Treating the Hamstrings - Stuart Hinds
Ultimately, the hamstrings are trying to be gluteal muscles, while the lumbar muscles are trying to be hamstrings
The hamstrings eccentrically contract during gait in order to decelerate extension of the knee joint and hip flexion, while also playing a very important role in pelvic stability.
The hamstring muscles decelerate internal rotation on heel-strike
The hamstrings disappear under the gluteus maximus and provide force closure of the sacroiliac joint through the coupled action of the force provided by the contralateral latissimus dorsi.
This force is transmitted through the sacrotuberous ligament and further up to the thoracolumbar fascia.
Hamstring trigger points are often mistaken for Sciatic Pain
Typically, pain from trigger points is referred up toward the gluteal muscles, with some residual pain spreading down just below and behind the knee into the medial gaster of
This pain can often be mistaken for sciatic pain. Weak inhibited gluteal muscles, including the gluteus medius, can lead to myofascial trigger points forming in the hamstrings and lumbar erector muscles, including the quadratus lumborum.
Ultimately, the hamstrings are trying to be gluteal muscles, while the lumbar muscles are trying to be hamstrings.
Hamstrings - Common Trigger Point Sites
Trigger Point therapy for injury avoidance
It's easy for one or more of the hamstrings to get overloaded and just about anyone who plays sport regularly, from professionals to weekend warriors, should benefit from therapy in this area to help avoid what can become painful and long term injuries.
We generally take a look at the hamstrings on just about every client who plays a sport regularly that involves running, jumping and turning ..... even when there are no symptoms.
Fortunately, identifying and treating trigger points in the hamstrings is pretty straightforward although bear in mind that trigger points in large muscles will often require additional pressure.
The hamstrings consist of three muscles. From medial to lateral they are the semimembranosus, semitendinosus, and biceps femoris.
Ischial tuberosity (sitting bone). Biceps femoris also originates from back of femur.
InsertionSemimembranosus: back of medial condyle of tibia (upper side part of tibia).
Semitendinosus: upper medial surface of shaft of tibia.
Biceps femoris: lateral side of head of bula. Lateral condyle of tibia.
Flex knee joint. Extend hip joint. Semimembranosus and semitendinosus also medially rotate (turn in) lower leg when knee is flexed.
Biceps femoris laterally rotates (turns out) lower leg when knee is flexed.
Branches of sciatic nerve, L4, 5, S1, 2, 3.
Basic Functional Movement
During running, the hamstrings slow down the leg at the end of its forward swing and prevent the trunk from flexing at the hip joint.
Biceps Femoris - Typical Referred Pain Pattern
Semimembranosus/ Semitendinosus - Typical Referred Pain Pattern
Trigger Point Referred Pain PatternsSemimembranosus and semitendinosus: strong 10 cm zone of pain, inferior gluteal fold, with diffuse pain posteromedial legs to Achilles tendon area.
Biceps femoris: diffuse pain posteromedial legs, with strong 10 cm zone posterior to knee joint.
Posterior thigh pain sitting/walking (worse at night), tenderness in back of legs may cause limping, pain worse on sitting, post back surgery, hamstring pain cycling/soccer/ basketball/tennis/football.
Prolonged driving, improper sitting/ work chair that digs into back of thighs, hip surgery, sitting cross- legged, hip/knee/ankle injury/ fracture, leg casts, high-heeled shoes, PSLE, sacroiliac joint dysfunction, improper stretching before/after sport.
Sciatica. Radiculopathy. Muscle tears. Osteitis. Bursitic osteoarthritis of knee. Knee joint dysfunction. Tenosynovitis.
Piriformis, popliteus, gluteal muscles, obturator internus, vastus lateralis, plantaris, gastrocnemius, thoracolumbar paraspinal muscles.
Trigger points in hamstrings often occur from improper stretching before and after sports. It is very important to get the stretching techniques down pat. Balls and foam rollers can be very good for relieving pain and stiffness when you are at home.
Trigger Point Treatment Techniques
|Spray and Stretch||YES|
|Deep Stroking Massage||YES|
|Muscle Energy Techniques||YES|
About NAT Courses
As a manual therapist or exercise professional, there is only one way to expand your business - education!
Learning more skills increases the services that you offer and provides more opportunity for specialization.
Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.
About Niel Asher Education
Niel Asher Education is a leading provider of distance learning and continued education courses.
Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.
Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).
We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.
There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.
Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
Worldwide Free Shipping
Most of our courses are available as either "Printed" or 'Download" editions. When you purchase a download edition, you receive immediate lifetime access to all course material. Course texts can be downloaded and printed if required.
When you purchase a "Printed" edition, you will also receive free access to the download edition.
We ship Worldwide from locations in the USA, UK, and Australia. Most items are despatched within 24 hours and shipping is FREE for all orders over US$50.
This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
Share this post