Hamstring Strains: The Most Common Sports Muscle Injury
Hamstring strains account for 12–16% of all sports injuries and have an extremely high recurrence rate (up to 34%) when not properly rehabilitated. They occur when the hamstring muscles are over-stretched beyond their capacity — typically during high-speed sprinting (at the late swing phase), jumping, or sudden acceleration. In Faridabad, we commonly treat hamstring strains in cricket players, footballers, runners, and badminton players.
Grades of Hamstring Strain
Grade 1: Mild overstretching, few fibres torn, minimal strength loss. Return to sport: 1–3 weeks. Grade 2: Partial tear with significant strength loss and bruising. Return to sport: 4–8 weeks. Grade 3: Complete rupture with severe pain and inability to walk. May require surgical consideration; return to sport: 3–6 months.
Why Recurrence Is So High
Hamstring re-injury rates are high because: patients return to sport too early based on pain resolution (not objective strength criteria), rehabilitation fails to address eccentric strength deficits (the mechanism of most re-injuries), and flexibility without strength is insufficient protection. Our programme addresses all these factors.
Physiotherapy Rehabilitation Protocol
Acute Phase (Days 0-3)
PRICE (Protection, Rest, Ice, Compression, Elevation). Pain-free passive range of motion begins within 24 hours to prevent fibrosis.
Subacute Phase (Days 3-14)
Progressive loading begins as tolerated. Aquatic walking, isometric hamstring exercises, cycling. Avoid passive stretching of acute tears.
Strengthening Phase (Weeks 2-6)
Progressive isotonic strengthening — particularly eccentric loading (Nordic hamstring curls, Romanian deadlifts) which addresses the most common re-injury mechanism. Hip strengthening (gluteus maximus) to reduce hamstring demand.
Running Rehabilitation (Weeks 4-8)
Graded return to running programme from walking → jogging → running → sprinting. Criteria-based progression, not time-based.
Return to Sport
Objective criteria: limb symmetry >90% on hamstring strength testing, pain-free high-speed sprinting, sport-specific agility without compensation.
Hamstring Rehabilitation in Faridabad
At Realign Rehab Clinic, NIT-5, Faridabad, our evidence-based hamstring rehabilitation minimises re-injury risk. Book your sports injury assessment.
