with a coach about when he or she should return, a premature return could cost the team a valuable player when a serious re-injury occurs. Athletes also risk permanent injuries when they do not allow adequate time to heal. They must always work with a sports injury physiotherapist to develop a personalized rehabilitation plan.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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