· Oral nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen, ibuprofen.
· Corticosteroid injection
· (medication not to be taken without doctor’s prescription)
Techniques used by the physiotherapist
Physiotherapy treatment of hamstring injuries is directed towards the restoration of strength and flexibility of the muscle group. The goal is to maximize muscle regeneration and minimize dense, restrictive scar formation.
Short immobilization is advantageous in limiting the extent of the dense connective tissue scar at the site of the injury. Use of crutches and bed rest for severe grade II and grade III hamstring injuries.
The physiological effects of ice are beneficial in the healing process ice should be applied to the hamstring in a plastic bag and wrapped directly over the posterior thigh with an ace bandage.
Gentle compression is used with a firm compressive bandage placed around the high.
To reduce edema and allow the return of fluid to the heart, elevate the extremity above the heart level.
6: Isometric exercises
Sit on a firm surface with the involved leg in slight flexion and the heel on the mat. Push the heel into the firm surface and then pull towards the buttock. The program uses concentric contraction with no pain.
7: Isotonic exercises with light weights
With the improvement in motion, the weights can be increased
8: Pain-free passive range of motion exercises
Sit on a firm surface with a stock on the foot. Place a towel around the foot as if the foot is in a sling. Gently pull the towel to bring the heel towards the buttocks.
9: Heel slides
Sit on a firm surface with a sock on the foot or a towel under the heel. Gently flex the knee with the foot approaching the buttocks, then return to the starting position.
10: Wall slides
Lie on a firm surface with the feet resting on the wall. Slowly begin to walk the feet down the wall.
11: Standing concentric isotonic exercises
Stand near a table or wall for support. Place a cuff weight on the involved leg to bring the heel toward the buttocks in a slow controlled manner.
12: Isokinetic exercises
Lie prone on the table with a stabilizing strap placed across the hips. The involved leg will also have a stabilizing strap placed across the thigh. The ankle is strapped into the movable arm. The therapist then programs the computer to perform the movement at a certain speed and angle.
13: Rolling stool
Sit on a rolling stool and propel forward. Begin by using both the legs simultaneously, progressing to alternating the lower extremities.
14: Prone eccentric exercises
Perform same as concentric, except quickly flex the lower extremity and return to the starting position a slow controlled manner.
15: Standing eccentric isotonic exercises
Same as standing concentric exercise, except flex the lower extremity quickly and return to the starting position in a slow and controlled manner.
16: Pelvic tilt hamstring stretching
Sit on the edge of the chair with the spine in a neutral position. The involved leg is straight, with the heel resting on the floor and the toes in dorsiflexion. The uninvolved leg is in a comfortable position with the hip and the knee flexed at 900 degrees. Lean forward bending on the hips. A stretch will be felt at the posterior thigh.
17: Other activities include Walking, jogging, sprinting, static cycling