High hamstring tendinopathy in runners: meeting the challenges of diagnosis, treatment, and rehabilitation.
High hamstring tendinopathy is an uncommon overuse injury seen in running athletes. Patients typically report deep buttock or thigh pain. A detailed physical examination and, occasionally, imaging studies are necessary to confirm the diagnosis. Rehabilitation involves soft-tissue mobilization, frequent stretching, and progressive eccentric hamstring strengthening and core stabilization exercises. In recalcitrant cases, an ultrasound-guided corticosteroid injection into the tendon sheath can be helpful, and, occasionally, surgery may be necessary to release the scar tissue around the proximal hamstring muscles and the sciatic nerve.
Fredericson
Michael
M
Stanford University Medical Center, Stanford, CA, 94305, USA.
Moore
William
W
Guillet
Marc
M
Beaulieu
Christopher
C