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Hamstring Strain Follow-up

  • Author: Jeffrey M Heftler, MD; Chief Editor: Consuelo T Lorenzo, MD  more...
Updated: Apr 02, 2015

Further Outpatient Care

See the list below:

  • See Physical Therapy section for a discussion of further outpatient care.


Prevention of reinjury is dependent upon successful completion of the rehabilitation program and preactivity warm-up and stretching, although there is limited evidence to prove this conclusion.

In a cluster-randomized controlled trial with 942 male soccer players, the authors explored the preventive effect of eccentric strengthening of the hamstring muscles using the Nordic hamstring exercise compared with no additional hamstring exercise. The results revealed 52 acute hamstring injuries in the control group compared with 15 injuries in the intervention group. The additional eccentric hamstring exercise not only decreased the rate of new injuries, but the overall and recurrent acute hamstring injury numbers were also lower compared with the control group.[17]



See the list below:

  • The prognosis usually is good for complete or near complete improvement in 6-18 weeks. Unfortunately, there are patients who develop chronic problems, possibly due to repeated stresses on the tendon that cause tendinosis. In this case, the tendon is not healing properly, and fibrotic changes take place in the tendon.

Patient Education

See the list below:

  • Once the injury has healed and the rehabilitation program has been completed, emphasize the importance of proper warm-up and stretching before participation in vigorous physical activity.
  • For excellent patient education resources, visit eMedicineHealth's First Aid and Injuries Center. Also, see eMedicineHealth's patient education articles Muscle Strain and Sprains and Strains.
Contributor Information and Disclosures

Jeffrey M Heftler, MD Interventional Physiatrist, Orthopaedic and Neurosurgical Specialists, Greenwich, CT

Jeffrey M Heftler, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, International Spine Intervention Society

Disclosure: Nothing to disclose.


Michael F Saulino, MD, PhD Assistant Professor, Department of Physical Medicine and Rehabilitation, MossRehab, Jefferson Medical College of Thomas Jefferson University

Michael F Saulino, MD, PhD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, Physiatric Association of Spine, Sports and Occupational Rehabilitation, Association of Academic Physiatrists

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Michael T Andary, MD, MS Professor, Residency Program Director, Department of Physical Medicine and Rehabilitation, Michigan State University College of Osteopathic Medicine

Michael T Andary, MD, MS is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine, American Medical Association, Association of Academic Physiatrists

Disclosure: Received honoraria from Allergan for speaking and teaching.

Chief Editor

Consuelo T Lorenzo, MD Medical Director, Senior Products, Central North Region, Humana, Inc

Consuelo T Lorenzo, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation

Disclosure: Nothing to disclose.

Additional Contributors

Curtis W Slipman, MD Director, University of Pennsylvania Spine Center; Associate Professor, Department of Physical Medicine and Rehabilitation, University of Pennsylvania Medical Center

Curtis W Slipman, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, Association of Academic Physiatrists, International Association for the Study of Pain, North American Spine Society

Disclosure: Nothing to disclose.

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Normal sagittal alignment permits the knee to lock in full extension, aided by powerful quadriceps and an intact extensor mechanism. The ground reaction force passes anterior to the "center of rotation" of the knee, while the posterior cruciate ligament, posterior capsule, hamstrings, and gastrocnemius provide a tension band effect.
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