Hamstring Injury

clemson could you help me fix me knee. Ill pay you. And introduce you to doc!?

mj any progress???

I havent trained in a two weeks but I can meet you there tonight at 730 if you want. I think I might just do some light jogging. Doc is unbelievable and very knowledgable on a variety of subjects. Very interesting guy. Very nice too.

Clemson if you go tonight Ill be the guy that is jogging slow that looks like hes 100 years old. You cant miss me. I have a question on traumeel. Do you know any doctors in mass that would prescribe this for me. Any help would be appreciated.

I have a number of questions.
1: What ham exercises are you doing? (if you’re using ham curls, I’d drop them for at least a while)
2: What is your recovery status when sprinting? (such ham problems are usually related to a low hip position)
3: How aggressive is your stretching program and at what point in training do you do it? (Aggressive stretching or overstretching will certainly aggrivate this condition)
Traumeel injections must only be done by an expert under the guidance of ultra sound at the time, or, at the minimum a current ultra sound picture- it can be very successful- but only if there is a recent tear, which does not appear to be the case here.
The results you occasionally see from cortisone are often the result of the softening of scar tissue to the point that it tears free during subsequent stretching or sprinting. Ben and Angela had miniscule amounts of cortisone administered with a freezing agent into the bursa only, and only a couple of times in their entire career- be warned!

Is the affetcted area swollen and tender when you touch it?
It looks to me like a pes anserine bursitis. Pes anserine is the common tendon of insertion for the gracillus, sartorious and semitendinosis muscles. Under this tendon and very close to its insertion there is a fluid filled sac (a bursa) which serves to reduce friction between the tendon and the surrouning tissues, in this case mainly the tibia.

A very common cause of pes anserine bursititis is short/tight hamstrings or adductors, so an important component of rehabilitation should be stretches of these muscle groups.

Other forms of treatment can include:

  • icing the area a number of times a day
  • taping the area with an elastic bandage to reduce or prevent swelling
  • taking anti-inflammatory medication
  • injection of a medication like cortisone into the swollen bursa (imo this should only be done in chronic cases and if other methods have failed)

Hope this might help.
Robin.

I would consider the following (you wont like the first point :slight_smile:

  1. take time off and rest your leg!!
    If sprinting hurts stop sprinting for a while. If you can keep doing weights, certain plyos etc you will still maintain strength/power

  2. Get a full eval by a therapist and PT. flexibility testing, range of motion testing etc. (when you ham is ready for it)

  3. Work on your hamstring mobility, lower back and hips gradually increasing your flexibility routines intensity

  4. look at incorporating reverse leg press and look at some eccentric based rehab training (when you no longer have pain)

When you no longer have pain also look at PNF stretching.

good luck man,
Chris