Proximal Hamstring Injury Exam (vs Sciatica)

Рет қаралды 52,329

Жыл бұрын

In this video I do a proximal hamstring injury exam with the thought that there may be an element of sciatica. I demonstrate a neurologic exam to rule out sciatica and perform selective tissue tension testing during the proximal hamstring injury exam. We go through a brief history and work through the evaluation to explain why someone could have sciatica symptoms with a proximal hamstring injury.
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#proximalhamstringinjury #hamstringinjury #hamstringexam #sciatica #OrthoEvalPal #SpecialTests #Orthopedics #physicaltherapy #physicaltherapytests #athletictraining

Пікірлер: 57

@calebdavis845 Жыл бұрын

Best PT channel on KZfaq for students!

@OrthoEvalPal Жыл бұрын

Thanks a bunch Caleb! Happy to do it.

@tomash2o 8 ай бұрын

Same type of injury happened to me on a spin bike. Sciatic symptoms with hamstring tightness and spasms with peripheral neuropathy. Combo of TENS and stretching has helped immensely. Injury happened over 2 yrs ago. No one could diagnose the issue. Your differential diagnosis method is solid.

@BoiWondaful 5 ай бұрын

What are tens

@pamstrauch4372 2 ай бұрын

I have a TENS unit, but I don't know where to properly place each of the pads. Plz help!

@tomash2o 2 ай бұрын

@@pamstrauch4372 pam, google search trigger points for leg muscles and or ITBS muscles . you can use the maps as a guide to electrode placements, and dont be afraid to move the pads around for optimal results.

@yunqing5891 Жыл бұрын

Learned a lot, thanks!

@PhysioChrisToff Жыл бұрын

As a PT in Austria, I got to say, this guy is a professional, great channel!

@OrthoEvalPal Жыл бұрын

Thank you Chris!

@marbury77 Жыл бұрын

Came here after I heard a pop on my sciatica and hamstring during a quick take off trying to catch a ball. Very thorough explanation and no bruising so hopefully just inflammation.

@abicdefghijkl 3 ай бұрын

this makes me feel better bc this happened to me when attempting a cartwheel, nice to know people injure themselves doing silly things. I’m 26 though and i don’t think i should still be in pain 6 weeks later 😭

@Nobod-p5f 3 ай бұрын

@abicdefghijkl hey man! So actually you will be, I was anyways, I went and saw a chiro, he showed me how to use my hips! Think of that golfing movie with Sandler, ITS ALL IN THE HIPS!! love you brother get better ❤️

@Eleanor-ku3iv 15 күн бұрын

I did this during a warm up exercise before a 5k race! Still ran a good time even with the soreness! Resting now day 2 fingers crossed it heals ok

@carliharrison Жыл бұрын

Super helpful thank you!

@OrthoEvalPal Жыл бұрын

Glad it was helpful Carli!

@promisedprince6201 2 ай бұрын

Crazy good video!

@fabiennehubener9754 Жыл бұрын

Thanks for the hepful video. Just one comment. Even without bruising, without an accident like slipping and even when the patient can still run (with pain) the underlying cause can be a full hamstring avulsion (tendons ripped of the bone). Only an MRI can tell. The operation should happen within 2 weeks for the best outcome. This injury is often overlooked. It seems to happen more often to people around 50 and to women.

@UrviShah-hp7hq Жыл бұрын

Excellent!

@OrthoEvalPal Жыл бұрын

Many thanks Urvi!

@andreasmaher8749 8 ай бұрын

Describes my issue to a T. Went to a physio and he did all the same tests and said pretty much hamstring strain. Felt mine "pop" during a 5k race.

@OrthoEvalPal 8 ай бұрын

I hope this resolves quickly Andreas!

@Pete.Ty1 Жыл бұрын

👍👍👍 Thanks Paul

@OrthoEvalPal Жыл бұрын

You got it Pete!

@mrhmd8308 Ай бұрын

Would you consider using a modality of Cupping or Dry Needling first before exercises? Excellent demonstration. Cheers.

@amiirhosseinkn6376 Жыл бұрын

Very enjoying

@greganikin7003 3 ай бұрын

Great! Thanks! I identified i don’t have that spot pain. But i have pain in lover ligaments and sciatica problem

@OrthoEvalPal 3 ай бұрын

You are welcome!

@IAmRetail 8 ай бұрын

This is really what I'm dealing with!! Dr's have told me it's piriformis syndrome, I've been told it's a herniated disc, I've been told my hip is out of alignment/tipping to one side, it's sad! It's been like 4 years now. I'm finally starting to see these videos of high hamstring tendinitis, but I didn't get the right help and now I get numbness down the leg, I don't have the flexibility anymore, if I try running faster with longer gait then the pain comes back!!

@OrthoEvalPal 8 ай бұрын

It's possible. Hard to tell without seeing you.

@stevej1427 5 ай бұрын

Happened to me sliding head first to 2nd base in high school. I thought the ball hit me because it felt like a pop or a bang. Thought I was safe until the short stop tagged me out. I said what the hell just happened. Tried to get up and it was a wrap. Never rehabbed it but got better. Yesterday playing basketball it happened again and now I’m here. I always thought it was a bone issue because I thought it was too much pain to be a pull.

@twizzler57 5 ай бұрын

So how should I work it out??

