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 Was there a particular incident that led to a pain in your hamstring? Is it something that gradually came on over time? Do you have a history …
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.
This 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.
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:
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.