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Also: Athletico Injury Report

Patient question:

I have not been able to run for 10 months and believe I am suffering from hamstring tendinopathy. The pain is on the back of my thigh in the area at the top of my hamstring. What is the diagnosis and treatment for this type of leg injury?

Dr. Julia R. Bruene:

The hamstrings are made up of of three muscles that run along the back of the thigh. Hamstring tendinopathy or tendinitis involves inflammation of the hamstring tendon. Repetitive or prolonged activity, such as running or jumping, places strain on the hamstring tendon. Hamstring tendinopathy is often a result of overuse, or can be the result of an acute hamstring strain or “pull”. Symptoms of hamstring tendinopathy include pain and tenderness in the area just below the buttocks, pain when stretching the hamstring muscles, and pain during and after running. Other contributing factors can be inadequate warm-up, improper training, insufficient core stability, and possibly poor rehabilitation following a previous hamstring injury.

Dr. Julia R. Bruene

Dr. Julia R. Bruene

Treatment options:

Treatment includes an anti-inflammatory medication to reduce pain and inflammation, icing, and rest from activity that may aggravate the injury until the pain is gone. In some instances, a deep tissue massage or other manual therapy may also be recommended as an effective form of treatment. Once the pain and inflammation have subsided, it is imperative to develop and maintain a stretching and strengthening exercise program to avoid future injury. The treating physician and physical therapist will provide recommendations on when to begin an exercise program and the appropriate exercises and will most likely emphasize a gradual return to running.

For more information about Dr. Bruene and the Midwest Orthopaedics at Rush sports medicine physicians, call 877 MD BONES (877.632.6637) or visit

The information contained on this page is intended only for general public education, and is not intended to serve as a substitute for direct medical advice. This information should not replace necessary medical consultations with a qualified orthopedic physician.


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