Hamstring Strain and Tendinosis in Manhattan, NY

The hamstring tendons originate at the ischial tuberosity (the “sit” bones) at the base of the buttocks. Tendinosis refers to disorganization and dysfunction of a tendon. Hamstring tendinosis or tendinopathy is typically a condition associated with overuse and is commonly seen in runners, cyclists, dancers, gymnasts, and other endurance athletes. This condition is most often associated with overuse. Sprinters and runners will often have pathology in the biceps femoris, one of the 3 hamstrings. Dancers and yogis may injure the semimembranosus. Muscle imbalance as well as other biomechanical factors (such as poor technique, ill fitting equipment) may predispose to overuse and strain.

As with any tendinopathy, pain and decreased performance are the major symptoms. At early stages, the pain may initially improve with activity, worsen towards the end, and cause soreness that night or the next day. Sometimes pain can radiate down the back of the upper thigh. There may be subjective and objective strength loss as well.

Procedural options for chronic tendon dysfunction include Regenexx regenerative medicine injections such as platelet-rich plasma (PRP) or Bone Marrow Concentrate containing stem cells that can theoretically provide long lasting pain relief and improved function by stimulating the body’s own natural healing response. There is some evidence that needling the tendon alone can stimulate blood flow and healing.

If you have been diagnosed with or suspect hamstring strain or tendinosis, contact our medical team at Ospina Medical. We offer advanced hamstring tendon treatments such as Regenexx at our office in Midtown Manhattan in New York City.

How can I prevent hamstring strains and tendinosis?
Regular stretching and strengthening exercises can help keep your hamstring muscles flexible and strong, which can help prevent injuries. Warming up before exercising and cooling down afterward can also reduce your risk.

When can I return to sports after a hamstring injury?
You should return to sports when you have regained full strength and mobility in your hamstring and you're not experiencing any pain when you run, jump, or perform other sport-specific activities. This may be a few weeks for mild strains or a few months for more severe injuries or tendinosis.

Can I return to normal activities after a PRP injection?
Most doctors recommend taking it easy for a few days after a PRP injection to let the healing process start. Gradually, you should be able to return to normal activities. It's important to follow the Ospina Medical team’s aftercare instructions about rest and rehabilitation.