Nerve entrapment pain in the hamstring area

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INJURY TITLE

Nerve entrapment pain in the hamstring area

 

INJURY OVERVIEW

The hamstring muscle group is receives its nerve supply from various parts of the ‘sciatic’ nerve.  You may be familiar with the term sciatica.  Obstruction of the sciatic nerve anywhere along its path (from the lower back to the foot) can result in pain in the hamstring area (back of the thigh).

 

INJURY IN-DEPTH INFORMATION

The sciatic nerve passes from the spine via some of the muscles in your buttocks (piriformis) then it passes underneath your hamstring muscles in the back of your thigh.  It must be remembered that nerves require a lot of blood to function properly and this vast amount of blood enters the nerve in a low-pressure system.  The significance of this is that only a relatively small obstruction to this blood flow is needed to cause problems in its delivery.  If the delivery of blood to a nerve is obstructed, it can lead to pain in the areas that nerve gives signals to.

 

In the absence of and pins and needles or numbness, it is more likely that the soft tissue that the nerve travels in is the problem, but this too can cause pain in the hamstring area.

 

COMMON SIGNS & SYMPTOMS

  • Pain in the hamstrings (could include pain in the back, buttocks, calves and feet)
  • Pain likely to be very well defined
  • Possible inclusion of pins and needles

 

HOW IS IT ASSESSED

  • Clinical examination to eradicate all other causes of pain

 

GENERAL TREATMENT

  • Manual therapy to help release all probable and possible areas that could be catching the nerve
  • Exercise therapy aimed at improving the way the nerve moves
  • Manual therapy aimed at mobilising the joints in the back
  • Possible use of taping to help off load some of the pressure on the nerve

 

Exercise Videos: i.e.

  • Rotator cuff strengthening
  • Pec stretch
  • etc

 

WHICH HEALTH PROFESSIONAL TO CONSULT

PHYSIO     X

MEDIC     X

PODIATRY     

Put an ‘X’ next to each health professional that most commonly deals with this injury.

i.e. tennis elbow would be Physio and Medic as injections are common, whereas for muscular LBP it would be Physio and not Medic as they would just refer them to a Physio.

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