Hamstring Rehabilitation and Healing

If you want to learn more about Hamstring Rehabilitation check out the 120 page comprehensive Hamstring Injury Treatment Manual.

I have published an E Book on strength and conditioning programs after a hamstring injury. Specifically soft tissue and not back related etc. One area that seems to cause problems is athletes working too intensely too soon after a muscle injury is diagnosed and taking gambles. Jarvinen's review emphasizes the need for 3 days immobilization to allow healing as a critical phase. Respecting the stages and phases of healing in soft tissue injury is vital. Some researchers categorize these stages differently. From acute ( inflammatory) up to 7 days to proliferation ( 7 to 21 days) and maturation and remodeling ( >21 days).

Not respecting healing dogma is fraught with danger given that means trying to beat nature. Programs in my e book are based on this dogma. And Jarvinen is very clear about the processes involved.

I was lucky to work in the AFL for 20 years and since 1999 till April 2006 I was operating at approximately half the average games lost for hamstrings in the AFL. I coached sprinters in the 80's and simply spent a lot of time researching and working this area.

HEALING MUSCLE INJURIES
Muscle Injuries: Biology and Treatment: Järvinen
The American Journal of Sports Medicine, Vol. 33, No. 5

This study emphasizes the need to immobilize in the acute phase, which, as minimum from healing studies, should be 3 days.

REST IS CRITICAL IN THE ACUTE PHASE!

According to Jarvinen even slight use of the injured muscle in this Acute Phase needs to be avoided. He also talks about re-ruptures at the same site if mobilization is too soon. By resting in this phase less scar is put down.

WHAT HAPPENS AFTER THIS IMMOBILIZATION PHASE ?

PARADOX: Use it or lose it!

The rest in the immobilization phase allows the scar to get some strength. In fact after 10 days the scar is quite strong

After the immobilization phase is over then active mobilization enhances the penetration of muscle fibres into the scar tissue, limits the size of the scar and aligns the regenerating muscle tissue.

“If immobilization is continued past the acute phase (first few days) of muscle regeneration, the deleterious effects become particularly evident during the remodeling phase of muscle healing”


Hamstring Rehabilitation and Running Programs

Hamstring Injuries in the AFL. Perception becomes Reality.



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