Hamstring insertion

• Hamstring insertion - Subjective:

  • Localised pain to ischial tuberosity
  • Pain on hamstring activity with stretch – sprint, fast walking, uphill
  • Compression activity – sitting
• Hamstring insertion - Objective:

  • Pain on direct palpation
  • Painful stretch with resistance - Hip full flex + resisted knee flex
  • Hamstring/hip extensors/trunk strength
  • Imaging – thickening/degenerative
• Hamstring insertion - Differential diagnosis:

  • Sciatic nerve irritation
  • Ischiofemoral impingement
  • Growth plate issues/apophysitis
  • Muscle tears
  • Stress fracture
  • Rupture of tendon