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Insertional Tendinopathy of the Hamstring


This is characterised by pain in the upper part of the back of the thigh, just below the buttocks. It is a condition that frequently affects runners, although it can be suffered by all athletes involved in running, jumping and strengthening of the lower body. Its incidence increases as we age and it is more frequent in females due to changes in collagen.
It may originate from a proximal hamstring tear that went unnoticed or was not treated correctly. However, in most cases, it is a typical overuse injury. This overload generates micro lesions in the muscular insertion that progresses over time.
Like most of the problems related to the tendons, when the pain begins it is too late and the problem is installed. Initially, the pain prevents you from explosive training (kicking, squatting, jumping) and is associated with post-exercise discomfort. Then, the symptoms are constant and activities are seriously impeded or limited. Sometimes, the pain radiates from the back of the thigh to the knee, because the site of the injury is close to the Sciatic nerve, irritating it.
When symptoms begin, it is important to change the training loads for 6 to 8 weeks, being able to maintain mild to moderate aerobic activity. Start with stretching exercises, flexibility and core strengthening. Physiotherapists will be key in the recovery, providing you with deep massage, stretching and progressive strength work.
If symptoms persist or progress, more invasive therapies should be used, such as Platelet Rich Plasma, Shockwaves therapy or percutaneous electrolysis therapy. Surgery is offered in rare circumstances.