Hamstring origin tendinopathy is one of the causes that will result in pain in the buttocks region and the back of the thigh. An acute tear of the hamstring with inadequate treatment or an overuse injury of the hamstring may result in tendinopathy of the hamstring origin near the ischial tuberosity.
Overuse injuries of the hamstring is more commonly seen, especially in sprinters.
The onset of the pain is usually insidious after a session of sprinting, or there may be a sudden onset of sharp pain. There is often a local tenderness on hamstring upon palpation. Stretching of the hamstring muscle and resisted contraction of the muscle may reproduce the pain. The injured and painful site may be found at the attachment near the ischial tuberosity, within the tendon or at the musculotendinous junction.
Management goals for this condition include reduction of inflammation, healing of soft tissue injury and rehabilitation stretching and strengthening. Reduction of inflammation and soft tissue healing can be improved with ice, manual therapy and therapeutic modalities. Manual therapies such as deep transverse friction, stretching, trigger point therapy to the area of palpable abnormality are effective in releasing muscle tension.
Significant muscle tightness and weakness of the hamstring muscles can present in chronic hamstring origin tendinopathy. Stretching and progressive strengthening of the muscle are needed to prevent reoccurrence of the condition. The antagonist muscles such as rectus femoris and psoas are shortened and tight in chronic tendinopathy cases. These muscles need to be stretched as well.
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