@artykslam 2 ай бұрын

Thanks i thought it was the sciatic nerve but i feel just like him, ithink im going to take off leg days and just walk in sted to give my hamstring a rest😅

@wadeparker8695 2 ай бұрын

Thank you! I find that a foam roller helps. Lately I’ve been worried I don’t know if it’s my hamstring or sciatica. I’m 51 years old is there any suggestions that you might have? Thank you

@N1TRO 5 ай бұрын

I get the same pain/strain in the same scenarios but rather than either attachment site the feeling of 'my hamstring feels like its going to tear' is directly in the middle of the muscle. I believe ive adapted around this and my more servere injuries and tend to not deal with the pain fueing daily life but i do this by heavily avoiding my hamstrings and walking very inificiently. Theres a lot of other things but thats all thats directly relevant. What type of injury would you imagine this this to be? Added info: I avoid my right side and weight bare 70% or more of weight on left leg. I definitely have an anterior pelvic tilt. My ankle dorsiflexion is awful especially on my right (dodgy side), knee to wall test with right foot i can barely touch the wall with knee with toes touching the wall. Some degree of pelvic torsion.

@francishubertovasquez2139 29 күн бұрын

Nerve pain such as in Sciatica due to slipped disc problem can be in aid for diagnosis but what if the spinal injury is so tilted that it almost obstruct the nerve pathways in that gray effects in there towards the limbs and theres pain signallings as well as muscles effects of its levels of problems to peripheral muscles and nerves, can a particular nerve be turned off or be created a segway by the modes of wireless thing or distal nerve implant signal receptor or something while the schwanns cells tuned to regenerate by specifics while surgery was being contemplated by patients relatives for example to whatever reason an example of if factor of emergency measures after neuro assessment or a scan or something with nerve specifics to wherever connectivities damaged by focusing in genetics concentrated fix meaning the machine have a copy of genetic make up.

@vsam2987 6 ай бұрын

I have the same issue and tried exercises but I started doing Angamardhana offered by Isha institute (Sadhguru) and I cannot live without it now. And if I skip for a week or two and the pain is back. Previously I suffered everyday with hamstring pain and needed. Now Angamardhana is like a massage to me though it’s very intense hatha yoga..

@bakedalaska1 3 ай бұрын

Can you recommend any videos here on yt?😢

@Khaos969 Ай бұрын

I was playing fighting in loafers with no grip and my foot flipped and I hyper extended my hamstring I felt a pop …. Next day I couldn’t walk it been a week now I can walk pretty ok , but my glute is killing me and my hamstring still feels bruised … I’m guessing if I tore my muscle of the bone I wouldn’t be walking around already?

@silesiadiver Ай бұрын

How it's possible that i have pain in exactly same moments like your son, but when this spot is pressed by finger there is no pain? It's painful in mentioned spot only when straight leg is stretched. What do you think about it? Its painful when running and going uphill and no pain when walking on stairs

@Skills2821 Жыл бұрын

Question sir. So I pulled it strained my hamstring back in June of 2022. We’re in march of 2023 and it still hasn’t fully healed. I’d that normal? I can run I can do weight training on it and even stretch but I still feel discomfort.

@stttggg7663 Жыл бұрын

same

@Eagle_data Жыл бұрын

Same

@samalexander6273 11 ай бұрын

Same

@pamstrauch4372 2 ай бұрын

I've had this pain for 3 years, and chiropractors and massotherapists haven't relieved it or given me any exercises to fix it! I feel totally helpless and afraid I'll have this pain for the rest of my life ive tried all kinds of stretches for hamstrings, and exercises i found online for glutes, hamstrings and hips. Nothing has worked. Maybe the wrong exercises??

@lilT-Ride Жыл бұрын

Same thing happened to me except i do jiu jitsu This was last night 2/7/23 Its now 2/8/23 and im so sore

@OrthoEvalPal Жыл бұрын

Rest a couple days and see how it does.

@lilT-Ride Жыл бұрын

@@OrthoEvalPal its getting better. I have Almost full motion. Thank you

@RekhaRanjith-bx9ws 9 ай бұрын

Sir my baby 3 year old she suffering from gbs from December treatment is everything over but now right leg problm sciatica hip side bone problm eny suggetion

@OrthoEvalPal 9 ай бұрын

Need to see a pediatric orthopedist

@billibob-tr8tp 4 ай бұрын

i had like a really bad like sharp pain in my hamstring it at like 6pm 8pm dont know and it was better at 3 am i was scared it was like a pulled muscle as i ran quite alot that day stll not sure as my muscles are still prety tight 3 days later well the leg that i think cramped up was im still not sure if it was cramp or if i couldve pulled my hamstring im not sure it hurt i thought at the time it was a pulled hamstring but now i think it was a cramp as t cleared within like 6-9 hours although its still sore and stiff like 3 days later (started hurtng thursday typing this sunday)

@OrthoEvalPal 4 ай бұрын

Possibly a cramp. Make sure it's not a pinched nerve in the back sending pain down to that spot.

@billibob-tr8tp Ай бұрын

@@OrthoEvalPal yea i didnt have any pain after that it was only a cramp probably. i did go to a athletics carnaval sport event where i did 200m, 400m, 100m relay and wheel and ball then went to football(aussie rules) training wich goes for a hour i also hadn drunk or eaten much that day and after the 400m (first even) my legs were jelly but im all good now