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chronic hamstring problem

Question: chronic hamstring problem

I've had chronic hamstring tendinopathy for some time but it became acute in January when I twisted my knee, falling in a ski lesson (skis stayed on). Within a few weeks of that I returned to running but a few weeks later, my medial meniscus - which had already been diagnosed with a tear - finally got properly trapped and I had an arthroscopy performed, and a partial meniscectomy. (About half of the medial meniscus removed.) Almost immediately I had a clunking sensation at the back of my knee at the insertion of the medial hamstring. Especially after the hamstring has shortened - either after sleep or after exercise. This has never gone away but causes no pain.

After about 13 weeks post op, just when I was ready to start a bit of light jogging again, the hamstring became very painful at the origin (outer edge of ischial tuberosity) and sitting was, and still is, very uncomfortable.) However, now the sciatic nerve is getting fully involved (it's been twittering since the original accident) and there would appear to be some tethering. This has gradually got worse as the year has progressed.

I wonder if I have two separate problems or if it is all connected to the same thing. Or could I have piriformis syndrome as well? This could have been strained when my leg was twisted in the fall.

Any ideas?

Answer:

I have had a similar hamstring problems and hip symptoms after a severe hamstring strain/slight tear. When the Hamstring tightens or shortens for whatever reason, it affects the hip muscles (read the article on this site about hip imbalance) and once these are out of balance it becomes progressively worse. Sciatca, the pulling sensation you describe, discomfort with sitting are things I experienced, and this progressed further to lateral pelvic tilt, lower back pain, pain at the greater trochanter- all from a tightened hamstring. Get yourself assessed by a biokineticist, to see what's going on with your hips and then proceed with their recommendations, a good biokineticist will work with you, assessing your movement, technique and form as you exercise, not just send you home with a typed list of exercises, finding the right sports professional is key, I was helped most by a biokinetic practise affiliated to my local university, I've heard others complain of similar problems but were not helped by the many professionals they consulted, you may have to shop around, which can be expensive and frustrating. Good luck! It's been a long road but my problems are mostly resolved, and manageable, a year later

Answer:

The most common suspect is the Gluteus Medius. Getting your quads stronger will help the hamstrings to relax more

Answer:

Hamstring strains and recurrent hamstring problems can be a symptom for pelvic problems such as SIJ dysfunction. Hamstrings perform multiple roles, one is to tension the sacrotuberous ligament, thus contributing to pelvic/Sacroiliac joint stability. On top of this a spinal disc/nerve root compression issue will cause hamstring tensioning. You need a good evaluation to rule in/out these issues, then apply the appropriate therapy