06/02/2024
Presents as:
- Pain/discomfort whilst running or after a run around the sit bones and glute, extending down the back of the leg
- Pain with prolonged sitting whilst driving or on a hard surface
- Pain with lunging, hamstring stretching
- Pain that ‘warms up’ but is worse the next day
Causes:
- Sudden increase in running distance and/or intensity: starting a new training block, coming back to running after a period of time off
- Rapid introduction of faster running sessions: tempo’s, fartlek, hills or track intervals
Management:
- Initial reduction in training volume: reduce number of total runs and change session type to avoid rapid accelerations in pace and excessive hills, opt for steady state running.
- Initially reduce gym work that excessively stretches the hamstring: avoid weighted deadlifts, lunging and squatting.
How a physiotherapist can help:
- Education on training load and modifying sessions
- Structured, progressive reloading of the hamstring tendon with strength work
- Massage to reduce muscle tightness and for pain relief
- Running gait assessment to identify muscle imbalance or poor biomechanics