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Injuries to the hamstring muscles or tendons including those that attach in the groin are usually the result of a sporting injury. They usually respond well to physiotherapy led activity modifcation and strengthening. If they are severe or not responding they may require surgery.

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Injuries to the hamstring muscles or tendons including those that attach in the groin are usually the result of a sporting injury. They usually respond well to physiotherapy led activity modifcation and strengthening. If they are severe or not responding they may require surgery.

The most common cause is a sporting injury leading to a sudden onset of pain in the groin or lower buttocks. This is usually from sprinting or a sudden burst of pace. Acute injuries can also occur with a slip and fall. 

In the more longterm or chronic cases, the tendons can become weakened or inflamed with or without a tear. 

You would usually feel a pain deep in the lower buttock or upper thigh as the main hamstrings attach to your seatbones (ischial tuberosities). Some of these injuries occur closer to the midline and cause groin pain. 

The pain is usually worse when walking, running or sprinting. The hamstrings bend the knee and extend or push the hip backwards. These movements are usually more painful. 

With a significant tear, some people have pain on sitting and the large sciatic nerve that runs close to the hamstring tendons can also be involved in scar tissue causing pain and numbness down the leg. 

A thorough physical exam and medical history assesses possible causes of your symptoms. X-rays are usually not helpful unless the tendon tear has taken some bone off with it. 

An MRI scan will show the hamtring muscles and tendons in more detail.

Some large hamstring tears need early surgery to place the tendon back at its attachment site. However, the majority of tears do well with non-surgical options such a physiotherapy which can manage the pain and improve function. 

Click here to learn more about our non-operative therapies that can help hamstring injuries.

Over the counter pain medications such as paracetamol (Panadol osteo) and ibuprofen (Nurofen) can relieve symptoms.

Cortisone and PRP (platelet rich plasma) injections can be used but need to be manged by your specialist as they can also weaken the tendons. There is a limit to how often they can be given safely: we use them to settle your symptoms so that you can manage the functional exercises that provide long-term relief.

If your pain is not relieved by these therapies and is significantly impacting your quality of life, you may be a candidate for surgery reapir of the tendons. 

See all Hip Conditions

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