{"id":1592,"date":"2015-11-28T12:14:25","date_gmt":"2015-11-28T12:14:25","guid":{"rendered":"http:\/\/sbrsport.co.za\/?p=1592"},"modified":"2023-11-26T12:14:39","modified_gmt":"2023-11-26T12:14:39","slug":"high-hamstring-tendinopathy-injuries","status":"publish","type":"post","link":"https:\/\/sbrsport.co.za\/?p=1592","title":{"rendered":"High Hamstring Tendinopathy Injuries."},"content":{"rendered":"<p>Push your leg backwards so that the movement happens from the hip \u2013 among other muscles, your hamstrings are now in action.<\/p>\n<p>Now, with your knee hanging down, pull your foot up toward your glutes \u2013 your hamstrings are in action.<\/p>\n<p>The reality is that these muscles work really hard, and are particularly prone to injury at their origin. An injury there is called either a high hamstring tendinopathy or a proximal hamstring tendonitis.<\/p>\n<p>The injury doesn\u2019t happen to many people, but those that have it have an uphill battle on their hands to get rid of the injury.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>A little bit about your hamstrings. <\/strong><\/p>\n<p>I wrote a blog about your hamstrings a while ago. You can read more about it here &#8211;\u00a0<a href=\"https:\/\/sbrsport.co.za2014\/10\/03\/know-your-muscles-hamstrings\/\">Know your muscles &#8211; Hamstrings.<\/a><br \/>\nTo summarize, the muscle is attached to your tibia below and behind your knee. The muscles then run up your leg and attach to your hip on a bony prominence called the ischial tuberosity. Cyclists often refer to these two bones as the \u2018sit\u2019 bones. It is in this area that the injury takes place. Pain is often felt high up in the hamstrings and deep in the buttock.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"5138\" data-permalink=\"https:\/\/sbrsport.co.za\/?attachment_id=5138\" data-orig-file=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hht.jpg?fit=262%2C193&amp;ssl=1\" data-orig-size=\"262,193\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"hht\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hht.jpg?fit=262%2C193&amp;ssl=1\" class=\"size-full wp-image-5138 aligncenter\" src=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hht.jpg?resize=262%2C193&#038;ssl=1\" alt=\"High Hamstring Tendinopathy.\" width=\"262\" height=\"193\" \/><\/p>\n<p>The area may become irritated when sitting on hard surfaces, when pushing directly on the ischial tuberosity, when running and especially when accelerating while on the run.<\/p>\n<p>A basic hamstring stretch &#8211; such as the one pictured below &#8211; could cause pain in the area. It is also possible that an MRI could spot a thickening of the tendon or swelling of the bone.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1619\" data-permalink=\"https:\/\/sbrsport.co.za\/?attachment_id=1619\" data-orig-file=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamsrring-stretch.jpg?fit=418%2C475&amp;ssl=1\" data-orig-size=\"418,475\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"hamsrring stretch\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamsrring-stretch.jpg?fit=418%2C475&amp;ssl=1\" class=\"alignnone wp-image-1619\" src=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamsrring-stretch.jpg?resize=269%2C306\" alt=\"hamsrring stretch\" width=\"269\" height=\"306\" srcset=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamsrring-stretch.jpg?w=418&amp;ssl=1 418w, https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamsrring-stretch.jpg?resize=264%2C300&amp;ssl=1 264w\" sizes=\"auto, (max-width: 269px) 100vw, 269px\" \/><\/p>\n<p><strong>How to treat it. <\/strong><\/p>\n<p>Massage work is a good idea to muscles above and below the injury. Direct compression of the actual bone should be avoided.<\/p>\n<p>I believe that stretching should be avoided.<\/p>\n<p>A proper strength training protocol should be set.<\/p>\n<p><strong>How long will I take to get better?<\/strong><\/p>\n<p>You have a long road ahead of you for two reasons.<\/p>\n<ol>\n<li>The area has poor blood supply.<\/li>\n<\/ol>\n<ol start=\"2\">\n<li>The tendonitis of the high hamstrings is degenerative as opposed to inflammatory. This means that the fibers have become frayed and disordered.<\/li>\n<\/ol>\n<p>I have seen runners return to full training after a few weeks. These runners have typically come in weekly for soft tissue release, and have been committed to a strengthening program.<\/p>\n<p>According to Lasse Lempainen, an average recovery time of 5 months can be expected with some athletes taking up to one year to recover fully.\u00a0 <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4396672\/\">http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4396672\/<\/a><\/p>\n<p><strong>Getting the muscle strong again. <\/strong><\/p>\n<p>As you begin to recover you need to get strength back into the area. Exercises such as cycling and swimming can be looked at. Specific bridges, supermen and weight work should be done.<\/p>\n<p>Running can be resumed when you can do a back plank and are able to do leg lifts on both sides. You need to resume running really slowly.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1598\" data-permalink=\"https:\/\/sbrsport.co.za\/?attachment_id=1598\" data-orig-file=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamstring-back-plank.jpg?fit=550%2C550&amp;ssl=1\" data-orig-size=\"550,550\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"hamstring back plank\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamstring-back-plank.jpg?fit=550%2C550&amp;ssl=1\" class=\"alignnone size-full wp-image-1598\" src=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamstring-back-plank.jpg?resize=550%2C550\" alt=\"hamstring back plank\" width=\"550\" height=\"550\" srcset=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamstring-back-plank.jpg?w=550&amp;ssl=1 550w, https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamstring-back-plank.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2015\/11\/hamstring-back-plank.jpg?resize=300%2C300&amp;ssl=1 300w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>Hope this helps. Let me know if there is anything I can do to assist recovery.<\/p>\n<p>Regards,<\/p>\n<p>Mike Roscoe.<br \/>\nKinesiologist.<br \/>\n<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"979\" data-permalink=\"https:\/\/sbrsport.co.za\/?attachment_id=979\" data-orig-file=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2014\/02\/me-small.jpg?fit=198%2C225&amp;ssl=1\" data-orig-size=\"198,225\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Mike&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1403985785&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Mike Roscoe\" data-image-description=\"&lt;p&gt;Kinesiologist, owner of SBR Sport. &lt;\/p&gt;\n\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2014\/02\/me-small.jpg?fit=198%2C225&amp;ssl=1\" class=\"alignnone wp-image-979\" src=\"https:\/\/i0.wp.com\/sbrsport.co.za\/wp-content\/uploads\/2014\/02\/me-small.jpg?resize=98%2C111\" alt=\"Mike Roscoe\" width=\"98\" height=\"111\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Push your leg backwards so that the movement happens from the hip \u2013 among other muscles, your hamstrings are now<\/p>\n","protected":false},"author":1,"featured_media":5138,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":true,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[97075899,1675],"tags":[1470225,71579899,26313,9651,34909620,31208440],"class_list":["post-1592","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-injury-file","category-running","tag-hamstring","tag-high-hamstring-tendinopathy","tag-injury","tag-massage","tag-running-2","tag-tendinopathy"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.2.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Push your leg backwards so that the movement happens from the hip \u2013 among other muscles, your hamstrings are now in action. 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