What is hamstring tendinopathy and how can it be treated?

Hamstring tendinopathy is an inflammation of the hamstring tendon as it attaches to the ischial tuberosity at the top of the back of the thigh. It can follow a tear of the hamstring from overuse, most common in athletes.

Symptoms include pain and tenderness at the ischial tuberosity just under the buttocks. Pain is most likely to be felt when stretching the hamstring muscles.

hamstring tendinopathy

hamstring tendinopathy

Reducing inflammation through rest, ice, or cold therapy is usually the first step in treating this condition. Once pain and inflammation is gone, the patient can begin developing a program of stretching and strengthening. A more serious injury may cause the muscle to tighten or weaken, which can be treated with deep-tissue massage.

A doctor may recommend NSAID’s or non-steroidal anti-inflammatory drugs to reduce pain and inflammation, as well as the use electrotherapy. Occasionally, fibrous adhesions may develop on the tendon that can irritate the sciatic nerve as it passes above the Ischial tuberosity and then down past the biceps femoris muscle.

Also known as hamstring syndrome, this condition may at times require surgery. However, some physicians prefer the regenerative process of stem cell injections to treat this syndrome.