When it comes to hamstring injuries, a proximal hamstring tendinopathy isn’t the first type of injury that comes to mind. More often we associate hamstring injuries with tears and strains, where a sprinter suddenly stops and grips the back of their thigh in excruciating pain, where you may even hear an audible pop. A hamstring tendinopathy is a more chronic hamstring issue seen in endurance athletes, long distance runners for example.
Tendons are a fibrous tissue that connect muscle to bone. There are three muscles that make up the hamstring; semitendinosus, semimembranosus and biceps femoris. These muscles share a starting point with their tendon located at the bum bone (ischial tuberosity).
What causes proximal hamstring tendinopathy?
Sitting, activity related posterior hip pain, previous hamstring tendon tear (acute injury) that failed to heal, or a chronic tendonitis.
What are the symptoms?
Hamstring tendinopathies tend to have a gradual onset. It is a deep buttock pain, located deep at the posterior upper thigh. The tendinopathy is mostly aggravated by repetitive activities such as long distance running, biking, and prolonged periods of sitting. It tends to be local to the bum bone when running, where the patient is able to pin point the exact location of pain. The pain is usually described as an intense ache more than a sharp stabbing pain. If aggravated sitting on the bum bone will be uncomfortable, and painful to touch upon assessment.
Conditions with similar symptoms include piriformis syndrome, pelvic stress fractures, and lower back injuries.
What tests are performed?
How to reach a diagnosis?
What are the risk factors?
What treatment is provided and prevention of recurrence?
For further assistance with pain at the back of thigh or buttock, please do not hesitate to contact us on 9300 0095 or online at www.lakesidechiro.com.au. We have HICAPS on premise so you don’t have to do any running around after your visit, just bring in your Health Fund card. We accept Medibank, HBF, BUPA, Defence Health, HCF, Cu Health and more. When booking your appointment please ask if your Health Fund is covered.