WHAT IS IT? REFERRED HAMSTRING PAIN

  • Pain which is felt in the hamstring but originates from another source.

  • Other sources which can refer pain to the hamstring region include the upper and lower back, sacroiliac joint, and trigger points elsewehere.


Signs and symptoms

  • Tightness of hamstring
  • Vaguely located pain in hamstring
  • Onset can be sudden or gradual
  • No significant loss of flexibility (glutes and hamstrings may be a bit tight)
  • No significant loss of muscle strength
  • Stiff or problematic thoracolumbar spine

​WHAT CAUSES IT?
  • Stiffness or pathology of lumbar spine

  • Stiff SIJ

  • Trigger points within the glutes or piriformis muscle

  • Positive ‘slump’ test which denotes nerve tightness

 

HOW TO SELF MANAGE
  • Stretch your hamstring and glute muscles

  • Avoid prolonged sitting as it can affect the back, and muscle length
     

PROGNOSIS
  • Referred pain is likely to be a recurrent problem until the source is identified and managed.

HOW PHYSIO HELPS?
  • Confirm the source of hamstring pain

  • Assess for muscle imbalance and tightness

  • Assess the mobility of your thoracic and lumbar spine

  • Assess the function of your sacroiliac joint

  • Soft tissue massage

  • Trigger point release

  • Dry needling

  • Neural mobilisation

  • Exercises to address areas referring pain

 

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