E3: Hamstring Assessment - Slump's Test

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The hamstrings are on the backside of the thigh and start at the gluteal crease. This insertion onto the “sit bone” is an extremely common site of injury with runners. Also known as High Hamstring Tendonopathy, this type of hamstring injury can take months to heal and can be extremely frustrating for all type of athletes.
What causes a High Hamstring Strain?
High Hamstring Strains are created the same way any other strain of the hip and leg is. Overuse, trauma or over demand of the tissue.
Hamstring injuries do have one thing unique about them though. They are predictable in the fact that they become more probable the faster you run. Striders are a good example. I have had many runners come in saying their injuries begin after doing striders. I have nothing against striders, but the quick speed and larger range of motion are factors in hamstring injuries. There are many other possible factors, but these are just a few you should be aware of.
How can you rehab a High Hamstring Strain?
Hamstring Strain rehab programs are much better than they use to be, BUT it is important to understand the type of injury that a “hammy” strain is. Hamstring injuries are highly temperamental. They will flare up during rehab and reintroduction to running, so don’t get frustrated. Frustration and stopping a rehab program is the number one reason I have seen that causes runners to not recover. We recommend the follow exercise categories for our rehab programs.
Multidirectional trunk stabilization
Complex motions both unloaded and loaded
Local eccentric exercises
Hip mobility
Change of direction drills
Plyometrics
Sprinting form instruction
One exercise you could have read about is the Nordic Hamstring Exercise. I have used it in many rehab programs, but I caution everyone about how intense these can be. If you do it too early, you will hurt yourself. If you do too many reps and sets, you will hurt yourself. We also eventually need to challenge the hamstring in a lengthening hip hinge pattern. First unweighted and then weighted. Lastly, we would increase the speed. Romanian Deadlifts are a great way to learn hip hinge movements. This video should show you everything you need to know.
What kinds of treatments can be done for a High Hamstring Strain? Here are some other treatments that can assist you in recovering from a Hamstring Strain:
Active Release Technique
Deep tissue massage
Anti-inflammatory injections
Regenerative Cell Therapies
Chiropractic adjustments or mobilizations
Strength training/rehab
PRICE therapy
Running gait training