Hamstring Strain Rehab Progression

  • This program will outline a gradual progression of mobility and muscle control. All movements are not right for everyone and if you find that any of these movements are causing significant pain, either try to do that movement more gently or skip that option all together. I always ask patients to recognize if they feel like something is doing more harm then good.
    • If you feel pulling, tightness, or fatigue: those are typically positive sensation that you are stressing the area but not causing harm to it
      • If you have some pain or soreness and that sensation goes away when you are done with the movement or goes away within 24 hours and is not incredibly severe, that is also acceptable
    • If you feel pain that is moderate to severe and you feel in your mind that this may cause significant pain afterwards or you have significant pain soreness for greater then 24 hours then that movement was not helpful
      • Either do a lesser version of that movement: don’t go as far, don’t push as hard, don’t do as many….or stop with that movement all together
  • Taping Option to offload the hamstring with RockTape or KT Tape
  • Phase 1: This involves light movement and muscle activation of surrounding structures LINK
    • Goal: To move and engage muscles that contribute to the stability of your trunk and leg without causing any significant pain
    • This phase is meant to be very easy
    • It can be done 2-3x per day GENTLY
    • Each movement can be done 5-20x…start with 5 reps the first time you do it, if that’s fine: go to 10 reps: add 5 reps each time as long as it feels ok
    • Stop if you feel the beginning of an increase in pain or fatigue
  • Phase 2: Isolated Muscle Control and Strength
    • This phase focuses on progressing the challenge for the hamstring along with surrounding muscle control
    • Goal: Gain strength in preparation for more dynamic movements
  • Phase 3: Muscle Coordination and progression of Single Leg Stability
    • This phase involves testing single leg stability and strength to ensure fairly symmetrical stability prior to sport specific/plyometyric Movement
  • Phase 4: Plyometric and Sport Specific training
    • Progress running and agility