How To Spot The Severity Of A Hamstring Strain – Paul Gough Physio Rooms
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How To Spot The Severity Of A Hamstring Strain

If there’s ever an injury that you just can’t predict or ever see coming, it’s a hamstring strain.

And, aren’t they painful?

Anyone whose ever suffered from one will tell you it feels as though something has “clasped the back of your leg” so tightly that it’s not only impossible to move, but it’s horrendously painful.

Steven Gerard is the latest victim in the premier league this week.

Out for what looks likely to be just two weeks.

Which, as hamstrings go, must mean its pretty mild.

See, there’s different levels of a strain to the hamstring – so let me talk to you about them so you can recognise how long you can expect to be out for, if it ever happens to you:

Grade 1 tear – this is usually a very minor cramping sensation felt in the hamstring. You know something isn’t quite right, you feel like you can run it off, but every time you do something just “bites”. Then, when you stop, so does it. The pain goes away. And the temptation is to always think that with a good nights sleep, it’ll probably be ok in the morning. Yet, rarely is it the case.

With this type of strain – it’s better to be cautious and give it two weeks or so rest and get treatment on it in the form of massage and stretches. It’s usually okay to keep active by jogging, cycling and swimming, too.

Grade 2 tear – this one hurts! And if you’ve ever ran for a ball or set off to sprint and the back of your leg feels as though a “vice like grip” has took hold – then you’ve likely got a pretty serious strain. It will be painful when you walk – and you may even struggle to sleep as the muscle “bites” sharply every time you do.

Expect some form of swelling and bruising to appear in the next few days and at least 3-4 weeks on the side-lines. I’d say this is the most common type of a hamstring strain.

Grade 3 (complete) tear – this one usually requires surgery. And you’d find it almost impossible to even hobble or limp, let alone walk if you ruptured the hamstring muscles completely. It’s rare in grassroots sport (usually happens to athletes running at super high speeds) but it can happen.

The pain will be very similar to that of a grade 2 tear only with this one you’ll see a lot more bleeding and bruising happening inside the muscle and it would never let you walk or be able to run without severe pain. Can take up to 3 months post surgery to heal.

So there you go…

The different types of hamstring strains and how to recognise each one.

I’ve personally suffered with a hamstring strain (type 2) while playing cricket one time so know only too well how painful and disabling (and embarrassing!) it can be.

Maybe next week I’ll talk you through the precise recover tactics that you should use to recover. Go here to get more tips in the mean time:

Paul Gough

Paul Gough is an internationally known Physio and Founder of The North East’s Leading Specialist Private Physiotherapy Practice for People in their 40’s, 50’s and 60’s, who want to keep healthy and active.

You might know Paul as an expert Columnist who writes weekly health articles for TWO of the North East's biggest daily Newspapers, The Northern Echo And The Hartlepool Mail, he is a regular Speaker at Industry Seminars around the globe and a Radio Personality, often heard on the BBC. Paul has been an expert guest on dozens of Radio shows and regularly interviewed in newspapers, magazines and trade journals all over the world, including the Guardian.

Paul’s background included working extensively in the Premier League with a Top Professional Football Team, and since quitting his job in Professional Football in 2007, his Physio Practice has become the fastest growing in the UK and biggest in the North East. So successful, that companies like BUPA, ASDA, The Vela Group And Coast & Country, repeatedly retain his Physio company's services to keep healthy their own staff and workforce. Paul Gough Physio Rooms is now a large multi-physio, multi clinic speciality practice in Darlington, Durham, Guisborough and Hartlepool.
Paul Gough
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