Dear Drew
For what it is worth I feel this area is one of the most difficult to
differentiate between in the musculoskeletal body. The presentation and
relationship between the sciatic nerve and its interfaces, sacrotuberous
ligament, hamstrings, pelvic muscular stabilising factors and other related
connective tissues is mind boggling. I have never seen a convincing system
of differentiation between these structures and feel this is the likely
reason for our difficulties in this area. Just look at English soccer, many
very expensive pieces of kit, immobilised by the perennial 'hamstring
injuries'
Sorry no answers just questions Regards Kevin
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 07 May 1999 11:00
Subject: Re: Hamstring injury
>Dear Drew
>I am a Physiotherapist with some experience of treating the sort of injury
>you describe to your Hamstrings. I usually look at the back before I
examine
>the damaged muscle as I have noticed that a so-called Ham injury may
actually
>be the result of low back dysfunction. I am fortunate that in my practice I
>can see such patients within a day or so of injury; after that time the
>picture can become very confused and you may well have shortening of you
Hams
>which will undoubtably require stretching.
>The questions I would ask would include: did you have any bruising at the
>time of the original injury; how much tenderness could you elicit(was it as
>painful to press as it was painful to move).
>Many Therapists believe that !/2 inch shortening is within "normal" limits.
>Your height has some bearing here: if you are 6 foot+ forget it! I you are
>under, say, 5foot there might be a case made to correct it......
>Get someone to check your spine. A test you might apply now is to lie on
the
>floor face down, thighs together with knees bent to 90 Degrees. Get your
>wife/ girlfriend/mate to kneel at your foot end and ease your feet apart.
Do
>the feet fall outwards equally on both sides? If you have a low back / SI
>joint problem you may find that the affected side will not go as far as on
>the unaffected side and some corrective manipulation or muscle energy
>technique may well be indicated.
>If you are still having problems with you Hams this length of time after
>injury you really should get this looked at asap!
>Hope this helps, regards Tony Windsor
>
>
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