Hamstring Strains and Hamstring Tendonitis Rehab

About Hamstring Strains

Your hamstring muscles do double duty during physical activity, working as both knee flexors and hip extensors. The hamstrings and their associated tendons can become ruptured or strained during physical activity, and injuries can be acute or chronic. Failure to fully rehabilitate your injured hamstrings can interfere with athletic performance and set you up for more injuries down the road.

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Hamstring injuries are common in athletes and physically active people, and an injured hamstring can be slow to heal, taking you out of the game while you recover. To rehabilitate your hamstring muscles and return to sports and exercise as quickly as possible, you need to do the following:

Hamstring Strains and Hamstring Tendonitis Rehab
  1. Seek treatment as early as possible from a sports physical therapist
  2. Look for a therapist who uses diagnostic ultrasonography to view your injured structures in real time
  3. Ask about advanced treatment methods that incorporate the latest innovative therapies and advanced technologies
  4. Ask how your rehab progress will be measured, and what criteria will be used to assess your readiness to return to play

Old school timelines for return to sport are obsolete because they fail to take into account the individual athlete, the degree and scope of injury, the effectiveness of individual treatment protocols and the need to restore neuromotor pathways that were disrupted by the injury.

At NYDNRehab, we believe that what cannot be measured cannot be effectively treated. We use advanced technologies to objectify and quantify performance parameters immediately after injury, and at regular intervals throughout the rehabilitation journey, to ensure that our athletes are fully healed and ready to return to play with minimal risk of re-injury.

Hamstring Strains and Hamstring Tendonitis Rehab Image

Let’s Discuss Your Treatment Options

The hamstring rehab treatment toolbox at NYDNRehab is packed with cutting edge technologies and advanced interventions. Your treatment protocol may include some or all of the following:

AI assisted eccentric loading for precision and feedback

Blood flow restriction training to build strength and promote rapid healing

Regenerative shock wave and pressure wave technologies to promote cellular neogenesis

Ultrasound guided dry needling to release myofascial trigger points

Advanced balance retraining methodologies to restore symmetry and functional movement

Rehabilitative ultrasonography to restore optimal muscle recruitment patterns

Sonoelastography and superior microvascular imaging to assess and measure progress

Advanced biofeedback retraining to restore disrupted brain-body pathways

Regenerative Therapies for Hamstring Injuries

Hamstring injuries can be slow to heal, especially if there is damage to the tendons. Regenerative therapies are used to stimulate cellular neogenesis in damaged tissues. At NYDNRehab, we use the most cutting-edge technologies available to promote new cell growth, to help the body heal itself. Our regenerative treatment options include:

Extracorporeal Shock Wave Therapy (ESWT)

This non-invasive therapy uses supersonic waves to stimulate the body’s cells, especially in tissues like tendons and connective tissue that have low vascularity. The waves are able to increase the transport of oxygen and nutrients to the damaged cells, to trigger repair and regrowth.

Electromagnetic Transduction Therapy (EMTT)

This promising new technology uses pulsed electromagnetic fields (PEMF) to reduce pain and inflammation, and to stimulate new cell growth. EMTT is often used in conjunction with ESWT to ensure optimal results.

Ultrasound Guided Needling Procedures

Our unique toolbox of advanced diagnostic and treatment options cannot be found under one roof in any other sports rehab clinic. If your goal is to get back to your favorite sport or activity as quickly and safely as possible, and with minimal injury risk, contact NYDNRehab today.

Regenerative Therapies for Hamstring Injuries

Our unique toolbox of advanced diagnostic and treatment options cannot be found under one roof in any other sports rehab clinic. If your goal is to get back to your favorite sport or activity as quickly and safely as possible, and with minimal injury risk, contact NYDNRehab today.

