Can I Run With a Sore Hamstring

This is a question I am often asked when dealing with hamstring injuries. My typical answer is, “it depends”.  Some of the questions I ask are as follows

  1. Was there a particular incident that led to a pain in your hamstring?
  2. Is it something that gradually came on over time?
  3. Do you have a history of hamstring injuries?
  4. Does the pain go down the leg?
  5. Describe what the pain feels like? Is it a sharp shooting electric like pain?
  6. Have you any numbness, tingling, pins and needles?
  7. Are there any associated issues that might relate to it?
  8. How is your general health?
  9. How is your bladder and bowel movements?
Continue reading “Can I Run With a Sore Hamstring”

Posture

Is It My Posture?

Why does my back hurt? My neck is killing me. My arms have no strength in them anymore. Why after a long day at work does my whole back feel so tired? These are a few common questions we sometimes ask ourselves from time to time. Most of us don’t have the answers to them and therefore suffer on until it “eventually” goes away, only to come back again!, or gets so bad that we go to a healthcare practitioner to look for help. Continue reading “Posture”

Exercise Compliance

Physical Therapy is boring – play a game instead.

Exercise compliance is a real issue in the healthcare sector. “Physical Therapy is boring – play a game instead“, is the title of a Ted talk I recently came across. Its speaker, Cosmin Mihaiu is the CEO and co-founder of MIRA Rehab. MIRA Rehab develops software platforms which tries to make rehab exercise prescription more fun for the individual.

 

Throughout the Ted talk, Mr. Mihaiu explains that he and his mother had previous injuries. They were both prescribed exercises which they deemed boring so they stopped doing them and hence recovery was prolonged. This probably resonates with a lot of people out there. Continue reading “Exercise Compliance”

Stretching, Should You Stretch?

Stretching

Static stretching (SS) has been used as part of a warm up protocol for many years. It is common to see teams of every code, athletes, cyclists, etc, stretching before their chosen discipline. It is also common among all levels of athletes to incorporate SS into their cool down regime. This methodical approach has been indoctrinated into us for many years by well meaning parents, coaches, teachers, etc.  However there is very little evidence to show the benefits of stretching. The supposed benefits of static stretching (SS) are to:

  • Prevent injury
  • Improve flexibility
  • Enhance performance.

Throughout this post I will look at each of these supposed benefits in light of what the evidence says. I will then give an alternate way to achieve these benefits were the evidence for SS is lacking. Continue reading “Stretching, Should You Stretch?”

Hamstring Injury

Hamstring Injuries

The etiology of hamstring injury fall into two categories. The sprinting type injury and the stretching type injury. Hamstring injuries affect a wide variety of sports from track & field to soccer, rugby, GAA, gymnasts, and martial arts. Despite recent research into rehabilitation, recurrence and time to return to play, injury recurrence is high.

It is thought that the injury mechanism resulting from sprinting is caused by overload of the biceps femoris and semitendonis intramuscular tendon while decelerating, during the terminal swing phase of the gait cycle. Injuries affecting dancers and gymnasts, result in the proximal free tendon(semimembranous) being put in a position of extreme stretch. This can occur at fast or slow movements that involve simulatenous hip flexion and knee extension.

Continue reading “Hamstring Injury”