    Request a Consultation

    We contact you during the day



    Dr. Lev Kalika
    Dr. Lev Kalika

    Clinical director & DC RMSK

    Our Sports Injury Specialists Know Hamstrings

    NYDNRehab is NYC’s premier clinic for sports injury rehabilitation. Our clinical director, Dr. Lev Kalika, was trained under some of the world’s foremost innovators in the field of human movement science and physical rehabilitation. Dr. Kalika has dedicated his life’s work to revolutionizing the way injuries and movement disorders are treated, seeking out the most advanced and evidence-based approaches for injury rehab and retraining. Our clients include elite world-class athletes, runners and ballet dancers, as well as recreational athletes and physically active youth and adults.

    Accurate Diagnosis Means Fast and Effective Treatment

    Hamstring injury symptoms often mimic other pathologies, and a diagnosis based on symptoms alone can sometimes lead you down the wrong treatment path, wasting your time and prolonging your recovery.

    At NYDNRehab, we believe that what cannot be measured cannot be effectively treated. After a thorough health history review and clinical exam, we pull out all the stops to ensure that we pinpoint the exact location, nature and severity of your injury. We do extensive testing and assessment to establish a pre-rehab baseline and use it to measure your progress throughout your rehab journey.

    Accurate Diagnosis Means Fast and Effective Treatment
    Accurate Diagnosis Means Fast and Effective Treatment Image 2

    Our diagnostic tools for hamstring strain and hamstring tendinopathy assessment and testing include:

    • Diagnostic ultrasonography, to view the damaged tendon in real time, with the patient in motion.
    • Sonoelastography, to test the tendon’s mechanical properties of elasticity and stiffness.
    • Superior microvascular imaging, to detect early vascular activity that indicates the healing process is underway.
    • Full battery of performance and skills testing to compare the injured vs non-injured limb.

    Once we have a clear picture of the location, nature and severity of your hamstring injury, we put together a personalized rehab program designed just for you. We never take a one-size-fits all approach to hamstring injury treatment. Our therapists work with you one-on-one, to make sure your rehabilitation is thorough and effective.

    Hamstring Injury Symptoms, Causes and Types

    The location and severity of hamstring injuries can be easily detectable with high resolution diagnostic ultrasound. Symptoms, inflammation and bruising are also indicators of injury.

    Hamstring Strains

    Hamstring Strains

    A hamstring strain is an injury that involves tearing of the hamstring tendon or muscle tissue. Severity can range from microtears that produce pain and stiffness but heal quickly on their own, to severe ruptures that cause debilitating pain and dysfunction and require medical intervention. Even mild strains should be treated, as their underlying mechanism may lead to more serious injury down the road if not corrected.

    Symptoms of a hamstring strain include:

    • Severe pain while exercising, accompanied by a snapping or popping sensation

    • Pain in the lower buttock and back of the thigh

    • Bruising

    • Tenderness in the muscle and/or tendon

    • Hamstring muscle stiffness

    Grade1

    Tightness, discomfort, spasm, mild swelling; able to walk normally but not run up to speed

    Grade2

    Impaired walking with limping, twinges of pain with activity, swelling and tenderness; painful to bend the knee against resistance

    Grade3

    Severe pain with tearing of half to all of the muscle; immediate swelling, bruising and weakness; crutches may be needed to ambulate

    Hamstring Tendonitis

    Hamstring Tendonitis

    Hamstring tendonitis occurs when the tendon that attaches muscle to bone becomes irritated or inflamed.

    • Lower hamstring tendonitis presents as pain at the back of the knee, where tendons attach at the top of the lower leg.

    • High hamstring tendinopathy occurs near the hip, and presents as deep buttock or upper thigh pain.

    If left untreated, hamstring tendonitis and hamstring tendinopathy can cause progressive degeneration of the tendon tissue, leading to chronic weakness, pain and dysfunction.

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    Get the Best Physical Therapy in NYC and Get Back Out There!

    Ignoring a hamstring injury won’t make it go away. In fact, neglecting an injured hamstring can lead to long-term disability, taking you out of the game for good. Contact NYDNRehab today, and get cutting edge treatment for your hamstring injury so you can get back to the sports and activities you love.

      Request a Consultation

      We contact you during the day



      Dr. Lev Kalika
      Dr. Lev Kalika

      Clinical director & DC RMSK

      Or call us

      phone1-212-308-95-95
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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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